广西瑶族成人体成分与血脂的相关关系分析

Correlation between body composition and blood lipids in yao ethnic adults in Guangxi

目的:了解广西瑶族成人体成分与血脂的相关关系,为预防广西瑶族高脂血症防治提供参考依据。方法:在广西瑶族聚居地随机抽取20~60岁瑶族成人,通过问卷形式收集他们个人信息,采用马丁仪测定身高、TANITA MC-180仪测定体成分,日立7600血脂检测仪测定志愿者血清的总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)4项血脂指标,将问卷信息和检测所得数据建立数据库,采用SPSS统计软件进行统计分析。结果:男性身高、体重、肌肉量、去脂体重、推定骨量、身体水分、细胞内液、细胞外液、蛋白质、腰臀比、TG均高于女性(P<0.05),而脂肪量、躯干脂肪量、皮下脂肪量、体脂率、HDL-C则女性高于男性(P<0.05)。TC与脂类体成分指标、男性蛋白质含量以及女性身体水分呈正相关关系(P<0.05);TG与男性体成分无明显相关性(P>0.05),与女性躯干脂肪含量、内脏脂肪含量、腰臀比呈正相关关系(P<0.05);HDL-C与脂类体成分呈负相关关系;LDL-C与男性内脏脂肪含量呈正相关关系,与女性脂类体成分指标、细胞外液,肌肉量呈正相关关系(P<0.05)。高脂血症患者的体重、脂类体成分指标高于血脂正常者(P<0.05)。另外,高脂血症患者的男性蛋白质含量和体脂率以及女性细胞外液均高于正常血脂组(P<0.05)。结论:瑶族成人的血脂与脂肪量、腰臀比、肌肉量等指标存在相关关系。脂肪含量的增加,特别是内脏脂肪含量的增加可能是高脂血症发生、发展的重要危险因素之一。

Objective:To explore the correlation between body composition and blood lipid in Yao ethnic group in Guangxi,and to provide reference for prevention of hyperlipidemia.Methods:A total of 544 healthy Yao adults in Guangxi aged 20-60 were randomly selected in this study.Questionnaires survey was carried out,height was measured by Martin Grohe meter,body composition was determined by using TANITA MC-180 instrument,four blood lipid including total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL-C),and low density lipoprotein cholesterol(LDL-C)were tested.Database was established,and statistical analysis was carried out with SPSS statistical software.Results:The height,weight,fat free mass,muscle mass,presumptive bone mass,body fluid,intracellular fluid,extracellular fluid,protein,waist-to-hip ratio,and TG in male were higher than those in female,whereas fat mass,trunk fat mass,subcutaneous fat mass,body fat percentage,and HDL-C in female were higher than those in male(P<0.05).TC was positively correlated with body composition related to lipids,male protein content and with female body water(P<0.05).TG was no correlated with body composition in male(P>0.05),but was positively correlated with visceral fat mass and waist-hip ratio in female(P<0.05).HDL-C was negatively correlated with body composition related to lipids;LDL-C was positively correlated with visceral fat mass in male and body composition related to lipids,extracellular fluid and muscle mass in female(P<0.05).Protein content and extracellular fluid in male and extracellular fluid in female with hyperlipidemia were higher than those in normal group(P<0.05).Conclusion:The blood lipid level is correlated to fat mass,waist-hip ratio,muscle mass and other indexes of Yao adults.The increase of fat mass,especially visceral fat mass,may be one of the important risk factors for the occurrence and development of hyperlipidemia.