银川市老年人体质指数与常见慢性病的相关性

The study on the relationship between body mass index and chronic diseases of Yinchuan old residences

目的探讨体质指数(BMI)与常见慢性病的相关性。方法对银川市830例60～80岁常住社区的老年人采用分层整群随机抽样方法,计算体质指数,分析体质指数与慢性疾病的关系。结果该人群慢性病的总患病率为74.9%,超重和肥胖的总检出率为59.03%,男、女性别间无显著差异;肥胖与超重组患慢性病人数占患慢性病总人数的61.4%,肥胖组患慢性病人数比例明显高于正常组(P=0.004)。体质指数与慢性病总体患病情况呈显著相关(P=0.001),与糖尿病(P=0.015)、高血压(P=0.001)、高脂血症(P=0.045)三种疾病相关。超重和肥胖组冠心病、高脂血症、脑血管疾病三种疾病的患病率明显高于正常组与消瘦组(均P<0.05)。结论应对超重与肥胖人群给予充分关注,以社区为依托进行综合干预,减少慢性病危险因素,提高老年人生命质量。

Objective To analyze the relativity of body mass index（BMI） and chronic diseases.Methods A total of 830 residents at age of 60 to 80 in 4 communities participated in the survey.Results The prevalence of overweight and obesity was 59.03%,and there was no significant difference between males and females.The prevalence of chronic disease（P=0.002）had significant relation with BIM.The prevalence of hypertension（P=0.000）,hyperlipidemia（P=0.045）and diabetes（P=0.015）had relation with BIM.The prevalence of coronary heart disease（P=0.025,0.000）,hyperlipidemia（P=0.044）,cerebrovascular（P=0.000）of overweight and obese groups were obviously higher than those of normal group and angular group.Conclusions Integrated measures must be taken for obesity prevention and control with extensive social supports.With community-based,the comprehensive intervention should be carried out to reduce the risk factors of chronic disease and improve the life quality of the older persons.