北京农村老年人体重指数与血压、血糖、血脂关系分析

Study the relationships of body mass index and blood pressure, glucose, lipids in Beijing local rural elderly people

目的 了解北京大兴农村地区老年超重和肥胖与血压、血糖、血脂等的关系及临床意义。方法对长子营地区3036名60岁以上老年人（包括超重1328人、肥胖747人、正常体重961人）通过问卷调查获得高血压、糖尿病和吸烟等情况，通过体格检查和实验室检查获得体重指数、血压、血糖、血脂、血尿酸等数据。结果60岁以上老年女性超重和肥胖者明显多于男性。正常体重组、超重组和肥胖组血压、空腹血糖、TG、LDL—C、尿酸水平依次升高，而HDL—C水平逐渐降低，三组之间差异有统计学意义（P〈0．01）。超重和肥胖组的高血压、糖尿病、血脂异常和高尿酸血症发病率明显高于正常体重组。结论超重和肥胖与高血压、糖尿病、血脂异常和高尿酸血症密切相关，可能是导致老年心脑血管疾病的共同危险因素。

Objective Study the relationships of overweight, obesity and blood pressure, glucose, lipids and etc in Beijing local rural elderly people. Methods The information of history of hypertension, type 2 diabetes mellitus （2DM）and smoking, body mass index （BMI）, blood pressure, the values of glu- cose, lipids, and uric acid were obtained by physical examination and laboratory tests from 3036 cases I〉 60 years old, which including 1328 cases of overweight, 747 cases of obesity and 961 eases of normal weight in the Zhangziying area. Results The incidences of overweight and obesity in women were significantly higher than that in male （P〈0.05）. The levels of blood pressure, fasting glucose, TG, LDL-C, uric acid were ele- vated with the weight increasing, and HDL-C decreased with the weight increasing. There was a significant difference among the three groups, P〈0.01. Incidences of hypertension, 2DM, dyslipidemia and hyperuricemi- a in groups of overweight and obesity were significantly higher than in the group of the normal weight. Conclusion There are closely relationships between BMI and hypertension, 2DM, dyslipidemia and hyperuricemia, and that may be the common risk factors of causing cardiovascular and .eerebrovascular diseases in elderly people.