体适能与南京市男性体检人群心血管病风险的相关性

Correlation between physical fitness and cardiovascular disease risk in male of physical examination population in Nanjing

目的:研究体检人群体适能指标与心血管疾病(cardiovascular disease,CVD)的相关性。方法:选取南京医科大学第一附属医院2018年1月—2019年7月完成体适能检查的220例男性体检人群的体检资料,根据Framingham CVD 10年风险度评分分为低危组和中高危组;220例中完成肱踝脉搏波传导速度(brachial-ankle pulse wave velocity,baPWV)检测的共142例,根据检测结果将完成此项检测的人群分为baPWV正常组和baPWV增快组。分析体适能与CVD 10年风险度及baPWV的相关性。结果:CVD中高危组及baPWV增快组分别与CVD低危组及baPWV正常组比较,年龄、吸烟、心肺耐力、体脂率、闭眼单足立时间、血压、空腹血糖(fasting blood glucose,FBG)、糖化血红蛋白(glycated hemoglobin A1c,HbA1c)和甘油三酯(triglyceride,TG)均有显著差异(P<0.01或P<0.05);CVD中高危及baPWV增快与年龄、体重指数(body mass index,BMI)、心肺耐力、体脂率、闭眼单足立时间、收缩压、舒张压、FBG、HbA1c和TG存在相关性(P<0.01或P<0.05)。结论:年龄、吸烟、体脂率、血压、FBG、HbA1c和TG是CVD的危险因素,心肺耐力是CVD的保护因素,并对心血管疾病风险有很好的预测价值。

Objective:To study the correlation between physical fitness indexes and cardiovascular disease(CVD).Methods:We selected the physical examination data of the male physical examination population(a total of 220 males,of which,baPWV was tested in 142 males)who underwent physical fitness in our hospital from January 2018 to July 2019.Based on the scores of Framingham CVD10-year risk,the total people were divided into groups with low-risk and middle-high risk;according to the speed of baPWV,the people who completed the test were divided into normal group and fast group.The correlation between physical fitness indexes and CVD 10-year risk,baPWV was analyzed.Results:There were significant differences in age,smoking proportion,cardiorespiratory fitness,body fat percentage,single foot stand time,blood pressure,fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c)and triglyceride(TG)between the middle-high risk group of CVD,baPWV accelerated group and the low risk group of CVD,baPWV normal group(P<0.01 or P<0.05).The middle-high risk of CVD and increased baPWV were correlated with age,body mass index(BMI),cardiorespiratory fitness,body fat percentage,single foot stand time,systolic pressure,diastolic pressure,FBG,HbA1c and TG(P<0.01 or P<0.05).Conclusion:Age,smoking,body fat percentage,blood pressure,FBG,HbA1c and TG are the risk factors of CVD.Cardiorespiratory fitness is the protective factor of CVD,which has a good predictive value for the risk of cardiovascular disease.