新疆阜康地区哈萨克族体重指数与血脂水平关系的研究

A study of relationships between body mass index and the levels of serum lipids of Kazak in rural area of Fukang in Xinjiang

目的:研究新疆阜康地区哈萨克族体重指数与血脂水平的关系。方法 :测量身高与体重 ,禁食 12 h后 ,次日清晨抽取坐位肘静脉血 ,测空腹血糖 ,用酶法测定血清总胆固醇 (TC)、甘油三酯 (TG)、高密度脂蛋白胆固醇(HDL - C) ,用 Frieldwald公式计算 :L DL - C=TC- HDL - C- 1/ 2 TG,动脉硬化指数 (AI) =TC- HDL - C/ HDL - C。进行统计学分析。 结果:(1)超重组及肥胖组平均血清 TC、TG、L DL - C及 AI均明显高于正常体重组 (P <0 .0 5～0 .0 1) ,并与 BMI呈正相关 ;平均 HDL - C明显低于正常体重组 (P <0 .0 5～ 0 .0 1) ,与 BMI呈负相关。 (2 )超重组及肥胖组并发高脂血症、高血压病及糖尿病者多于正常体重组 (P <0 .0 0 1)。结论 :新疆哈萨克族体重指数与血脂水平呈明显相关关系 ,超重和肥胖是高血压、糖尿病的危险因素。

Objective: To study the relationships between body mass index (BMI) and the levels of serum lipids of Kazak in Xinjiang. Methods: To measure the body's height and weight; after twelve hours of fasting, we drew venous blood next morning. Measuring fasting blood sugur and the levels of serum total cholesterol (TC)and high density lipoprotein (HDL-C), the triglyceride (TG); and the low-density lipoprotein(LDL-C) were counted by Frieldwald formula:LDL-C=TC-HDL-C-1/2 TG; the atherosclerosis index (AI)=TC-HDL-C/HDL-C. The data were expressed with ±s statistical methods, and linear regression and correlation. Results: (1) In the over-weight and obesity groups, the levels of serum TC、TG、LDL-C and AI were significantly higher than that of normal weight group, and were positively correlated with BMI; the level of serum HDL-C were significantly lower than that of normal weight group and were negatively correlated with BMI. (2) The people with hyperlipoprotein, hypertension and diabetes in the over-weight and obesity group were more than that of in normal weight group. Conclusions: The BMI of Kazak in Xinjiang was correlative with the serum lipid levels. Obesity and over-weight were the risk factors of hypertension and diabetes.