5274份健康风险评估结果分析及腰围过大在健康风险增高中的意义

5274 analyses of health risk assessment result and importance of excessive waist circumference in health risk rising

目的从总体上把握北京市公职人员7种健康危险因素目前的患病率,探讨腰围指标在健康风险增高中的意义。方法参评人员统一填写《健康风险评估问卷》,并接受健康体检,统计各危险因素的患病率及个人患糖尿病、冠心病、脑卒中的危险性。结果男性和女性在体质量超标、腰围过大、血压超标、总胆固醇(TC)超标、低密度脂蛋白胆固醇(LDL-C)超标、运动不充分方面的患病率分别为:81.58%、49.28%,81.85%、41.94%,61.59%、36.91%,43.65%、44.60%,43.38%、37.34%,53.21%、54.75%。男女在TC超标与运动不充分两项患病率上的差异无统计学意义(P>0.05),其余危险因素患病率的差异具有极显著性(P<0.005)。腰围过大组在糖尿病、冠心病、脑卒中3种疾病患病风险大于平均水平的比率分别为95.09%、29.32%、67.74%。与腰围正常组(对照组)相比,具有极显著性差异(P<0.005)。结论北京市公职人员存在较多的健康风险,尤其是男性;腰围过大在糖尿病、冠心病、脑卒中的患病风险增高方面意义重大,应重视对腰围过大群体的健康监测与早期干预。

Objective Grasp the present prevalence of 7 kinds of health risk factors of Beijing municipal public officals overall and evaluate the significance of waist circumference in the increased health risks.Methods Participating individuals fill out the'Health Risk Assessment Questionnaire'unifiedly and receive medical examination,gather statistics of the prevalence of each risk factor and the risk of individuals who suffer diabetes,coronary heartdisease,stroke.Results The incidence of overweight,excessive waist circumference,high pressure,excessive total cholesterol,excessive LDL cholesterol,inadequate exercise for men and women is 81.58%,49.28%;81.85%,41.94%;61.59%,36.91%;43.65%,44.60%;43.38%,37.34%;53.21%,54.75% respectively.There was no statistics significance in aspect of the prevalence of excessive total cholesterol and inadequate exercise between men and women(P>0.05),other risk factors have significant statistical difference(P<0.005).Compared with the control group,the prevalence of diabetes,coronary heart disease,stroke in excessive waist circumference group which is higher than average level is 95.09%,29.32%,67.74% respectively,having significant statistical difference(P<0.005).Conclusion There are more health risks in Beijing municipal public officals,especially men;large waist circumference have very importance in the increased prevalence of diabetes,coronary heart disease,stroke,so more attention should paid to health monitoring and early intervention of groups who have excessive waist circumference.