肥胖/超重人群痰湿质、气虚质影响因素研究

Study on the influencing factors of phlegm-dampness diathesis and qi deficiency in diathesis obese/overweight people

目的探讨肥胖/超重人群痰湿质、气虚质的影响因素。方法对2015年1月~2017年1月湖北省中医院中医体质为平和质、痰湿质、气虚质的体检肥胖/超重人群共1435例,收集年龄、性别、社会经济地位、婚姻等社会人口学因素及饮食、娱乐、锻炼方式等行为因素方面资料进行统计分析。对于连续变量采用多因素logistic分析。结果单因素分析结果显示:不同年龄、职业、教育程度、收入、减肥情况、碳酸饮料频次、茶饮料频次、果汁饮料频次、睡眠质量的体质比较差异有统计学意义(P<0.05)。多因素分析结果显示:痰湿质的影响因素有年龄(30~<40岁)(OR=1.913,95%CI:1.251~2.925,P<0.05)、减肥(OR=1.383,95%CI:1.075~1.780,P<0.05);气虚质的影响因素有年龄(50~<60岁)(OR=0.359,95%CI:0.192~0.672,P<0.05)、教育程度(初中至高中)(OR=6.012,95%CI:1.821~19.848,P<0.05)、教育程度(大专及以上)(OR=6.204,95%CI:1.788~21.530,P<0.05)和睡眠质量差(OR=1.971,95%CI:1.235~3.146,P<0.05)。结论肥胖/超重人群年龄越大越易为痰湿质,年龄越大越不易为气虚质;教育程度越高越易为气虚质;采取减肥措施的人更容易为痰湿质;睡眠质量差的人相对睡眠质量好的人更容易为气虚质。

Objective To explore the influencing factors of phlegm-dampness and qi deficiency in obese/overweight people.Methods From January 2015 to January 2017,a total of 1435 obese/overweight people in Hubei Provincial Hospital of Chinese Medicine with a quality of physique,phlegm-dampness and qi deficiency were collected for age,sex,socioeconomic status,marriage,etc.Statistical analysis was carried out on sociodemographic factors and behavioral factors such as diet,entertainment and exercise patterns.Multivariate logistic analysis was used for continuous variables.Results The results of single factor analysis showed that the diathesis of different ages,occupation,education,incomes,weight loss,frequency of carbonated drinks,frequency of tea drinks,frequency of fruit juice drinks,and sleep quality had statistically significant differences(P<0.05).Multivariate analysis results showed that the influencing factors of phlegm-dampness were age(30-<40 years old)(OR=1.913,95%CI:1.251-2.925,P<0.05),weight loss(OR=1.383,95%CI:1.075-1.780,P<0.05);the influencing factors of qi-deficiency included age(50-<60 years old)(OR=0.359,95%CI:0.192-0.672,P<0.05),education level(junior high to high school)(OR=6.012,95%CI:1.821-19.848,P<0.05),education level(junior college and above)(OR=6.204,95%CI:1.788-21.530,P<0.05),and poor sleep quality(OR=1.971,95%CI:1.235-3.146,P<0.05).Conclusion The older the obese/overweight person,the more likely it is to be phlegm-dampness.The older the obese/overweight person,the less likely it is to be qi-deficiency.The higher the education level,the more likely it is to be qi-deficiency.The person taking weight-loss measures is more likely to be phlegm-dampness.People with poor sleep quality are more likely to be qi-deficiency than those with good sleep quality.