合肥某社区60岁以上居民血压、尿酸、血脂、脂肪肝与体质指数相关性分析

Correlation analysis of blood pressure,uric acid,blood lipids,fatty liver and body mass index among residents over 60 years old in a community of Hefei

目的 探讨社区居民的血压、尿酸、血脂、脂肪肝与体质指数(BMI)的相关性,为居民防治慢性非传染性疾病提供依据。方法 选择2019年5-12月来包公街道社区中心参加健康体检的60岁以上居民999名作为调查研究对象,统计体检居民血压、体重、身高以及各项生化检验、肝脏B超结果,分析血压、血尿酸、血脂和脂肪肝等与BMI的相关性。结果 超重和肥胖者占比51.9%,超过总检查者半数比例。超重和肥胖者收缩压(SBP)、舒张压(DBP)、血尿酸(SUA)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)异常率和脂肪肝分别是38.34%、16.96%、16.57%、10.21%、19.85%、10.79%、10.40%、68.59%。与体重正常和过低相比SBP、DBP、SUA、TG、脂肪肝异常率升高明显(P<0.01),HDL-C异常率升高,差异具有统计学意义(P<0.05)。超重和肥胖者TC和LDL-C异常率与体重正常和过低相比改变无统计学意义(P>0.05)。Pearson相关分析提示:SBP、DBP、SUA、TG、LDL-C与BMI密切正相关(r分别是:0.230、0.092、0.260、0.205、0.102,P<0.01),HDL-C与BMI显著性负相关(r=-0.262,P<0.01),TC与BMI无相关性(r=0.011,P<0.01)。结论 社区居民超重者和肥胖者占比超过半数,血压、尿酸、血脂和脂肪肝与BMI呈现密切相关性,BMI值增加将增加高血压、高尿酸血症、脂肪肝的风险,因此应该重视体重对健康的影响,适当减轻体重,预防慢性非传染性疾病的发生,提升社区居民健康水平。

Objective To explore the correlation between blood pressure,uric acid,blood lipid,fatty liver and body mass index(BMI)among community residents,and to provide evidence for the prevention and treatment of chronic non-infectious diseases.Methods Nine hundred and ninety-nine residents over 60 years old who came to our community center for physical examination from May 2019 to December 2019 were selected as the subjects of investigation and analysis,and the blood pressure,weight,height,biochemical tests and B-ultrasound results of the residents were counted.The correlation between BMI and blood pressure,blood uric acid,blood lipids and fatty liver was analyzed.Results The proportion of overweight and obese individuals accounted for 51.9%,exceeding half of the total examination population.The abnormal rates of systolic blood pressure(SBP),diastolic blood pressure(DBP),blood uric acid(SUA),total cholesterol(TC),triglyceride(TG),High-density lipoprotein(HDL-C),low-density lipoprotein(LDL-C)and fatty liver in overweight and obese people were 38.34%,16.96%,16.57%,10.21%,19.85%,10.79%,10.40%and 68.59%,respectively.Compared with normal and underweight individuals,the abnormal rates of SBP,DBP,SUA,TG,and fatty liver were significantly increased(P<0.01),the abnormal rate of HDL-C increased,with statistical significance(P<0.05).The abnormal rates of TC and LDL-C in overweight and obese individuals showed no statistically significant changes compared to normal and underweight individuals.Pearson correlation analysis suggested that SBP,DBP,SUA,TG,LDL-C were closely positively correlated with BMI(r=0.230,0.092,0.260,0.205,0.102,P<0.01).There was a significant negative correlation between HDL-C and BMI(r=-0.262,P<0.01).There was no correlation between TC and BMI(r=0.011,P<0.01).Conclusions More than half of the community residents are overweight and obese.Blood pressure,uric acid,blood lipids and fatty liver are closely related to BMI.The increase of BMI will increase the risk of hypertension,hyperuricemia and fatty liver.Therefore,we should pay attention to the impact of weight on health,properly reduce weight,prevent the occurrence of chronic non-infectious diseases,and improve the health level of community residents.