不同体重指数和腰臀比与血糖、血脂、血压的关系

目的]探讨重庆地区成人不同体重指数（BMI）和腰臀比（WHR）与血糖、血脂、血压的关系及其与心血管疾病危险因素的聚集性。方法]选择重庆市两社区中老年人群2883例,根据世界卫生组织推荐的成人超重与肥胖标准,对BMI和WHR与血糖、血压和血脂的关系进行了统计分析。结果]超重及肥胖总检出率35.73%,腹型肥胖率31.84%。随BMI升高,空腹血糖（FBG）、甘油三酯（TG）、收缩压（SBP）、舒张压（DBP）平均水平逐渐升高,高密度脂蛋白（HDL）明显降低;且糖尿病、高血压、高TG、低HDL检出率亦升高。超重和肥胖人群高血糖、高血压、高TG和HDL降低的危险性分别为正常人群的1.70、1.87、2.99、2.29倍。与正常组比较,超重与肥胖人群有任意1、2、3、4种危险因素时的危险性分别是2.15、3.84、6.23和24.90。结论]超重与肥胖增加成人心血管疾病危险因素的聚集性以及获得多个心血管疾病的危险性。控制超重和肥胖对心血管疾病的防治具有重要意义。

STUDY ON THE RELATIONSHIP BETWEEN BODY MASS INDEX (BMI) , WAIST TO HIP RATIO (WHR) AND BLOOD GLUCOSE, SERUM LIPIDS AND BLOOD PRESSURES

Objective]To explore the clustering characteristics of body mass index(BMI)and waist to hip ratio(WHR)with multiple cardiovascular disease risk factors such as blood glucose,serum 1ipids and blood pressure.Methods]Questionnaire survey and physical examination were conducted among the elderly population in 2 communities of Chongqing. According to the standard of overweight and obesity among adults recommended by World Health Organization,the relationship of BMI,WHR and blood glucose,blood pressure and lipids were analyzed.Results]Overal1 prevalence of overweight and obesity was 35.73% and the rate of abdominal obesity was 31.84%. The levels of fast blood glucose(FBG),triglyceride(TG),systolic blood pressure(SBP),diastolic blood pressure(DBP)significantly increased with the rising of BMI,but the level of high density lipoprotein(HDL)was low. The prevalence of hypertension,diabetes,high TG and 1ow HDL in overweight and obese adults was higher than in normal population.The odds ratios of overweight and obese adults for high blood pressure,GLU,TG and 1ow HDL were 1.70,1.87,2.99,2.29,respectively.Odds ratios of overweight and obesity holding any one,two,three or four of the selected four risk factors appeared to be 2.15,3.84,6.23 and 24.90,respectively.Conclusion]Overweight and obesity can increase the clustering of risk factors on cardiovascular diseases,as well as increase the risk of adults acquiring multiple risk factors of cardiovascular diseases.Controlling overweight and obesity is of great importance to the prevention and treatment of cardiovascular diseases.