[1]张凤梅,王淑云,徐恒戬.中老年高校教师人群体重指数与心血管病危险因素聚集状况分析[J].医学信息,2020,33(22):141-144.[doi:10.3969/j.issn.1006-1959.2020.22.040]
 ZHANG Feng-mei,WANG Shu-yun,XU Heng-jian.Analysis of the Aggregation of Body Mass Index and Cardiovascular Risk Factors in Middle-aged and Elderly College Teachers[J].Medical Information,2020,33(22):141-144.[doi:10.3969/j.issn.1006-1959.2020.22.040]
点击复制

中老年高校教师人群体重指数与心血管病危险因素聚集状况分析()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年22期
页码:
141-144
栏目:
调查分析
出版日期:
2020-11-15

文章信息/Info

Title:
Analysis of the Aggregation of Body Mass Index and Cardiovascular Risk Factors in Middle-aged and Elderly College Teachers
文章编号:
1006-1959(2020)22-0141-04
作者:
张凤梅王淑云徐恒戬
(1.山东理工大学医院卫生科,山东 淄博 255000;2.山东理工大学生命科学学院,山东 淄博 255000)
Author(s):
ZHANG Feng-meiWANG Shu-yunXU Heng-jian
(1.Health Section,Shandong University of Technology Hospital,Zibo 255000,Shandong,China;2.School of Life Sciences,Shandong University of Technology,Zibo 255000,Shandong,China)
关键词:
体重指数超重肥胖心血管病
Keywords:
Body mass indexOverweightObesityCardiovascular disease
分类号:
R54
DOI:
10.3969/j.issn.1006-1959.2020.22.040
文献标志码:
A
摘要:
目的 探讨中老年高校教师人群体重指数(BMI)与心血管病危险因素及其聚集的相关性。方法 2019年4~11月选取某高校从事教学科研工作的40~79岁教师2341名作为研究对象。根据BMI水平将研究对象分为BMI<24.0(925名)、24.0~27.9(1031名)、≥28.0 kg/m2(385名)三组,比较三组糖尿病、高血压、血脂异常、收缩压(SBP)、舒张压(DBP)、血清总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、甘油三脂(TG)和空腹血糖(FPG)水平,分析BMI与血压、血脂、血糖水平及糖尿病、高血压、血脂异常等心血管病危险因素聚集的相关性。结果 三组人群心血管病危险因素水平和危险因素检出率聚集率比较显示,随着BMI水平的升高,男性收缩压、舒张压、低密度脂蛋白胆固醇、甘油三脂、空腹血糖水平,女性收缩压、舒张压、血清总胆固醇、低密度脂蛋白胆固醇、甘油三脂、空腹血糖水平均升高,高密度脂蛋白胆固醇水平降低,差异有统计学意义(P<0.05);三组糖尿病、高血压、血脂异常聚集率均升高,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,调整性别、年龄后超重人群合并高血压、血脂异常、危险因素聚集的危险性分别是体重正常人群的2.16、1.66、1.95倍,肥胖人群合并糖尿病、高血压、血脂异常、危险因素聚集的危险性分别是体重正常人群的3.19、4.64、2.81、4.40倍。结论 中老年高校教师人群BMI水平与心血管病危险因素及其聚集风险有关,对超重及肥胖人群应尽早采取有效的干预措施。
Abstract:
Objective To explore the correlation between the body mass index(BMI) and cardiovascular risk factors and their aggregation among middle-aged and elderly college teachers.Methods From April to November 2019, 2341 teachers from 40 to 79 years old in a university engaged in teaching and research work were selected as the research objects. According to the BMI level, the study subjects were divided into three groups: BMI<24.0 (925 persons), 24.0-27.9 (1031 persons), ≥28.0 kg/m2 (385 persons), and compared the three groups with diabetes, hyperemia, abnormal blood lipids, and systolic blood pressure (SBP), diastolic blood pressure (DBP), serum total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG) and fasting blood glucose (FPG) analyze the correlation between BMI and blood pressure, blood lipid, blood sugar level, diabetes, hypertension, dyslipidemia and other cardiovascular risk factors.Results Comparison of the levels of cardiovascular disease risk factors and the detection rate of risk factors among the three groups showed that with the increase of BMI levels, male systolic blood pressure, diastolic blood pressure, low-density lipoprotein cholesterol, triglycerides, fasting blood glucose levels, female systolic blood pressure, diastolic blood pressure, serum total cholesterol, low-density lipoprotein cholesterol, triglycerides, fasting blood glucose levels increased, and the high-density lipoprotein cholesterol level decreased, the difference was statistically significant (P<0.05); the three groups of diabetes,the aggregation rate of hypertension and dyslipidemia increased,the difference was statistically significant (P<0.05); Multivariate Logistic regression analysis showed that the risk of hypertension, dyslipidemia, and aggregation of risk factors in overweight people after adjusting for gender and age were respectively was 2.16, 1.66, 1.95 times that of people with normal weight. Obese people with diabetes, hypertension, dyslipidemia, and risk factors are 3.19, 4.64, 2.81, 4.40 times that of people with normal weight.Conclusion The BMI level of middle-aged and elderly college teachers is related to cardiovascular risk factors and their aggregation risks. Effective intervention measures should be taken as soon as possible for overweight and obese people.

