肥胖与代谢综合征─中国之现状

目的复习肥胖的定义、危害、诊断及治疗原则，回顾近年来有关代谢综合征的新进展，并根据作者1996年全国糖尿病流行病学资料，对我国南、北方体重、腰臀比、血压及IGT和糖尿病发生率进行比较。方法利用自然人群，采取分层随机抽样方法，直接测OGTT服糖后2小时血糖。结果北方受试者的平均BMI、腰臀比、收缩压/舒张压略高于南方，糖尿病患病率有较高的趋势，但缺乏统计学意义，然而南方受试者腰围随年龄增加的趋势较为明显，IGT的发生率高于北方受试者。结论我国肥胖、糖耐量损害及糖尿病患者较1980年及1990年显著增多。阳性家族史、年龄、受教育程度、体力活动量、体质指数、腰臀比及吸烟指数是糖尿病及糖耐量损害的危险因子。其中年龄40岁、具有糖尿病家族史、体质指数25以上及腰臀比0.9以上人群糖尿病及糖耐量损害患病率剧增。

Obesity and metabolic syndrome in china

Objective To review definition, harm, diagnosis and therapy of obesity, to look back the new progress on metabolic syndrome, and to analyze the data from national epidemiological survey in 1996. Method In nature crowd, by means of division randomly layering and directly measure of blood glucose 2 hour after OGTT. Result The BMI, waist/hip ratio, blood pressure in the northerner were more than the southerner, and in southerner, the waist/hip ratio increasing faster with the increase of age, and IGT prevalence rate higher than northerner.Conclusion The prevalence of DM and IGT in 1996 much higher than in 1980 and 1990, high BMI, aging, positive family history, bigger waist/hip ratio and less exercise being risk factors of DM.