老年男性患者超重/肥胖特点及与代谢综合征的关系

 目的 研究老年男性住院患者超重/肥胖的临床特点及代谢综合征的关系,为武警部队老年患者疾病的防治提供依据.方法 以2003～2005年在武警总医院住院的武警部队老年男性住院患者的病例为研究对象,对其超重/肥胖临床特点及代谢综合征的关系进行分析.结果 (1)武警部队老年男性住院患者存在较高的超重/肥胖患病比例,随着年龄增长,超重/肥胖患病比例有增加趋势,但在不同年龄组呈现不同特点.(2)按体重指数(BMI)分层,不同BMI组高血压、血糖升高、血脂紊乱及代谢综合征的检出率不同(P＜0.05),随着BMI的增加,代谢综合征及各组分的检出率逐渐升高(P＜0.05).(3)与正常BMI组比较,超重/肥胖组老年男性患者的收缩压、舒张压、空腹及餐后2小时血糖、甘油三脂明显升高,高密度脂蛋白明显降低(P＜0.05).(4)与正常BMI组比较,超重/肥胖组老年患者的颈动脉硬化、高血压、冠心病、脂肪肝、血糖及血脂紊乱的患病比例较明显增加(P＜0.05).(5)非条件Logistic回归分析显示,高血压及甘油三脂升高与武警老年男性老年超重/肥胖呈正相关.结论 武警部队老年患者存在较严重的超重/肥胖状况,是导致老年患者代谢综合征及相关疾病的重要危险因素.因此,防治肥胖对预防老年人的代谢综合征发生具有重要意义.

Clinical characteristics of overweight/obesity and its relationship with metabolic syndrome in old male patients

Objective To investigate the clinical characteristics of overweight/obesity and its relationship with metabolic syndrome(MS) in old male patients admitted in this Hospital.Methods Clinical data of 399 male patients aged over 60 years for different diseases during the period 2003-2005 were analyzed.Results(1)A high rate of overweight/obesity prevailed in old male inpatients,with an incidence increasing with age,and characteristics varying with age.(2)The detection rates of hypertension,diabetes mellitus,and disorders of lipid metabolism increased with increasing body mass index(BMI) with statistically significant differences(P<0.05).(3) Compared with BMI<24 groups,levels of fasting plasma glucose(FPG),2 hour post glucose challenge(2 hPG),blood triglycerin(TG)and blood pressure in overweight/obesity group were significantly high,but the level of high-density lipoprotein(HDL) decreased(P<0.05).(4)The occurrence rates of carotid atherosclerosis,hypertension,coronary heart disease,fatty liver,hyperglycemia,and blood lipid disorder were higher than those in normal groups(P<0.05).(5) Unconditional logistic regression analysis revealed that hypertension and hypertriglyceridemia were positively related to BMI.Conclusions The proportion of the overweight and obesity is preponderate in old male patients in the General Hospital of Chinese People's Armed Police Forces,constituting the risk factor of MS and relative diseases.Prevention of overweight/obesity is strongly recommended for MS control.