浙江省部分健康体检人群体重指数与血脂和胰岛素抵抗指数相关性分析

目的 了解浙江省城镇健康体检人群体重质量超重、肥胖发生率及其与血脂和胰岛素抵抗(IR)的相关性.方法 测量体检人员体重、身高,空腹抽血检测血糖(GLU、血脂及胰岛素水平,计算体重指教(BMI)及IR并进行分析.结果 浙江省城镇健康体检人群体重质量超重、肥胖发生率男性为47.3％、15.8％,女性为22.2％、4.2％,男性组明显高于女性组(P＜0.01),男女性体重质量超重、肥胖发生的平均年龄高于体重质量正常组(P＜0.01),超重、肥胖人群IR、GLU、胆固醇(TCHO)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)指标均高于体重质量正常组(P＜0.01),而高密度脂蛋白胆固醇(HDL-C)值均低于体重质量正常组(P＜0.01),男性肥胖人群IR、GLU、TCHO、TG水平也明显高于体重质量超重组(P＜0.01),而HDL-C明显低于体重质量超重组(P＜0.01).结论 浙江省城镇健康体检人群体重质量超重、肥胖发生率为38.9％、11.9％,男性超重、肥胖的发生率高于女性,男女性超重、肥胖发生的年龄高于体重质量正常组,男女性血脂水平及IR与BMI的高低密切相关.

Relevance analysis on Serum Lipid or Insulin Resistance and body mass index in 3 743 Zhejiang population

OBJECTIVE To study the incidence of overweight and obesity and the relationship between the changes of serum and insulin resistance(IR)in Zhejiang residents.METHODS A total of 3743 people participating in physical examination made a questionnaire survey in weight and height measurement,glucose,serum lipid and insulin,then analyzed the body mass index and insulin resistance.RESULTS The prevalence rates of overweight and obesity were respectively 47.3% and 15.8% for males in Zhejiang,and were 22.2% and 4.2% for female,respectively.The prevalence rate was higher in the male group than that in the female group(P﹤0.01).The age in the overweight and obesity groups was older than the control(P﹤0.01).The IR,GLU,TCHO,TG and LDL-C in the overweight and obesity groups were higher than those in the control group(P﹤0.01)and the HDL-C in the overweight and obesity groups was lower than that in the control group(P﹤0.01).The IR,GLU,TCHO and TG in the male obesity group were significantly higher than that in the male overweight group(P﹤0.01)and the HDL-C in the male obesity group was significantly lower than that in the male overweight group(P﹤0.01).CONCLUSION The prevalence rate of overweight and obesity in Zhejiang province was higher in the male group than that in the female group.The age in overweight and obesity group was older than that of control group.There was closer relationship among the body mass index,serum lipid level and the insulin resistance.