不同空腹血糖受损切点体检人群的血压血脂及体重指数差异分析

Differences of blood pressure,blood fat and BMI among different cutoff values of impaired fasting glucose

目的分析不同空腹血糖受损切点的体检人群之间的血压血脂及体重指数的差异。方法分析我院接受健康体检的人员1 113例资料,根据空腹血糖水平分成3组：正常空腹血糖组（NFG〈5.6 mmol/L）,新标准空腹血糖受损组（n-IFG 5.6~6.0 mmol/L）,旧标准空腹血糖受损组（o-IFG 6.1~6.9 mmol/L）。分析其之间血压血脂及体重指数的差异。结果新标准空腹血糖受损组的BMI、SBP、DBP、TG、TC、LDL-C水平显著高于正常空腹血糖组,HDL-C水平显著低于正常空腹血糖组,而各项指标与旧标准空腹血糖组差异无显著性。结论 IFG诊断标准下限值下调后＂健康＂体检者中新增的IFG人群中新标准空腹血糖受损者较正常空腹血糖者有更多的超重肥胖、高血压、高血脂、高血糖等代谢综合征相关组份,具有更高的糖尿病和心血管疾病的发病危险。

Objective To analyze differences of blood pressure,blood fat and BMI among different cutoff values of impaired fasting glucose.Methods We totally investigated 1113 subjects from our database for medical examination center.They were divided into 3 groups according to their fasting glucose levels：a normal fasting glucose group（NFG5.6 mmol/L）,a group of impared fasting glucose defined with new standard（n-IFG5.6~6.0 mmol/L）and a group of the same indicator defined by previous standard.（o-IFG6.1~6.9 mmol/L）.And differences of the blood pressure,blood fat and BMI were analyzed among the groups.Results BMI,SBP,TG,TC,and LDL-C were higher in the group with fasting glucose of 5.6~6.0 mmol/L than that in the group with fasting glucose of 5.6 mmol/L,while HDL-C was lower.But no significant differences were found between the above mentioned groups and the group with fasting glucose of 6.1~6.9 mmol/L.Conclusion With the down regulation of the lower limit of IFG diagnostic standard,more＂healthy＂people were added into the IFG population（FPG5.6~6.0 mmol/L）,and they were found to get more gredients of diabetic syndrome,such as hypertension,hyperlipemia and hyperglycaemia etc.and faced with higher risks of diabetes and cardiovascular disease.