青岛市四方区居民体质指数、腰围与慢性病相关指标的关系分析

[目的]探讨成年人体质指数、腰围与血压、血糖、血脂等慢性病相关指标的关系。[方法]2011年多阶段随机抽取四方区2个街道办事处的6个居委会社区18～69岁社区居民600名，进行问卷调查和体格检查，采用SPSS18．0软件进行统计学分析。[结果]调查600人中，超重发生率为36．33％，肥胖发生率为17．67％，腰围超标者占60．67％。随着体质指数与腰围的增加，血压、血脂和血糖平均水平呈上升趋势（P〈0．05），高血压、高血脂和高血糖患病率也随之增长（P〈0．05）。所有调查对象的BMI和WC与收缩压（SBP）、舒张压（DBP）、甘油三酯（TG）、总胆固醇（TC）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL—c）和空腹血糖（FPG）水平均有相关性，相关系数（r）分别为0．437、0．495、0．399、0．208、0．275、-0．310、0．344和0．506、0．514、0．453、0．214、0．299、一0．385和0．340，（P〈0．01）。[结论]青岛市四方区18~69岁居民超重、肥胖患病率和腰围超标率较高，肥胖和腹型肥胖均可增加罹患高血压、高血糖和高血脂的危险性。

Relationship of BMI and WC with Chronic Disease Among Residents in Sifang District,Qingdao City

[Objective]To describe the relationship of body mass index（BMI） and waist circumference（WC）, and investigate the relationship between obesity and chronic disease among people in Sifang district, Qingdao city. [Methods]A baseline survey including 600 residents from 6 communities aged between 18 and 69 was conducted and the data were analyzed. The samples were randomly selected from Sifang district, Qingdao city,2011. [Results]The overall overweight and obesity rates among 6 00 residents were 3 6.3 3 % and 17. 6 7 % , and the prevalence rate of central obesity was 6 0.6 7 %. With the increasing of BMI and WC, the level of SBP, DBP, TC, TG, LDL-C, and FPG obviously increased, but HDL-C decreased. The significantly positive relativity presented between BMI and SBP, DBP, TC, TG, LDL-C, and FPG, but the negative relativity presented between BMI and HDL-C. WC was also the result. The correlation coefficients were 0. 437, 0. 495,0. 399,0. 208,0. 275,-0. 310,0. 344 and 0. 506,0. 514,0. 453,0. 214, 0. 299,-0. 385,0. 340 accordingly. [Conclusion]The prevalence rate of overweight, obesity and central obesity in Sifang district is high and it increases the risks of hypertension, hyperglycemia and hyperlipidemia.