武警新兵营养代谢指标特点及其与肾小球滤过率的关系

Characteristics of nutrition metabolism in recruits and relationships between these results and glomerular filtration rate

目的探讨武警新兵营养代谢指标特点,以及与肾小球滤过率(glomerular filtration rate,eGFR)的关系。方法对某部1721例新兵进行身高、体重、腰围、臀围的测量,计算体质指数(BMI)及腰臀比(WHR);检测血肌酐(Scr),估算GFR,检测总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C),进行统计分析。结果受检人群血脂异常105例(占6.1%),以高三酰甘油血症为主102例(5.9%)。中心性肥胖23例(1.3%),肥胖25例(1.5%)。不同年龄组新兵的体重、腰围、臀围、体质指数、血肌酐、TC、LDL-C之间差异有统计学意义。不同来源地区新兵的身高、体重、腰围、臀围、体质指数、血肌酐、TG、GFR差异有统计学意义。中心性肥胖人群在肌酐、GFR上与非中心性肥胖者有统计学差异。结论应当注重入伍新兵肥胖相关指标的检查,特别是腹型肥胖指标的检查。评估入伍新兵的营养指标应当考虑到年龄和地区的差异。

Objective 3＇0 study the characteristics of nutrition metabolism in recruits of the armed police forces ,and the relationship with glomerular filtration rate （GFR）. Methods We measured the heights, bodyweights, waist circumferences and hip circumferences for 1721 recruits from a province to calculate body mass index（BMI） and waist -to -hip ratio（WHR） ,and determined serum creatinine to estimate GFR, and assayed total cholesterol （ TC）, triglyceride （ TG）, low density lipoprotein （ LDL - C） and high density lipoprotein （ HDL - C）, to carry out statistical analysis. Results 105 persons （6.1% ） were abnormal in blood lipids,in which hyper- triglyceridermia was the most commom. 23 （ 1.3% ） subjects had abdominal obesity, and 25 （ 1.5% ） subjects had obesity. There were significant differences between age groups, in bodyweight,waist circumference, hip circumference, BMI, Ser,TC, and LDL - C. There were significant differences between groups from different regions,in height, bodyweight, waist circumference, hip circumference, BMI, Scr,TC ,and GFR. The group of abdominal obesity showed significant difference in ereatinine and eGFR from those . Compared with different BMI groups,both the eGFR and the Scr showed significant difference. Conclusions On physical examination of recruits, we should pay attention to the indices which relate to obesity, especial the obesity of abdomen. In evaluating the characteristics of nutrition metabolism in recruits ,we should consider the differences in their age and areas they came from.