参考文献/References:

[1]中国心血管病预防指南(2017)写作组,中华心血管病杂志编辑委员会.中国心血管病预防指南(2017)[J].中华心血管病杂志,2018,46(1):10-25. [2]李嘉琛,吕筠,高萌,等.中国成年人体质指数和腰围与主要慢性病风险的关联研究[J].中华流行病学杂志,2019,40(12):1541-1547.[3]王增武,郝光,王馨,等.我国中年人群超重/肥胖现况及心血管病危险因素聚集分析[J].中华流行病学杂志,2014,35(4):354-358.[4]何耀.我国超重/肥胖流行趋势及其对公共卫生的挑战[J].中华流行病学杂志,2014,35(4):345-348.[5]吕燕宇,姜红如,张兵,等.中国九省(区)农民超重肥胖的变化趋势及人口经济因素的影响[J].中国食物与营养,2020,26(1):73-76.[6]高萌,魏玉虾,吕筠,等.中国成年人代谢异常相关的体质指数和腰围切点研究[J].中华流行病学杂志,2019,40(12):1533-1540. [7]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J].中华糖尿病杂志,2018,10(1):4-67.[8]中国高血压防治指南修订委员会,高血压联盟(中国),中华医学会心血管病学分会,等.中国高血压防治指南(2018年修订版)[J].中国心血管杂志,2019,24(1):24-56.[9]中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-950.[10]张莉娜,郑小璇,宋璐璐,等.中老年人体重变化对血压、血糖和血脂变化影响的纵向队列研究[J].中华预防医学杂志,2018,52(9):915-921.[11]苏健,向全永,吕淑荣,等.成年人体质指数、腰围与高血压、糖尿病和血脂异常的关系[J].中华疾病控制杂志,2015,19(7):696-700.[12]Engin A.The definition and prevalence of obesity and metabolic syndrome[J].Adv Exp Med Biol,2017(960):1-17.[13]黄秋敏,姜红如,王柳森,等.中国15省份15~49岁女性心血管代谢性危险因素分析[J].中华流行病学杂志,2020,40(2):190-194. [14]丛守婧,林海,郭艳,等.中山市成人体质指数和腰围与高血压和糖尿病以及血脂异常的关系[J].中国慢性病预防与控制,2019,27(7):533-537.[15]Nguyen T,Lau DCW.The obesity epidemic and its impact on hypertension[J].Can J Cardiology,2012,28(3):326-333.

相似文献/References:

