1677例老干部向心性肥胖和心血管病危险因素的关系

目的　调查分析军队退休老干部群体向心性肥胖及其与心血管病危险因素的关系。方法　根据计划方案对成都地区 6 0岁以上军队退休老干部进行病史询问和体格检查 ,获得完整资料 16 77份。对腰围和体重指数 (BMI)、高血压、糖尿病、高胆固醇血症、高甘油三酯血症等心血管病危险因素进行分析。结果　BMI在男性和女性分别为2 4 .4 2± 3.0 4和 2 3.97± 3.12 (P >0 .0 5 )。腰围在男性和女性分别为 (83.79± 8.34)cm和 (78.4 3± 7.89)cm(P <0 .0 0 1) ,并呈现随年龄增长而增大的趋势。腰围过大者占总体的 4 7.88% ;腰围与BMI正相关 ,但 2 9.5 2 %的腰围过大者其BMI<2 5 ;对腰围进行分层处理后 ,可见除高胆固醇以外 ,各危险因素及危险因素聚集 (具有 2个及以上危险因素 )的检出率随腰围的增大而逐渐上升 ,呈密切的正相关。结论　军队退休老干部反映向心性肥胖的指标———腰围与心血管病危险因素及其分布情况密切相关

Relationship between central obesity and cardiovascular risk factors in 1 677 veteran cadres

Objective To investigate the relationship between central obesity and cardiovascular risk factors in the veteran cadre population.Methods Based on an outline for investigation, the interview of disease history and health examination were made in the veteran cadres who settled down in the Chengdu area after retirement.The data of 1?677 participants were available for analysis. The waist circumference (WC), body mass index (BMI) and 4 risk factors including hypertension, diabetes, hypercholesteremia (high TC), and hypertriglyceridemia (high TG) were analyzed.Results The means of BMI in males and females were 24.42±3.04 and 23.97±3.12, respectively (P>0.05). The means of WC in males and females were (83.79± 8.34 ) cm and (78.43±7.89) cm, respectively(P<0.001), and there was a tendency of increase in WC with age (P<0.001).Of the 1?677 participants,47.88% had excessively large WC.A positive correlation was found between BMI and WC (r=0.739,P<0.001), but of the subjects who possessed excessively large WC, 29.51% had no overweight.After stratifying WC, the prevalence rates of the risk factors and their clustering, except high TC,all increased with increasing levels of WC.Conclusion The WC as index of central obesity correlates closely with cardiovascular risk factors and their clustering in the veteran cadre population.