目的 探討成都地區(qū)中老年人群的腰高比值（WHtR）與血壓、血脂、血糖的關(guān)系。 方法 2007年5月間在成都市地中老年人群（688人）中用統(tǒng)一編制的調(diào)查表記錄被調(diào)查者的血壓、血脂、血糖、WHtR等指標(biāo)，并用相關(guān)統(tǒng)計(jì)學(xué)數(shù)據(jù)進(jìn)行分析。 結(jié)果 ① 成都地區(qū)中老年人群WHtR≥0.5的高血壓、高血脂、高血糖的發(fā)病率明顯高于對(duì)照組（P＜0.05），且有統(tǒng)計(jì)學(xué)意義。② 年齡、收縮壓、舒張壓、甘油三酯和血糖水平，WHtR≥0.5組明顯高于WHtR＜0.5組，而WHtR≥0.5組高密度脂蛋白水平低于WHtR＜0.5組，且組間差異均有統(tǒng)計(jì)學(xué)意義。③ logistic 回歸分析表明WHtR與年齡、收縮壓、舒張壓、甘油三酯、空腹血糖水平呈正相關(guān)，與高密度脂蛋白水平呈負(fù)相關(guān)。 結(jié)論 成都地區(qū)中老年人群WHtR與血壓、血脂及血糖關(guān)系密切，可能可以通過(guò)改善血壓、血脂、空腹血糖等指標(biāo)來(lái)減少WHtR，中老年人群要加強(qiáng)對(duì) WHtR 的自我管理, 盡可能將心血管疾病危險(xiǎn)因素降到最低。
引用本文： 張昕,陳曉平,呂振兵,洪必瑩,吳凱. 成都地區(qū)中老年人群腰高比值與血壓、血脂、血糖的關(guān)系. 華西醫(yī)學(xué), 2012, 27(4): 508-511. doi: 復(fù)制
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- 1. Kaur M, Talwar I. Body composition and fat distribution among older Jat females: a rural-urban comparison[J]. Homo, 2011, 62(5): 374-385.
- 2. 王文絹, 王克安, 李天麟, 等. 體重指數(shù)、腰圍和腰臀比預(yù)測(cè)高血壓、高血糖的實(shí)用價(jià)值及其建議值探討[J]. 中華流行病學(xué)雜志, 2002, 23(1): 16-19.
- 3. Hsieh SD, Yoshinaga H, Muto T. Waist-to-height ratio，a simple and practical index for assessing central fat distribution and metabolic risk in Japanese men and women[J]. Int J Obes Relat Metab Disord, 2003, 27(5): 610-616.
- 4. 葉新華, 胡繼紅, 成金羅. 江蘇省常州地區(qū)自然人群人體測(cè)量指標(biāo)與血壓、血脂關(guān)系的研究[ J] . 實(shí)用臨床醫(yī)藥雜志, 2010, 14(1): 42.
- 5. Hadaegh F, Zabetian A, Harati H, et al. Waist/height ratio as a better predictor of type 2 diabetes compared to body mass index in Tellranian adult men-a 3.6-year prospective study[J]. Exp Clin Endocrinol Diabetes, 2006, 114(6): 310-315.
- 6. Hsieh SD, Muto T. The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women[J]. Prevent Med, 2005, 40(2): 216- 220.
- 7. 洪忻, 李解權(quán), 梁亞瓊, 等. 南京市成年人體重指數(shù)、腰圍、腰臀比、腰高比與高血糖關(guān)系的隨訪(fǎng)研究[J]. 中華流行病學(xué)雜志，2009, 30(3): 209-213.
- 8. 周北凡. 中國(guó)人群心血管病危險(xiǎn)因素作用特點(diǎn)的前瞻性研究[J]. 中華流行病學(xué)雜志，2005, 26(1): 58- 61.
- 9. 向澤林, 趙景波, 許加亮, 等. 體質(zhì)指數(shù)、腰圍、腰臀比與高血壓、高血糖的關(guān)系及三者對(duì)高血壓、高血糖的預(yù)測(cè)價(jià)值[J]. 疾病控制雜志, 2008, 12(3): 207-210.
- 10. Bozorgmanesh M, Hadaegh F, Azizi F. Predictive performance of the visceral adiposity index for a visceral adiposity-related risk: type 2 diabetes[J]. Lipids Health Dis, 2011, 27(10): 88.
- 11. Ashwell M, Browning LM. The Increasing importance of waist-to-height ratio to assess cardiometabolic risk: a plea for consistent terminology[J]. The Open Obesity Journal, 2011, 3(1): 70-77.
- 12. Haffner SM, Valdez RA, H azuda HP, et al. Prospective analysis of the insulin resistance syndrome (syndrome X) [J]. Diabetes, 1992, 41(6): 715-722.
- 13. Ito H, Nakasuga K, Ohshima A et al. Excess accumulation of body fat is related to dyslipidemia in normal-weight subject[J]. Int J Obes Relat Metab Disord, 2004, 28(2):242-247.
- 14. Turcato E, Bosello O, Di Francesco V, et al. Waist circumference and abdominal sagittal diameter as surrogates of body fat distribution in the elderly: their relation with cardiovascular risk factors[J]. Int J Obes Relat Metab Disord, 2000, 24(8): 1005-1010.