肥胖指标与心肌梗死发病风险的关系研究

Study on the relationship between obesity indicators and onset risks of myocardial infarction

目的了解肥胖指标(ABSI)与心肌梗死(AMI)发病风险的关系。方法选取中山市陈星海医院确诊的AMI患者(AMI组,n=667)及体检健康人群(对照组,n=667),提取基线资料、慢性病患病情况及体质指标,比较AMI组与对照组是否存在差异,分析可能影响AMI发病风险的因素。结果AMI组的腰围、体脂率、内脏脂肪指数、静息心率、BMI、ABSI及高血压、高血脂、糖尿病、其他慢性病的患病人数均高于对照组(P<0.01或0.05)。Logistic回归分析显示腰围、体脂率、内脏脂肪指数、BMI、腰围身高比及ABSI是AMI的高危因素(P<0.01或0.05)。结论ABSI是AMI的独立危险因素,应早期干预。

Objective To explore the relationship between obesity indicators and onset risks of myocardial infarction risk,provide a basis for decreasing the risk of AMI among Chinese residents.Methods The AMI patients(AMI Group,n=667)diagnosed in the Zhongshan Chenxinghai Hospital and healthy population(Control Group,n=667)in physical examination were selected for the study,and their baseline data,situation of chronic diseases and body mass index were extracted.The AMI Group and Control Group were compared to determine whether there is any difference between them,and the factors that affect the onset of AMI were analyzed.Results The waist circumference,body fat rate,visceral fat index,resting heart rate,BMI,and ABSI of the AMI Group were higher than those of the Control Group,and there were more persons suffering from hypertension,hyperlipidemia,diabetes and other chronic diseases in the AMI Group were higher than those in the Control Group(P<0.01 or 0.05).Logistic regression analysis showed that waist circumference,body fat rate,visceral fat index,BMI,WHtR and ABSI were high-risk factors for cardiac infarction.Conclusion ABSI is an independent risk factor for AMI,and early intervention should be conducted to reduce the incidence.