3279例65岁以上老人体质量指数与部分健康指标关系研究

Research of relationship between body mass index and some health indicators of 3279 old people older than 65 years old

目的研究上海某社区65岁以上老人体质量指数(BMI)及其与血压(BP)、糖化血红蛋白(Hb A1c)、甘油三酯(TG)及血尿酸(UA)的关系。方法对3279例上海静安区南京西路社区65岁以上老人健康体检人群BMI进行分析,探讨超重肥胖与血压、糖化血红蛋白、甘油三酯及血尿酸水平的关系。结果 3279例65岁及以上老人中,超重和肥胖占39.3%,BP异常率21.6%,Hb A1c异常率24.3%,TG异常率32.8%,UA异常率14.5%。按BMI值分为正常组和超重+肥胖组。与正常组相比,超重+肥胖组BP、Hb A1c、TG和UA异常的检出率均明显升高,差异均有统计学意义(P<0.001)。结论不同BMI组中BP、Hb A1c、TG及UA水平有显著性差异,控制体重对老年人高血压、高血糖、高血脂及高血尿酸等防治有重要作用。

Objective To research the relationship between body mass index （BMI） and blood pressure （BP）, glycosylated hemoglobin （HbA1c）, triglyceride （TG）, and blood uric acid （UA） of old people older than 65 years old in a community of Shanghai.Methods A total of 3279 old people older than 65 years old in Nanjing west road community received BMI analysis, so as to investigate the relationship between overweight obesity with blood pressure, glycosylated hemoglobin, triglyceride and blood uric acid.Results Among the 3279 old people, 39.3% of them had overweight and obesity. Their abnormal rate of BP was 21.6%, abnormal rate of HbA1c was 24.3%, abnormal rate of TG was 32.8%, and abnormal rate of UA was 14.5%. They were divided into normal group and overweight ＋ obesity group by their BMI values. Compared with the normal group, the overweight ＋ obesity group had higher abnormal detection rate of BP, HbA1c, TG, and UA, and the difference had statistical significance （P〈0.001）.Conclusion The difference of BP, HbA1c, TG, and UA levels has statistical significance between groups with different BMI values. Weight control has important effect for prevention and treatment of senile hypertension, hyperglycemia, hyperlipidemia, and hypeluricemia.