成年人体质指数、腰围与高血压、糖尿病和血脂异常的关系

Association of body mass index and waist circumference with hypertension,diabetes and dyslipidemia in adults

目的探讨成人体质指数(body mass index,BMI)、腰围(waist circumference,WC)与高血压、糖尿病和血脂异常的关系。方法利用江苏省2010年成人慢性病及其危险因素监测数据,采用方差分析、偏相关和非条件Logistic回归模型研究BMI、WC与血压、血糖、血脂、高血压、糖尿病和血脂异常的关系。结果调查人群新检出高血压、糖尿病和血脂异常患病率为35.3%、4.3%和28.4%。不同BMI、WC组间血压、血糖和血脂差异有统计学意义(均有P<0.05)。BMI、WC与收缩压、舒张压、空腹血糖、总胆固醇、甘油三酯和低密度脂蛋白胆固醇正相关,与高密度脂蛋白胆固醇负相关(均有P<0.05)。随着BMI和WC增加,高血压、糖尿病和血脂异常患病风险上升(均有P<0.05),且BMI、WC每增加1个标准差,高血压患病风险分别增加57%和58%,糖尿病增加53%和64%,血脂异常增加61%和67%。结论 BMI、WC与高血压、糖尿病和血脂异常密切相关,且WC对患病风险影响更大。

Objective To explore the association of body mass index（BMI） and waist circumference（WC） with hypertension,diabetes and dyslipidemia in adults of Jiangsu.Methods The data of Jiangsu Provincial Surveillance on Chronic Diseases and Risk Factors（2010） were used to explore the relationship of BMI and WC with blood pressure,plasma glucose and lipid by one-way ANOVA and partial correlation analysis,and to investigate the relationship between BMI,WC and hypertension,diabetes and dyslipidemia by unconditional logistic regression analysis.Results The prevalence of primarily diagnosed hypertension,diabetes and dyslipidemia was 35.3%,4.3% and 28.4%,respectively.The level of blood pressure,plasma glucose and lipid of BMI and WC was statistically significant（all P〈0.05）.BMI and WC had positive correlation with systolic blood pressure,diastolic blood pressure,fasting plasma glucose,total cholesterol,triglyceride and low density lipoprotein-cholesterol,and negative correlation with high density lipoprotein-cholesterol（all P〈0.05）.The risk of hypertension,diabetes and dyslipidemia increased with the increase of BMI and WC（all P〈0.05）.1-SD of BMI and WC would give rise to an increase of 57% and 58% risk of hypertension,53% and 64% risk of diabetes,and 61% and 67% risk of dyslipidemia.Conclusions The BMI and WC are closely associated with hypertension,diabetes and dyslipidemia in adults.The effects of WC on risks of these three kinds of chronic diseases are higher than BMI.