杭州某高校教师体质指数与心血管病危险因素的关系

Relationship between Body Mass Index and Cardiovascular Risk Factors in College Teachers in Hangzhou

[目的]分析杭州某高校教师心血管病危险因素随体质指数(body mass index,BMI)增加的变化情况,为杭州高校教工预防心血管疾病提供理论依据。[方法]将436名教师分为体重未超标组(264人)、超重组(135人)、肥胖组(37人);比较各组血压、血糖、血脂、同型半胱氨酸(homocysteine,Hcy)、脂蛋白(a)[liporotein(a),LP(a)]、胱抑素C(cystatin,Cys-C)、超敏C反应蛋白(high sensitivity C reactive protein,hs CRP)的差异;并统计各体重组教工BMI和Hcy、LP(a)、Cys-C、hs CRP的相关性。[结果]与体重未超标组比较,超重组和肥胖组教工的血压、血糖、血脂、Hcy、LP(a)、hs CRP均升高(P<0.05);与超重组比较,肥胖组教工的血压、血糖、LP(a)升高(P<0.05);超重组和肥胖组教师的BMI和Hcy、LP(a)、hs CRP具有正相关关系(P<0.05)。[结论]超重及肥胖与其他心血管危险因素存在聚集现象,对于高校教师中超重、肥胖者,应注意检查和发现多重心血管病危险因素的并存。

[ Objective ] To analyze the pattern changes of cardiovascular risk factors along with body mass index （BMI） increasing in teachers from a university in Hangzhou, and to provide theoretical evidence to prevent cardiovascular diseases among this occupational group. [ Methods ] A total of 436 college teachers were divided into three groups： normal group, overweight group, and obesity group to compare blood pressure, blood glucose, blood lipids, homocysteine （Hcy）, lipoprotein（a） [LP（a）], cystatin C （Cys-C）, and high sensitivity C reactive protein （hsCRP）. The correlation of BMI values with Hcy, LP（a）, Cys-C, hsCRP in the three groups were assessed. [ Results ] Compared with the normal group, the levels of blood pressure, blood lipids, blood glucose, Hcy, LP（a）, and hsCRP were significantly high in the overweight group and the obesity group （P 〈 0.05）. Compared with the overweight group, the levels of blood pressure, blood glucose, and LP（a） in the obesity group were significantly high （P 〈 0.05）. Positive correlations were found between BMI and Hcy, LP（a）, and hsCRP in the overweight group and the obesity group （P〈 0.05）. [ Conclusion ] Overweight and obesity co-exist with other cardiovascular risk factors. It is necessary to pay more attention to the overweight and obese college teachers and the co-occurrence of multiple cardiovascular risk factors.