摘要
目的调查青年男性舰艇官兵中心性肥胖现状,并与青年男性岸勤官兵比较,分析危险因素及与代谢性疾病的相关性,为进一步完善部队体型管理、提升战斗力提供科学依据。方法随机选取531名青年男性舰艇官兵及403名青年男性岸勤官兵,测量腰围(WC),检测空腹静脉血糖、血脂及尿酸等,比较舰艇官兵、岸勤官兵中心性肥胖及代谢性疾病患病率;对舰艇官兵工作情况及生活方式等进行问卷调查,分析中心性肥胖的危险因素及与代谢性疾病的相关性。结果舰艇官兵中心性肥胖患病率22.79%,岸勤官兵中心性肥胖患病率9.68%,差异有统计学意义(P<0.001)。舰艇官兵高血压病、高脂血症及高尿酸血症患病率均高于岸勤官兵(均P<0.05)。驻舰时间、航行时间、运动时间、夜餐频次、饮料摄入量、淡水摄入量、碳水化合物摄入量及肥胖家族史影响舰艇官兵中心性肥胖患病率。航行时间、运动时间、夜餐频次、饮料摄入量、碳水化合物摄入量及肥胖家族史是舰艇官兵罹患中心性肥胖的危险因素。中心性肥胖与高血压、糖尿病、高脂血症、高尿酸血症及脂肪肝等多种代谢性疾病具有相关性。结论青年男性舰艇官兵中心性肥胖患病率高于青年男性岸勤官兵;WC是识别中心性肥胖的简便指标,受生活方式影响,与多种代谢性疾病相关;应加强舰艇官兵健康教育,改善生活方式,合理管理体型,预防代谢性疾病发生,保障部队战斗力。
Objective To investigate the current status of central obesity among young male soldiers on warships,and to analyze risk factors and its correlation with metabolic diseases,so as to provide a basis for managing body shape and improving fighting capacity.Methods A total of 531 young male soldiers on warships and 403 young male coast duty soldiers were randomly selected as research objects.Waist circumference(WC),fasting blood glucose,blood lipids and uric acid were measured.The incidences of central obesity and metabolic diseases were compared between soldiers on warships and coast duty soldiers.A questionnaire survey was conducted on the work and lifestyle of soldiers on warships.The risk factors of central obesity and their correlations with metabolic diseases were analyzed.Results The incidence of central obesity in soldiers on warships was higher than that in coast duty soldiers(22.79%vs 9.68%,P<0.001).The incidences of hypertension,hyperlipidemia and hyperuricemia in soldiers on warships were also higher than those in coast duty soldiers(all P<0.05).The duration of vessel stay,sailing time,exercise time,frequency of night meals,intake of beverages,intake of fresh water,intake of carbohydrates,and family history of obesity affected the prevalence of central obesity.More sailing time,less exercise time,higher frequency of night meals,more intake of beverage and carbohydrate,and family history of obesity were risk factors for central obesity among soldiers on warships.Central obesity was associated with many metabolic diseases such as hypertension,diabetes mellitus,hyperlipidemia,hyperuricemia,and fatty liver.Conclusion The incidence of central obesity in young male warship soldiers is higher than that in young male coast duty soldiers.WC is a simple indicator for central obesity.Central obesity is influenced by lifestyle and related to various metabolic diseases.We should strengthen health education of soldiers on warships,improve their lifestyle,manage their body shape reasonably,prevent the development of metabolic diseases,so as to ensure the fighting capacity of troops.
作者
焦璇
潘越
刘艳红
寻增欣
李玲
Jiao Xuan;Pan Yue;Liu Yanhong;Xun Zengxin;Li Ling(Department of Endocrinology,No.971 Hospital of Navy,Qingdao 266071,China)
出处
《海军医学杂志》
2024年第11期1111-1116,共6页
Journal of Navy Medicine
基金
国家自然科学基金(81300681)。
关键词
舰艇
青年
中心性肥胖
代谢
Warship
Young man
Central obesity
Metabolism