青年人不同类型肥胖症及相关疾病比较

The obesity-related diseases between obesity with or without abdominal obesity in adolescents aged 20-39 years

目的对青年肥胖症伴或不伴腹型肥胖两组间相关疾病的临床比较。方法采用整体分层抽样调查内江市青年4160名,选择其中年龄、性别、体重相匹配的159名肥胖症不伴腹型肥胖者(对照组)及89名肥胖症伴腹型肥胖者(研究组)为研究对象,分别检测血压(Bp)、血脂、空腹血糖(FPG)、血尿酸(UA),比较两组间的差异。结果研究组血甘油三脂、收缩压、舒张压和UA均显著高于对照组(P<0.001),高密度脂蛋白低于对照组,差异有统计学意义。结论青年肥胖症伴腹型肥胖者发生代谢综合症及心血管性疾病的危险性高于肥胖症不伴腹型肥胖者。

Objective To compare the obesity-related diseases between obesity with or without abdominal obesity in adolescents.Methods A total of 4160 adolescents in Neijiang were surveyed using stratified random sampling method.Among them,159 adolescents without abdominal obesity（control group） and 89 adolescents with abdominal obesity（study group） were enrolled into the study.The age,gender,and body weight were matched between two groups.Blood pressure,lipids,fasting plasma glucose,uric acid were measured.Results The triglycerides,systolic and diastolic blood pressure and UA in study group were higher than that of control group.The high-density lipoprotein in study group was lower than that of control group.Conclusion Adolescents with abdominal obesity have higher risks of metabolic syndrome and cardiovascular disease than those without abdominal obesity.