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[目的]探讨成年人体质指数、腰围与血压、血糖、血脂等慢性病相关指标的关系。[方法]2011年多阶段随机抽取四方区2个街道办事处的6个居委会社区18～69岁社区居民600名,进行问卷调查和体格检查,采用SPSS18.0软件进行统计学分析。[结果]调查600人中,超重发生率为36.33%,肥胖发生率为17.67%,腰围超标者占60.67%。随着体质指数与腰围的增加,血压、血脂和血糖平均水平呈上升趋势(P<0.05),高血压、高血脂和高血糖患病率也随之增长(P<0.05)。所有调查对象的BMI和WC与收缩压(SBP)、舒张压(DBP)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)和空腹血糖(FPG)水平均有相关性,相关系数(r)分别为0.437、0.495、0.399、0.208、0.275、-0.310、0.344和0.506、0.514、0.453、0.214、0.299、-0.385和0.340,(P<0.01)。[结论]青岛市四方区18～69岁居民超重、肥胖患病率和腰围超标率较高,肥胖和腹型肥胖均可增加罹患高血压、高血糖和高血脂的危险性。
[Objective] To explore the relationship between adult body mass index, waist circumference and blood pressure, blood glucose, blood lipids and other chronic diseases. [Method] In 2011, a total of 600 community residents aged 18-69 years from 6 community committees in 2 neighborhoods in Sifang District were randomly selected for multi-stage investigation. Questionnaires and physical examinations were conducted and SPSS18.0 software was used for statistical analysis. [Results] The survey of 600 people, the incidence of overweight was 36.33%, the incidence of obesity was 17.67%, waist circumference exceeded 60.67%. With the increase of body mass index and waist circumference, blood pressure, blood lipids and blood glucose levels showed an upward trend (P <0.05), and the prevalence of hypertension, hyperlipidemia and hyperglycemia also increased (P <0.05). BMI and WC were positively correlated with SBP, DBP, TG, TC, LDL-C and HDL-C in all subjects HDL-C) and fasting plasma glucose (FPG) levels, the correlation coefficients (r) were 0.437,0.495,0.399,0.208,0.275,0.310,0.344 and 0.506,0.514,0.453,0.214,0.299,0.385 And 0.340, respectively (P <0.01). [Conclusion] The residents aged 18-69 years in Sifang district of Qingdao are overweight, the prevalence of obesity and the excessively high waist circumference are high, and both obesity and abdominal obesity may increase the risk of developing hypertension, hyperglycemia and hyperlipidemia.