体检人群肥胖超重流行现状及与高血压和高血脂脂肪肝的关系

Analysis on relationship of overweigt and obesity with hypertension, dyslipidemia and adiposis hepatica among examination population in HeBei health examination center

目的了解河北省人群超重、肥胖的现状,探讨体重指数与血压、血脂水平、脂肪肝的关系。方法对2011年河北省体检中心的体检人员49 083人进行研究,测量身高、体重、血压、胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)、计算体重指数,结合肝脏超声检查分析超重、肥胖与血压、血脂、脂肪肝的关系。结果体检人员中男27 907人(56.86%)、女21 176人(43.14%),男女肥胖率分别为21.79%、9.86%,超重率分别为45.19%、28.96%。肥胖组及超重组与正常组比较,高血压的发病率明显升高,且Ⅰ、Ⅱ期高血压的发病率也明显增加;TC、TG的水平明显升高,HDL水平明显下降,脂肪肝的发病率明显升高,且中、重度脂肪肝尤其是重度脂肪肝的发病率也明显增加,差异有统计学意义。BMI与胆固醇、甘油三酯、高血压和脂肪肝的异常率有明显关系(P<0.05)。结论控制肥胖尤其是腹型肥胖对于防治高血压、高血脂、脂肪肝有重要意义。

Objective To invstigate the current status of overweight and obesity among examination population m hebei, and to discuss the relationship of body mass index （BMI） with blood pressure, dyslipidemia and adipo- sis hepatica. Methods Through measuring the height, blood pressure, total cholesterol （TC）, triacylglycerol （TG） , high density lipoprotein （HDL） of 48831 examination population directly, we calculated BMI , com- bined liver ultrasound examination, analyzed the relationship between overweigt, obesity and blood pressure, dyslipidemia and adiposis hepatica. Results there were 27907 males （56. 86% ） and 21176 females （43.14%） in examination population. The rates of obesity of males and females were 21.79% and 9. 86% respectively, the rates of overweight among them were 45.19% and 28.96% , respectively. Conclusions with the normal group, the incidence of hypertension of obesity and overweight group was significantly elevated, and the incidence rates of l, II type of hypertension also increased significantly, the levels of TC, TG were significantly elevated, HDL levels were significantly decreased, And the morbidity of fatty liver was signifi- cantly elevated, the incidence rates of moderate and severe fatty liver, in particular, severe fatty liver also in- creased significantly, the differences were statistically significant （P 〈 0.05 ） . Cholesterol, triglycerides, and the abnormal rate of blood pressure and fatty liver had a close relationship with BMI. Conclusion It is very important to control obesity and abdominal obesity in order to prevent high blood pressure, dyslipidemia and fatty liver, meanwhile, to control BMI is one of the basic meassures for preventing high blood pressure, dyslip-idemia and fatty liver.