住院老年病人肥胖与疾病的关系

Obesity and diseases in the elderly inpatient

目的:探讨肥胖症在老年人群中的分布及其与健康的关系。方法:制定调查问卷,内容包括病史、体重指数(BMI)、生理值、生化指标、抗氧化指标及疾病诊断等项,统一调查检测方法、标准,由医生结合日常临床工作进行调查检测。结果:回收问卷391例,超重率36. 1%,肥胖率7. 9%;血清总抗氧活性及SOD均随BMI增加而降低,MDA则以超重肥胖者含量高;血压、血脂、血糖均值及心、脑血管疾病、高脂血症、糖尿病等患病率则随BM增加而上升,以肥胖型最高。结论:本次调查老年肥胖症患病率尚属中下水平,并发症多且存在自由基损伤,严重影响老年健康。

Objective To explore the obesity distribution in old people and the relation between senile obesity and health. Methods First, a questionnaire was designed which included chronic disease history, body mass index (BMI), physiological value, biochemistry index, anti-oxidation index, diagnosis of diseases, etc. Second, the measure and detection methods were unified; and the last, the investigation was made along with daily clinical work by clinicians. Results We received 391 questionnaires. The overweight rate was 36.1% and the obesity rate was 7.9% . Total anti-oxidation activity in serum (TAS) and superoxide dismutase (SOD) decreased with body mass index (BMI), and the value in the obesity group was the lowest; Malonaldehyde (MDA) of overweight obesity was the largest. The mean blood pressure, blood fat, and blood glucose as well as the prevalence of cardiovascular disease, hyperlipemia, and glycuresis increased with BMI; and the value in the obesity group was the largest. Conclusion The prevalence of the senile obesity was below the average and the senile obesity complications were various and serious, and perhaps related to imbalance of free radical′s production and cleanup,so the senile obesity seriously harmed old people's health.