江阴市成人腰围、体质指数与高血压、血糖关系的研究

Study on the relationship beteween waist circumference,body mass index with related diseases among adults in Jiangyin City

目的探讨江阴成年人腰围(WC)和体质指数(BMI)的分布特征及其与主要相关疾病的关系。方法 2007年11月至2008年1月,采用多阶段分层整群抽样方法随机抽取江阴市3个镇(街道),6个行政村(居委)537个住户中的居民为调查对象。通过问卷实施入户调查及体检。结果样本人群BMI均值为(23.00±0.19),超重率和肥胖率分别为29.8%和8.4%;男性的超重比例高于女性,肥胖比例低于女性。中心性肥胖率47.27%,男性为37.10%,女性为47.56%,女性的中心性肥胖比例高于男性,随着年龄的增长,超重和肥胖率都呈上升趋势;超重组和肥胖组的高血压、高血糖均显著高于正常组,全身性超重/肥胖且中心肥胖组人群的血压和血糖超标率明显高于其他组。结论近年来江阴市居民超重率、肥胖率呈上升趋势,BMI、WC与高血压、糖尿病患病率呈正相关;全身性超重/肥胖且中心肥胖人群具有更高的高血压、糖尿病危险。

Objective The relationship of waist circumference （WC）, body mass index （BMI） with some major related diseases among Jiangyin adults was studied. Methods Multi-stage stratified cluster random sampling method was performed from November 2007 to January 2008, Residents of 537 households in 3 towns （ streets）, 6 administrative villages （the RC） in Jiangyin City were surveyed by way of questionnaires and physical examination. Results The mean of BMI, over weight and obesity rate of the sample population was （23.00 ± 0. 19 ）, 29. 8% and 8.4% respectively. The overweight and obesity proportion of male was higher than that of female. The central obesity rate was 47.27% （37.10% in male, 47.56% ,female）, The rate of female with central obesity was higher than that of male. The rate of overweight and obesity increased with age. The rate of hypertension and high blood glucose in the two groups （overweight and obesity） was significantly higher than that of the normal group. Those with systemic overweight / obesity and central obesity had higher risk of having hypertension and diabetes. Conclusions The prevalence of overweight and obesity rate of the residents in Jiangyin City increased in recent years. The rate of BMI and WC had positive correlation with hyper tension and diabetes. Those with systemic overweight / obesity and central obesity had higher risk of having hypertension and diabetes.