上海市某社区老年居民代谢异常情况分析

Prevalence of metabolic abnormalities in elderly residents in a community of Shanghai

目的分析上海市某社区老年居民的代谢异常情况。方法 2013年3月至2013年10月对上海市宜川社区60岁以上常住2 588位老年人建立健康档案,测量身高、体重、体质指数(body mass index,BMI)、腰围、血压,检测空腹血糖、总胆固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)、低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)、心电图等。结果超重和肥胖检出率为55.72%,中心性肥胖检出率为23.03%,高血压的检出率为53.40%,高血糖检出率为11.31%,高TC检出率为10.56%,高TG检出率为20.21%,低HDL-C检出率为23.87%,高LDL-C检出率为12.45%,心肌缺血及心律失常的检出率为49.55%。BM I与收缩压、舒张压、空腹血糖、TG、HDL-C的相关系数分别为0.119、0.111、0.109、0.191、-0.356(P<0.01)。腰围与收缩压、舒张压、空腹血糖、TG、HDL-C的相关系数分别为0.203、0.108、0.140、0.159、-0.323(P<0.01)。空腹血糖与收缩压、TC、TG、HDL-C的相关系数分别为0.094、0.040、0.126、-0.138(P<0.05)。空腹血糖与心肌缺血、心律失常之间有一定的相关性(P<0.01)。结论体质指数、腰围、空腹血糖以及血脂的各项指标密切相关,空腹血糖与心肌缺血及心率失常密切相关。

Objective To survey the metabolic abnormalities in elderly residents in a community of Shanghai. Methods Health records of 2 588 elderly residents aged over 60 years in Yichuan Community of Shanghai were collected from March to October in 2013. The measurement of height, weight, waist circumference, blood pressure, fasting blood glucose, total cholesterol （TC）, triglyceride （TG）, high-density lipoprotein cholesterol （HDL-C） and low density lipoprotein cholesterol （LDL-C） were measured, electrocardiogram （ECG） was examined. Results Thedetection rate of overweight and obesity was 55.72%, central obesity was 23.03%, hypertension was 53.40%, high blood glucose was 11.31%, hypercholesterolemia was 10.56%, high triglycerides was 20. 21%, low high-density lipoprotein cholesterol was 23. 87%, high low-density lipoprotein cholesterol was 12. 45%, the prevalence rate of myocardial ischemia or arrhythmia detection was 49.55%. The correlation coefficient of BMI and systolic pressure, diastolic blood pressure, fasting blood sugar, TG and HDL-C were 0. 119, 0. 111, 0. 109, 0. 191, -0. 356 respectively（P 〈0.01 ）. The correlation coefficient of waist circumference with systolic pressure, diastolic blood pressure, fasting blood glucose, TG and HDL-C were 0.203, 0. 108, 0. 140, 0. 159, -0. 323 respectively. The correlation coefficient of fasting plasma glucose with systolic pressure, TC, TG and HDL-C were 0. 094, 0. 040, 0. 126, - 0. 138, respectively（P 〈 0.05）. The fasting plasma glucose was correlated with myocardial ischemia or arrhythmia （ P 〈 0.01 ）. Conclusion There is close correlation among body mass index, waist circumference, fasting blood sugar and blood fat of the indicators; and fasting glucose is closely related to myocardial ischemia and arrhythmia.