体检人群的健康体适能与代谢性疾病相关指标的相关性研究分析

A correlation study and analysis of health-related physical fitness and metabolic-related indicators in the physical examination population

目的:本研究旨在深入探究体检人群中健康体适能测评指标与代谢性疾病相关指标间的相互关联,为构建体医融合的疾病预防策略及制定个性化的运动干预方案提供科学依据。方法:于2018年1月至2023年12月,以西南地区某体检中心体检人群为研究对象,测试肌肉含量、体脂率、握力、坐位体前屈和肺活量等健康体适能指标,采血检测空腹血糖(FPG),血脂指标甘油三酯(TG)、血清总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)等,以及尿酸等代谢性疾病指标,分析体适能测评指标与血糖、血脂和尿酸的关系。结果:坐位体前屈、平衡能力与尿酸、TG和FPG呈负相关(P<0.05),与HDL-C呈正相关(P<0.05);选择反应时与FPG和TC呈负相关(P<0.05),与尿酸呈正相关(P<0.05);握力、心肺耐力与HDL-C呈正相关(P<0.05),与尿酸、TG和FPG水平呈负相关(P<0.05)。结论:体适能测评指标与血脂、血糖和尿酸密切相关,可用于预测人群的健康状况。

Objective:This study aims to deeply investigate the interrelationships between health-related physical fitness assessment indicators and metabolic disease-related indicators among individuals undergoing physical examinations,with the goal of providing a scientific basis for developing disease prevention strategies that integrate sports and medicine,as well as personalized exercise intervention programs.Methods:From January 2018 to December 2023,a cohort of individuals undergoing physical examinations at a health examination center in southwestern China was recruited as the study population.Physical fitness indicators including muscle mass,body fat percentage,grip strength,sit-and-reach flexibility and vital capacity were measured.Blood samples were collected for the detection of fasting blood glucose,blood lipid indicators such as triglycerides(TG),total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C)and low-density lipoprotein cholesterol(LDL-C),as well as uric acid and other metabolic disease indicators.The relationships between physical fitness assessment indicators and blood glucose,blood lipids,and uric acid were analyzed.Results:Sit-and-reach flexibility and balance ability were negatively correlated with uric acid,triglycerides and fasting blood-glucose(P<0.05)positively correlated with HDL-C(P<0.05).Simple reaction time was negatively correlated with fasting blood glucose and triglycerides(P<0.05)positively correlated with uric acid(P<0.05).Grip strength and cardiopulmonary endurance were negatively correlated with uric acid,triglycerides and fasting blood glucose(P<0.05)positively conrelated with HDL-C(P<0.05).Conclusion:Physical fitness assessment indicators are closely related to blood lipids,blood glucose and uric acid,and can be used to predict an individual's health status.