18805例中国成年人中医体质类型与超重和肥胖关系的Logistic回归分析

Logistic regression analysis on relationships between traditional Chinese medicine constitutional types and overweight or obesity

目的:探索中医体质类型与超重和肥胖的相关性,为调整体质偏颇、防治肥胖提供依据。方法:汇集我国9省市(江苏、安徽、甘肃、青海、福建、北京、吉林、江西、河南)中医体质横断面调查18岁以上人群的数据18 805例。中医体质调查采用标准化的中医体质量表,体质类型(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质)的判定应用判别分析法。采用Logistic回归分析方法探索中医体质类型与超重和肥胖的关系。结果:与平和质相比,痰湿质者超重(OR,2.05;95%CI,1.79-2.35)和肥胖(OR,4.34;95%CI,3.52-5.36)的危险度均显著增高,气虚质者肥胖(OR,1.60;95%CI,1.30-1.98)危险度显著增高,而阳虚质、血瘀质、气郁质超重和肥胖的危险度显著降低。结论:痰湿质、气虚质是超重和肥胖的主要体质影响因素。

Objective： To explore the relationships between traditional Chinese medicine（TCM） constitutional types and overweight or obesity so as to provide evidence for adjusting constitutional bias and preventing and treating obesity.Methods： The data comes from a cross-sectional survey on TCM constitution of 18 805 samples aged above 18 in Beijing and 8 provinces（Jiangsu,Anhui,Gansu,Qinghai,Fujian,Jilin,Jiangxi and Henan） in China.The survey of TCM constitution was performed by standardized constitution in Chinese medicine questionnaire（CCMQ）.Discriminatory analysis method was used to judge the individual＇s constitutional type（gentleness type,qi-deficiency type,yang-deficiency type,yin-deficiency type,phlegm-dampness type,dampness-heat type,blood-stasis type,qi-depression type and special diathesis type）.The relationships between TCM constitution types and overweight or obesity was investigated by logistic regression analysis.Results： Compared with gentleness type,the risk of overweight（OR,2.05;95% CI,1.79-2.35） and obesity（OR,4.34;95% CI,3.52-5.36） in phlegm-dampness type is significantly increased;the risk of obesity（OR,1.60;95% CI,1.30-1.98） in qi-deficiency type is significantly higher;the risk of overweight and obesity in yang-deficiency type,blood-stasis type,and qi-depression type is significantly lower.Conclusion： Phlegm-dampness type and qi-deficiency type are the main constitutional risk factors of overweight or obesity.