影响阳虚体质因素的Logistic回归分析

An Logistic Regression Analysis of Factors Influencing Yang Deficiency Constitution

目的:研究影响阳虚体质的主要因素。方法:采用横断面调查,收集上海中医药大学附属岳阳中西医结合医院治未病中心2020年9月至2021年11月中医体质调查数据。中医体质调查采用中医体质辨识软件V3.0实施,运用多因素Logistic回归模型分析筛选影响阳虚体质的主要因素。结果:共纳入811例研究对象,其中阳虚质211例(26.0%)。多因素Logistic回归分析结果显示,相对女性,男性阳虚质比例降低,差异具有统计学意义[OR=0.55,95%CI(0.37~0.81),P=0.002];相对年龄<50岁,年龄≥50岁者阳虚质比例较高,差异具有统计学意义[OR=1.83,95%CI(1.26~2.65),P=0.001];体质量超重、肥胖人群阳虚质比例高于体质量正常及偏低人群,差异具有统计学意义[OR=0.59,95%CI(0.38~0.91),P=0.018];高脂血症患者阳虚质比例高于血脂正常人群,差异具有统计学意义[OR=0.63,95%CI(0.44~0.90),P=0.011];脂肪性肝病患者阳虚质比例高于正常人群,差异具有统计学意义[OR=0.56,95%CI(0.37~0.87),P=0.010];功能性胃肠病阳虚质比例高于正常人群,差异具有统计学意义[OR=1.77,95%CI(1.05~2.99),P=0.032]。结论:年龄、性别、超重/肥胖、功能性胃肠病、脂肪性肝病、高脂血症是影响阳虚质的主要因素。

Objective:To study the main factors affecting the constitution of yang deficiency.Methods:A cross-sectional survey was con-ducted to collect the data of TCM constitution survey from September 2020 to November 2021 in Preventive Treatment Center of Yu-eyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine.The TCM constitution identification software V3.0 was used to conduct the investigation of TCM constitutions,and the multivariate Logistic regression model was used to analyze and screen the main factors affecting the constitution of yang deficiency.Results:A total of 811 subjects were included,among whom 211(26.0%)had yang deficiency syndrome.Multivariate Logistic regression analysis showed that the proportion of yang deficiency syndrome in males was lower than that in females,and the difference was statistically significant[0R=0.55,95%CI(0.37-0.81),P=0.002];the proportion of yang deficiency syndrome in age≥50 years old was higher than that in age<50 years old,and the difference was statistically significant[0R=1.83,95%CI(1.26-2.65),P=0.001];the proportion of yang deficiency syndrome in overweight and obese people was higher than that in normal and low weight people,and the difference was statistically significant[0R=0.59,95%CI(0.38-0.91),P=0.018];the proportion of yang deficiency syndrome in patients with hy-perlipidemia was higher than that in normal blood lipids,and the difference was statistically significant[OR=0.63,95%CI(0.44-0.90),P=0.011];the proportion of yang deficiency syndrome in patients with fatty liver disease was higher than that in normal peo-ple,and the difference was statistically significant[0R=0.56,95%CI(0.37-0.87),P=0.010];the proportion of yang deficiency syndrome in functional gastrointestinal disease was higher than normal people,and the difference was statistically significant[OR=1.77,95%CI(1.05-2.99),P=0.032].Conclusion:Age,gender,overweight/obesity,functional gastrointestinal disease,fatty liver disease,hyperlipidemia are the main factors affecting yang deficiency constitution.