深圳市中高层职业人群腰臀比值、体质指数与高血压危险因素的相关性研究

目的探讨深圳市中高层职业人群腰臀比值、体质指数与肥胖、高脂血症、高血压等危险因素的相关性及流行病学特征.方法对2004年9月～2005年8月深圳市企事业单位中高层职业人群1 515例健康体检者进行身高、体重、腰围、臀围、血压、血脂等检测,并按腰臀比值、体质指数进行分层分析各组与肥胖、高脂血症、高血压等危险因素的相关性及流行病学特征.结果受检者肥胖患病率为27.9%,超重的患病率为21.6%,中心性肥胖患病率为24.8%.高脂血症的患病率为55.3%（男性：63.9%,女性：39.8%）,高血压患病率为10.7%（男性：13.3%,女性：6.1%）.中心性肥胖组（按WHR分型）和外周肥胖组（按BMI分型）的高脂血症、高血压的检出率明显高于正常体型和正常体重组（P＜0.01）.中心性肥胖的高脂血症、高血压患病率的检出率明显高于外周肥胖（P＜0.01）.中心性肥胖与外周肥胖都与高脂血症、高血压的患病率呈正相关（P＜0.01）.结论深圳市中高层职业人群肥胖、高脂血症和高血压的患病率明显增高,尤其是高脂血症值得关注.肥胖、高脂血症是导致高血压的独立危险因素,中心性肥胖比外周型肥胖危险性更大.腰臀比值与体质指数都可作为高血压的危险预测因素,腰臀比值比体质指数特异性更高,两者结合进行可明显提高高血压风险预测的特异性和敏感性.

Correlation study on WHR, BMI and risk factors of hypertension of people from middle to high socio-economic class in shenzhen

Objective To discuss the correlation ship of WHR, BMI and obesity,hyperlipideamia,hypertension of people from middle to high socio-economic class in Shenzhen and the epidemiological characteristic.Methods From September,2004 to August,2005,1515 managers in Shenzhen enterprise received the monitor of height,weight,waist circumference,hip circumference,blood pressure and blood lipid,and then they were divided into several groups by WHR and BMI.The correlation ship of WHR,BMI and of obesity,hyperlipideamia,hypertension in every group as well as the epidemiological characteristics was analyzed.Results The occurring rate of obesity was 27.9%;overweight is 21.6%;abdominal adiposity is 24.8%;hyperlipideamia is 55.3%(male: 63.9%,female: 39.8%),hypertension is 10.7%(male: 13.3%,female:6.1%).The people with hyperlipideamia and hypertension in abdominal adiposity group(divided by WHR) and visceral adiposity group(divided by BMI) were more than those in normal weight group(P<0.01).Patients with abdominal adiposity had higher occurring rate of hyperlipideamia and hypertension than the patients with visceral adiposity had(P<0.01).There was positive correlation ship of abdominal adiposity,visceral adiposity and hyperlipideamia,hypertension(P<0.01).Conclusions The occurring rate of obesity,hyperlipideamia and hypertension in people from middle to high socio-economic class in Shenzhen is increasing significantly,particularly in hyperlipideamia.Obesity and hyperlipideamia are predominant factors of hypertension.Abdominal adiposity is a stronger risk factor compare with visceral adiposity.The specificity and sensitivity of diagnosing hypertension are promoted significantly higher by using WHR and BMI,and WHR is better than BMI in the specificity.