广东地区亚健康状态与中医体质的相关性研究

Associations between Traditional Chinese Medicine Constitutions and Suboptimal Health Status in Guangdong District

目的探讨广东人群亚健康状态与中医体质的相关性。方法于2012-2013年对24159人(12~80岁)开展大样本、多中心的横断面调查;健康状况的判定主要结合被调查者的体检报告及《亚健康评定量表》,中医体质的评估使用《中医体质分类与判定表》。结果亚健康状态的现患率为46.0%(11121/24159),疾病为35.2%(8505/24159)。偏颇体质在亚健康状态和疾病状态中所占的比例比较高,而平和质在健康人群中所占的比例最高。多元回归分析显示中医体质对健康状态有显著影响(P<0.001),与偏颇体质比较,平和质与亚健康危险降低显著相关(OR 0.23,95%CI:0.21-0.25,P<0.001);与疾病危险降低也显著相关(OR 0.11,95%CI:0.10-0.12,P<0.001)。偏颇体质与亚健康状态危险增加密切相关(P<0.001),如气虚质OR 10.44(95%CI:8.86-12.30)、阴虚质OR 4.31(95%CI:3.71-5.01)、阳虚质OR 3.51(95%CI:3.02-4.08)、湿热质OR 4.11(95%CI:3.58-4.73)、痰湿质OR 7.19(95%CI:5.88-8.81)、气郁质OR 21.17(95%CI:15.74-28.45)、血瘀质OR 7.27(95%CI:5.71-9.25)、特禀质OR 3.68(95%CI:2.90-4.67)。结论亚健康状态与中医体质密切相关,偏颇体质是亚健康的危险因素,平和质是亚健康的保护因素。

Objective To study associations between suboptimal health status(SHS)and traditional Chinese medicine constitution(TCMC)in the population of Guangdong district.Methods A cross-sectional survey was conducted in a clustered sample of 24159 individuals(12-80 years old)from 2012 to 2013.SHS was evaluated using the medical examination report and Sub-health Measurement Scale(SHMS),and TCMC was assessed by Constitution in Chinese Medicine Questionnaire(CCMQ).ResultsOf the 24159 participants,the SHS 46.0%(11121/24159)and disease status 35.2%(8505/24159)accounted for a much higher percentage than the health people.The proportion of unbalanced constitution in SHS and disease state was higher,while the proportion of balanced constitution in healthy was the highest.Multivariable regression analyses with adjusted demographic variables revealed a significant association between TCM constitution and health status(P<0.001).Balanced constitution,being a significant protective factor,as compared with the unbalance constitution,was strongly associated with a decreased risk of SHS(OR 0.23,95%CI:0.21-0.25,P<0.001)or disease(OR 0.11,95%CI:0.10-0.12,P<0.001).The SHS had marked associations with respect to other components of the unbalanced constitution,including qi-deficiency constitution[OR 10.44,95%CI:8.86-12.30],yin-deficiency constitution[OR 4.31,95%CI:3.71-5.01],yang-deficiency constitution[OR 3.51,95%CI:3.02-4.08],dampness-heat constitution[OR 4.11,95%CI:3.58-4.73],phlegm-dampness constitution[OR 7.19,95%CI:5.88-8.81],qi-depression constitution[OR 21.17,95%CI:15.74-28.45],blood-stasis constitution[OR 7.27,95%CI:5.71-9.25],inherited special constitution[OR 3.68,95%CI:2.90-4.67].Conclusion SHS is closely related to TCMC.Unbalanced constitutions are significantly related to an increased risk of SHS,while balanced constitution is the protective factors of good health.