论文部分内容阅读
目的对天津市18岁及以上男性居民的身高与其慢性病关系进行回顾性研究,并探讨身高对于判定中心型肥胖的是否存在局限性。方法根据国家营养监测方案,分别在2010、2011和2012年选取天津市河西区、北辰区和静海县作为监测点,对18岁及以上男性居民1 075人进行调查,并将所有调查人群的身高分成4个层级(矮、较矮、较高、高),回顾性分析调查人群不同身高分级的慢性病患病情况,并分析仅通过一个腰围界值判定中心性肥胖可能存在的局限性。结果 4个层次身高分级男性成人的腰围分别为86.77±9.79、90.09±8.97、91.97±9.08、93.22±10.22 cm,差异有统计学意义(P<0.01);不同身高分级的男性成人的中心性肥胖率:矮为57.4%,较矮为71.9%,较高为79.9%,高为80.4%,且差异有统计学意义(P<0.01);除糖尿病外,各组间超重肥胖率、血脂异常率、高血压率差异均无统计学意义;各组间血脂正常但是被判定为中心性肥胖的率随身高的增高而增加,差异有统计学意义(P<0.01)。结论天津市成年男性随身高的增高腰围增加;不同身高的男性成人的中心性肥胖率和糖尿病率有明显差别;以确诊的多种慢性病作为标准,发现中心性肥胖的判定方法可能存在一定的局限性,需考虑身高因素进行细化。
Objective To retrospectively study the relationship between the height of male residents aged 18 years and over in Tianjin and their chronic diseases, and to explore the limitations of height for the determination of central obesity. Methods According to the National Nutrition Surveillance Program, Hexi District, Beichen District and Jinghai County of Tianjin were selected as monitoring points in 2010, 2011 and 2012 respectively, and 1,075 male residents aged 18 and over were surveyed. The height of all surveyed population The patients were divided into four levels (short, low, high and high). The prevalence of chronic diseases with different height classes were retrospectively analyzed. The possible limitations of central obesity assessed by only one waistline were analyzed. Results The waist circumference of male adults with height-grading was 86.77 ± 9.79,90.09 ± 8.97,91.97 ± 9.08,93.22 ± 10.22 cm at 4 levels respectively, with significant difference (P <0.01). The central obesity The rates were 57.4% for short, 71.9% for short, 79.9% for high and 80.4% for high (P <0.01). Except for diabetes, the rates of overweight and obesity, dyslipidemia (P <0.01). There was no significant difference in the rates of hypertension between the two groups. The rates of normal and obese obesity in all groups increased with the increase of height (P <0.01). Conclusion Adult male height increased waist circumference increased in Tianjin. The central obesity rate and diabetes rate of male adults of different height were significantly different. With the diagnosis of various chronic diseases as the standard, it was found that the determination of central obesity may have some limitations Sexual, need to consider the height factor to refine.