2型糖尿病患者腰臀比及体重指数与健康人群对照研究

Comparative study on waist hip ratio and body mass index in type 2 diabetes mellitus patients with healthy people

目的：了解2型糖尿病患者腰臀比（ WHR）和体重指数（ BMI）状况,为2型糖尿病患者的诊断治疗提供理论依据。方法：依据性别和年龄段将405例2型糖尿病患者（男性139例,女性266例）作为研究组和263例健康志愿者（男性126例,女性137例）作为对照组。分别测量研究组患者和对照组健康自愿者的身高、体重、腰围、臀围,评估腰臀围比值和体重指数。结果：①研究组患者各年龄段的WHR和BMI均大于对照组（P〈0.05）。②40岁以下男性2型糖尿病患者WHR大于女性,BMI小于女性（P〈0.05）；41-60岁男性2型糖尿病患者BMI小于女性（P〈0.05）；61岁以上男性2型糖尿病患者WHR大于女性（P〈0.05）。结论：2型糖尿病患者WHR和BMI大于健康人群,腹型肥胖明显,应合理控制饮食,科学锻炼。

Objective：To investigate waist hip ratio （ WHR） and body mass index（ BMI） of type 2 diabetes mellitus patients, as to provide a theoretical basis for diagnosis and treatment. Methods：A total of 405 cases of type 2 diabetes mellitus patients （ male：139 cases;female：266 cases） and 263 cases of healthy controls （ male：126 cases;female：137 cases） were divided into study group and control group by gender and age. Their height, weight, waist circumference and hip circumference were measured and their WHR and BMI were assessed. Results：（1） WHR and BMI of all different ages of study groups were greater than those of control group （P〈0. 05）. （2） WHR of type 2 diabetes mellitus male patients under the age of 40 was greater than that of female patients, their BMI was less than that of female patients （P〈0. 05）. BMI of type 2 diabetes mellitus male patients between 41 and 60 years was less than that of female patients （P〈0. 05）. WHR of type 2 diabetes mellitus male patients over the age of 61 was greater than that of female pa-tients （P〈0. 05）. Conclusions：WHR and BMI of type 2 diabetes mellitus patients are greater than those of healthy person, they are abdominal obesity obviously, so they should control diet reasonably and do scientific exercise.