健康体检人群体质指数与血压、血糖、血脂的关系

Relationship between body mass index and blood pressure, blood glucose and blood lipid in health people

关键词:  超重  肥胖  高血压  高血糖  高血脂

Key words:  obesity  overweight  hypertension  hyperglycemia  hyperlipidemia

摘要:

［目的］探讨健康体检人群体质指数及其与血压、血糖、血脂的关系。［方法］采用横断面调查方法对健康体检者1198例体质指数（BMI）情况分析，探讨超重肥胖与血压、血糖、血脂的关系。［结果］随年龄增加，BMI、超重及肥胖检出率有增高趋势，50～70岁人群超重率最高，＞50岁人群肥胖率最高。随BMI升高，高密度脂蛋白胆固醇（HDL-C）水平减低，收缩压（SBP）、舒张压（DBP）、空腹血糖（FBG）、总胆固醇（TC）、甘油三酯（TG）和低密度脂蛋白胆固醇（LDL-C）水平逐步增高；高血压、高血糖及高血脂检出率亦增高。在肥胖男性高血糖检出率高于女性。＞70岁肥胖人群高血压、高血糖检出率最高，分别为88.46%和82.69%，＜40岁肥胖人群高血脂检出率最高为49.18%。［结论］健康体检人群超重、肥胖率较高，控制体重对高血压、高血糖及高血脂等慢性病的防治具有重要意义。

Abstract:

［Objective］To study the relationship between body mass index (BMI) and blood pressure, blood glucose and blood lipid in health people.［Methods］A cross-sectional analysis of BMI was conducted in 1198 health people. The relationship between BMI and blood pressure, blood glucose and blood lipids was analyzed.［Results］The level of BMI and the prevalence rates of obesity and overweight were increased with the increase of age. The highest rates of obesity and overweight were in the age group of 50～70 years and ＞50 years, respectively. The levels of systolic blood pressure (SBP), diastolic blood pressure(DBP), fasting blood glucose(FBG), triglyceride (TG), total cholesterol (TC) and low density lipoprotein cholesterol (LDL-C) significantly increased with the rising of BMI, but the level of high density lipoprotein cholesterol (HDL-C) was decreased. The prevalence of hypertension, hyperglycemia and hyperlipidemia in obesity and overweight was higher than in normal population. The prevalence of hyperglycemia in obesity men was significantly higher than that in women. The highest rates of hypertension and hyperglycemia in ＞70 years were 88.46% and 82.69%, respectively. The highest rate of hyperlipidemia in ＜40 years was 49.18%.［Conclusions］The prevalence of obesity and overweight is high in health people. Control the body weight is of great important to the prevention and treat of such chronic disease as hypertension, hyperglycemia and hyperlipidemia.