腰围变化和代谢综合征患病率的关系研究 社区人群心脑血管事件前瞻性研究系列之十

The relationship between waist circumference and the prevalence of metabolic syndrome

目的分析人群腰围水平与代谢综合征之间的关系。方法选取广西南宁两社区1072例研究对象,分为腹型肥胖406例和腰围正常666例两组,测量其代谢综合征主要组分指标,比较两组代谢综合征的患病率,研究腰围与代谢综合征之间的关系。结果①与腰围正常组比较,腹型肥胖组中的代谢综合征患病率是3.36%,(P<0.0001),差异具有显著性。②腹型肥胖组中肥胖、高血压、高血糖、高甘油三酯、低-高密度脂蛋白胆固醇的患病率差异具有显著性(P<0.05)。③腰围与体重指数呈强正相关(r=0.607,P<0.0001),与收缩压、舒张压、空腹血糖、甘油三酯呈正相关,与高密度脂蛋白胆固醇呈负相关(r=-0.201,P<0.0001)。结论人群腰围水平变化与代谢综合征的发生有显著的相关性;腰围水平与MS各组分之间具有显著的相关关系。

Objective To analysis the relationship of waist circumference with metabolic syndrome （MS）in two communities in Nanning,Guangxi. Methods 1072 cases in two communities were divided into abdominal obesity group with 406 cases and control group with 666 cases and metabolic syndrome primary elements were measured,then the prevalence was compared. Results ① The prevalence was 3.36% in abdominal obesity group,there was a significant difference between the two groups. ② The prevalence of obesity,hypertension,hyperglycaemia,high triglyeride,low-high density lipoprotein-cholesterol has a significant difference in abdominal obesity group. ③There was significantly association between waist circumference and body mass index（r=0.607,P〈0.0001）,systolic blood pressure（r=0.240,P〈0.0001 ,diastolic blood pressure（r=0.274, P〈0.0001）,fasting postpartum glucose（r=0.075,P=0.015）,triglyeride（r=0.165,P〈0.0001）and high density lipoprotein-cholesterol（r=-0.201,P〈0.0001）. Conclusion A significant difference between waist circumference and the prevalence of metabolic syndrome was found here.The study also showed a significant difference between waist circumference and elements of metabolic syndrome.