青岛市35岁以上人群腰围与血压、血脂、血糖的关系分析

Relation of Waist Circumference with Blood Pressure,Lipid and Glucose Metabolism among Residents aged over 35 in Qingdao City

[目的]了解腰围(WC)与血压、血脂、血糖的关系。[方法]2006年,在青岛市市南、市北、四方、黄岛、胶南和即墨6个区(市)抽取35岁以上常住居民4 078人进行调查。调查4 078人,WC超过正常标准的占57.20%。WC超标者的收缩压(SBP)、舒张压(DBP)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FPG)均高于WC正常者(P<0.01);高密度脂蛋白胆固醇(HDL-C)低于WC正常者(P<0.01)。全部调查对象的WC与BMI、SBP、DBP、TC、TG、HDL-C、LDL-C、FPG水平的相关系数分别为0.760、0.338、0.338、0.131、0.250、-0.235、0.131、0.182(P<0.01)。[结论]青岛市35岁以上人群中心性肥胖罹患率较高,中心性肥胖可增加罹患高血压、高血糖、高血脂的危险性。

[Objective] To evaluate the effect of waist circumference（WC） on the blood pressure,lipid and glucose metabolism.[Methods]A baseline investigation data including 4 078 residents aged over 35 in 2006 was analyzed.The sample was randomly selected from six districts of Qingdao including Shinan,Shibei,Sifang,Huangdao,Jiaonan and Jimo.[Results]4 078 residents were investigated and the prevalence rate of central obesity was 57.20%.With the increasing of WC,the level of SBP,DBP,TC,TG,LDL-c,and FPG obviously increased,but HDL-c decreased.The significantly positive relativity presented between WC and BMI,SBP,DBP,TC,LDL-c,TG and FPG,but the negative relativity presented between WC and HDL-c.The correlation coefficient between WC and BMI,SBP,DBP,TC,TG,HDL-C,LDL-C,FPG were 0.760,0.338,0.338,0.131,0.250,-0.235,0.131 and 0.182（P0.01）.[Conclusion]The prevalence rate of central obesity in Qingdao city was high and it increased the risk of hypertension,hyperglycemia and hyperlipidemia.