| 旷南岳,李辉,林娟,等.新疆生产建设兵团 60 699例成年居民身体质量指数与高血压、糖尿病和血脂异常患病率的相关分析[J].安徽医药,2023,27(12):2425-2428. |
| 新疆生产建设兵团 60 699例成年居民身体质量指数与高血压、糖尿病和血脂异常患病率的相关分析 |
| Association of body mass index with hypertension, diabetes and dyslipidemia among adult residents in Xinjiang production and construction corps |
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| DOI：10.3969/j.issn.1009-6469.2023.12.020 |
| 中文关键词: 身体质量指数 高血压 糖尿病 血脂异常 调查和问卷 |
| 英文关键词: Body mass index Hypertension Diabetes mellitus Dyslipidemia Surveys and questionnaires |
| 基金项目:兵团科技攻关项目( 2018AB024) |
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| 中文摘要: |
| 目的探讨新疆生产建设兵团成年居民身体质量指数( BMI)与高血压、糖尿病和血脂异常患病率的关系。方法 2019年 8月至 2020年 7月采用多阶段整群抽样，以≥18岁新疆生产建设兵团常住居民为调查对象，采用方差分析、偏相关分析和 logistic回归分析，研究 BMI与高血压、糖尿病和血脂异常患病率的关系。结果 60 699例研究对象中高血压、糖尿病和血脂异常的患病率分别为 28.65%(17 384/60 699)10.01%(6 074/60 699)28.32%(17 182/60 699)； BMI分层中正常体质量占 46.98%，超重占 37.80%，肥胖占 15.22%；不同 BMI分，层中病人的血压、血糖，和血脂水平差异有统计学意义( P<0.05)；相关性分析中 BMI与收缩压、舒张压、空腹血糖、总胆固醇、三酰甘油和低密度脂蛋白胆固醇( LDL-C)呈正相关( P<0.05)，与高密度脂蛋白胆固醇( HDL-C)呈负相关( P<0.05)；多因素 logistic回归分析显示，超重组的高血压、糖尿病和血脂异常患病风险是正常组的 2.07倍、 2.02倍和 1.88倍；肥胖组的高血压、糖尿病和血脂异常患病风险是正常组 3.43倍、 2.92倍和 3.08倍，随着 BMI的增加，高血压、糖尿病和血脂异常患病风险较正常组呈上升趋势( P<0.05)。结论 BMI与高血压、糖尿病和血脂异常的患病率密切相关；应针对超重与肥胖人群进行健康生活宣教，同时落实慢病管理措施。 |
| 英文摘要: |
| Objective To explore the association of body mass index (BMI) with hypertension, diabetes and dyslipidemia in adultsof Xinjiang Production and Construction Corps (XPCC). Methods Subjects were selected by multi-stage stratified cluster samplingamong inhabitants over 18 years old permanent resident of Xinjiang Production and Construction Corps, to explore the relationship be.tween BMI and "three highs" (hypertension, diabetes, and dyslipidemia) by one-way ANOVA, partial correlation analysis and logistic regression analysis from August 2019 to July 2020.Results Among the 60 699 subjects under study, the prevalence rates of hyperten.sion, diabetes, and dyslipidemia were found to be 28.65%(17 384/60 699), 10.01% (6 074/60 699), and 28.32% (17 182/60 699), re.spectively. Stratified according to BMI distribution, 46.98% of individuals had a normal BMI, 37.80% were categorized as overweight,and 15.22% were considered obese. A statistically significant variance in blood pressure, blood glucose levels, and lipid profiles wasobserved across various BMI classifications (P<0.05). Moreover, correlational analysis results indicated a positive association betweenBMI and factors such as systolic blood pressure, diastolic blood pressure, fasting blood glucose, total cholesterol, triglycerides, and low-density lipoprotein cholesterol (LDL-C) (P<0.05), whereas a negative association with high-density lipoprotein cholesterol (HDL-C) was observed (P<0.05). Utilizing a multiple-step logistic regression analysis, it was determined that the odds of developing hypertension, di.abetes, and dyslipidemia were respectively 2.07 times, 2.02 times, and 1.88 times higher in the overweight group compared to the nor.mal group. Correspondingly, the odds for the obese group were 3.43 times, 2.92 times, and 3.08 times greater for these same conditionswhen compared to the normal group. Importantly, the risks of developing hypertension, diabetes, and dyslipidemia exhibited an upwardtrend with increasing BMI, as compared to the normal group (P<0.05).Conclusions BMI is closely associated with hypertension, dia.betes and dyslipidemia. Healthy life education should be conducted for overweight and obese people, and meanwhile strategies forchronic disease management should be adopted. |
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