成都地区中老年人群腰高比值与血压、血脂、血糖的关系

目的探讨成都地区中老年人群的腰高比值(WHtR)与血压、血脂、血糖的关系。方法 2007年5月间在成都市地中老年人群(688人)中用统一编制的调查表记录被调查者的血压、血脂、血糖、WHtR等指标,并用相关统计学数据进行分析。结果①成都地区中老年人群WHtR≥0.5的高血压、高血脂、高血糖的发病率明显高于对照组(P<0.05),且有统计学意义。②年龄、收缩压、舒张压、甘油三酯和血糖水平,WHtR≥0.5组明显高于WHtR<0.5组,而WHtR≥0.5组高密度脂蛋白水平低于WHtR<0.5组,且组间差异均有统计学意义。③logistic回归分析表明WHtR与年龄、收缩压、舒张压、甘油三酯、空腹血糖水平呈正相关,与高密度脂蛋白水平呈负相关。结论成都地区中老年人群WHtR与血压、血脂及血糖关系密切,可能可以通过改善血压、血脂、空腹血糖等指标来减少WHtR,中老年人群要加强对WHtR的自我管理,尽可能将心血管疾病危险因素降到最低。

Study on the Relationship between Waist to Height Ratio and Blood Pressure,Serum Lipid and Blood Glucose in Middle and Old-aged Population in Chengdu City

Objective To evaluate the association of waist to height ratio(WHtR) with blood pressure(BP),serum lipid and blood glucose in middle and old-aged population in Chengdu city.Methods?In May 2007,we used questionnaires to record the BP,serum lipid,blood glucose and WHtR of 688 middle and old-aged people in Chengdu,and the data were analyzed.Results?1.The prevalence of hypertension,hyperlipidemia and hyperglycemia was significantly higher in the middle and old-aged people with WHtR higher than or equal to 0.5 than in the normal controls(P<0.05).2.The indices of age,the systolic blood pressure(SBP),diastolic blood pressure(DBP),the rate of triglyceride(TG) and fasting blood glucose(FBG) in people with WHtR higher than or equal to 0.5 were significantly higher than people with WHtR lower than 0.5,while the high density lipoprotein(HDL-C) in the former group was statistically lower than that in the latter group.3.Logistic regression analysis showed that WHtR was positively correlated with age,SBP,DBP,TG and FBG and was negatively correlated with HDL-C.Conclusions?WHtR is closely related to BP,serum lipid and blood glucose in Chengdu population.It might be a feasible way to lower WHtR by controlling BP,serum lipid and blood glucose levels.Middle and old-aged people should monitor and control their WHtR to reduce the risk of cardiovascular diseases.