[1]袁 奔,潘 伟,罗淑红,等.体重指数对多囊卵巢综合征患者 人工授精妊娠结局影响[J].医学信息,2018,31(12):99.[doi:10.3969/j.issn.1006-1959.2018.12.030]
 YUAN Ben,PAN Wei,LUO Shu-hong,et al.Effects of Body Mass Index on the Outcome of Artificial Insemination in Patients with Polycystic Ovary Syndrome[J].Medical Information,2018,31(22):99.[doi:10.3969/j.issn.1006-1959.2018.12.030]
[2]黄晓凤,张 悦,吕金昌,等.北京市顺义区学龄儿童少年体重指数与体脂百分比关系的研究[J].医学信息,2019,32(07):134.[doi:10.3969/j.issn.1006-1959.2019.07.040]
 HUANG Xiao-feng,ZHANG Yue,LV Jin-chang,et al.Study on the Relationship between Body Mass Index and Body Fat Percentage of School-Age Children and Adolescents in Shunyi District,Beijing[J].Medical Information,2019,32(22):134.[doi:10.3969/j.issn.1006-1959.2019.07.040]
[3]赵芳芳,甄国新,赵瑞兰,等.北京市顺义区中小学生饮食行为与超重肥胖的相关性分析[J].医学信息,2019,32(09):138.[doi:10.3969/j.issn.1006-1959.2019.09.045]
 ZHAO Fang-fang,ZHEN Guo-xin,ZHAO Rui-lan,et al.Correlation between Eating Behaviors and Overweight and Obesity among Primary and Middle School Students in Shunyi District,Beijing[J].Medical Information,2019,32(22):138.[doi:10.3969/j.issn.1006-1959.2019.09.045]
[4]赵 萍.初诊青年2型糖尿病临床特点及危险因素分析[J].医学信息,2019,32(16):102.[doi:10.3969/j.issn.1006-1959.2019.16.032]
 ZHAO Ping.Analysis of Clinical Features and Risk Factors of Type 2 Diabetes in Newly Diagnosed Youth[J].Medical Information,2019,32(22):102.[doi:10.3969/j.issn.1006-1959.2019.16.032]
[5]张 富,傅凯莉.体重指数与血脂、尿酸及中医证素的关系[J].医学信息,2020,33(09):80.[doi:10.3969/j.issn.1006-1959.2020.09.023]
 ZHANG Fu,FU Kai-li.Relationship of Body Mass Index with Blood Lipids,Uric Acid and Traditional Chinese Medicine Syndrome[J].Medical Information,2020,33(22):80.[doi:10.3969/j.issn.1006-1959.2020.09.023]
[6]农美丹,王晓迪,莫永华,等.不同性别早发冠心病患者的心血管危险因素分析[J].医学信息,2021,34(08):95.[doi:10.3969/j.issn.1006-1959.2021.08.024]
 NONG Mei-dan,WANG Xiao-di,MO Yong-hua,et al.Analysis of Cardiovascular Risk Factors in Patients with Premature Coronary Heart Disease of Different Genders[J].Medical Information,2021,34(22):95.[doi:10.3969/j.issn.1006-1959.2021.08.024]
[7]程 梅,叶 俏,马 俊,等.珠海市横琴新区职业人群高血压前期流行现状及影响因素分析[J].医学信息,2021,34(11):5.[doi:10.3969/j.issn.1006-1959.2021.11.002]
 CHENG Mei,YE Qiao,MA Jun,et al.Analysis of the Prevalence Status and Influencing Factors of Prehypertension Among Occupational Population in Hengqin New District,Zhuhai City[J].Medical Information,2021,34(22):5.[doi:10.3969/j.issn.1006-1959.2021.11.002]
[8]符 榕,赵 彦,杨 斌,等.学龄期1型糖尿病患儿发生酮症酸中毒的影响因素研究[J].医学信息,2021,34(16):115.[doi:10.3969/j.issn.1006-1959.2021.16.031]
 FU Rong,ZHAO Yan,YANG Bin,et al.Study on the Influencing Factors of Ketoacidosis in School-age Children with Type 1 Diabetes[J].Medical Information,2021,34(22):115.[doi:10.3969/j.issn.1006-1959.2021.16.031]
[9]张振刚,李晓娜,王文娟,等.肥胖对男性生育力及相关激素水平的影响[J].医学信息,2023,36(17):119.[doi:10.3969/j.issn.1006-1959.2023.17.023]
 ZHANG Zhen-gang,LI Xiao-na,WANG Wen-juan,et al.Effects of Obesity on Male Fertility and Related Hormone Levels[J].Medical Information,2023,36(22):119.[doi:10.3969/j.issn.1006-1959.2023.17.023]
[10]段春兰,马雪文,陈文静,等.基于Web of Science的限时饮食对超重肥胖人群影响的可视化分析[J].医学信息,2024,37(01):54.[doi:10.3969/j.issn.1006-1959.2024.01.010]
 DUAN Chun-lan,MA Xue-wen,CHEN Wen-jing,et al.Visual Analysis of the Effect of Time-restricted Eating on Overweight and Obese People Based on Web of Science[J].Medical Information,2024,37(22):54.[doi:10.3969/j.issn.1006-1959.2024.01.010]

更新日期/Last Update: 1900-01-01