武汉市成年人腰围与血压、血脂、血糖水平及关系研究

Relationship between blood pressure,lipid and plasma glucose with adult waistline in Wuhan city

目的探讨武汉地区18岁以上常住居民腰围与血压、血脂及血糖的水平与关系。方法采用分层整群抽样法对武汉市11个区的1 879名成年人进行了问卷调查、体格检查、测量血压和血液生化指标检测,描述不同腰围组中血压、血脂、空腹血糖水平并用趋势卡方分析其组间关系。结果腹部肥胖率为51.8%,腹部肥胖组与腰围正常组的血压、血脂、血糖指标均有显著性差异(P<0.01)。HDL-C与腰围水平呈负相关,腰围与其余生化指标呈正相关。高血压检出率、血脂异常检出率、糖尿病患病率随腰围增加明显上升(P<0.01)。结论武汉市18岁以上常住居民腹部肥胖情况严重应引起重视;高血压、血脂异常、糖尿病的患病风险随腰围增加而上升。

Objective To study the correlation of blood pressure,plasma glucose and lipid with adult waistline in Wuhan city. Methods 1 879 adults from 11 districts in Wuhan city were selected by stratified-cluster sampling, each participant received standardized questionnaire,physical examination and laboratory test. Results The prevalence rate of abdominal obesity was 51.8% ,blood pressure, hpid and plasma glucose increased with the waistline circumstance value（P 〈 0. 01 ）. There was significant difference between normal waist circumstance group and abnormal group（ P 〈 0.01 ）. HDL cholestral had negative correlation with waistline, while other values were of positive correlation . The detection rate of hypertension , hyperhpidemia and diabetes increased with the waist circumstance. Conclusion Special attention should be paid to the high prevalenceof abdominal obesity. Individuals with abnormal waist circumstance had a higher risk of hypertension , hyper hpidemia and diabetes.