西北地区机关工作者肥胖与血脂、血压的相关分析

Correlation analysis of serum lipid and blood pressure with obesity among office employees in northwest China

目的:分析西北地区机关工作者肥胖与血压、血脂的关系。方法:对西京医院门诊体检的235例根据人体质量指数(bodymassin-dex,BMI)的结果分为3组:超重组46例,肥胖组76例,及正常对照组113例,对以上人群进行BMI、腰臀比、收缩压、舒张压、总胆固醇、三酰甘油、高密度脂蛋白胆固醇(highdensitylipoproteincholesterol,HDL-C)及B超等项目的检测。结果:235例中,肥胖患者男性56例,女性20例,男性肥胖的患病率高于女性(χ2=16.80,P<0.01);收缩压及总胆固醇的值超重组为(117.24±18.67)mmHg(1mmHg=0.133kPa),(4.84±0.97)mmol/L,肥胖组为(124.33±17.13)mmHg,(4.81±0.99)mmol/L,对照组为(110.56±12.82)mmHg,(4.47±0.92)mmol/L,3组收缩压差异有显著性意义(t=-2.224,-5.972,P<0.05),总胆固醇差异有显著性意义(t=-2.235,-2.387,P<0.05);超重肥胖组脂肪肝阳性43例,对照组脂肪肝阳性1例,脂肪肝的发生高于对照组(χ2=45.5,P<0.01);男性腰臀比为0.92±4.20,HDL-C为(1.19±0.13)mmol/L,女性腰臀比为0.85±5.70,HDL-C为(1.32±0.15)mmHg,肥胖组两性间,腰臀比、HDL-C差异有非常显著性意义(t=-5.08,3.221,P<0.01)。结论:西北地区机关工作者中肥胖与脂代谢紊乱、高血压密切相关。

AIM:To explore the relationship of serum lipid, blood pressure and obesity among office employees in northwest China. METHODS:Totally 235 cases,who were in Xijing Hospital for health examination,were divided into 3 groups according to their body mass index(BMI):overweight group(n=46),obese group(n=76) and normal control group(n=113).Their BMI,waist to hip ratio(WHR),systolic pressure(SP),diastolic pressure(DP),total cholesterol(TC),triacylglycerol(TG),high density lipoprotein cholesterol(HDL C) and B ultrasound were examined. RESULTS: The prevalence of obesity was obviously higher in males (56 cases) than in females (20 cases) (χ2=16.80,P< 0.01). The SP and TC in the overweight group [(117.24±18.67)mmHg,(1 mmHg=0.133 kPa), (4.84±0.97)mmol/L] and obese group [(124.33±17.13) mmHg,(4.81±0.99) mmol/L] were significantly different from those in the normal control group[(110.56±12.82) mmHg,(4.47±0.92) mmol/L] (SP:t=-2.224,-5.972,P< 0.05; TC:t=-2.235,-2.387,P< 0.05). Compared with the subjects of normal weight,the obese cases showed higher blood pressure and serum lipid(P< 0.01 and P< 0.05 respectively). Incidence of positive fatty liver in the overweight group (43 cases) was higher than the control group(1 case)(χ2=45.5,P< 0.01).WHR and HDL C were[(0.92±4.20),(1.19±0.13) mmol/L] in males and[(0.85±5.70),(1.32±0.15) mmHg] in females, the differences between males and females in the obese group were obvious (t=-5.08,3.221,P< 0.01).Obesity is closely related to disorders of serum lipid and hypertension among office employees in northwest China.