老年男性人群腰围与血糖的相关性研究

目的探讨上海老年人群中心性肥胖与血糖的关系。方法选择2006年5月-2006年12月在上海交通大学医学院附属第六人民医院干部体检中心接受健康体检的2000例上海地区离退休干部，男性，平均年龄（73．9±5）岁。对其中资料完整且对调查内容及检查项目知情同意的1921例进行分析。（1）以受检者腰部肋下缘与髂前上棘连线中点处做水平测量腰围。（2）采用日立-7600-020型全自动生化分析仪测定血糖。分析腰围〈90cm，90≤腰围〈100cm，100≤腰围〈110cm，腰围≥110cm4个切点的血糖差异。结果资料完整的1921例对象进入结果分析：（1）受试对象中中心性肥胖的患病率为79．96％；该组患者中空腹血糖异常和糖尿病的患病率高于非中心性肥胖组（P值分别为0．002，0．001）；（2）与腰围〈90cm组比较，90≤WL〈100cm，100≤WL〈110cm，WL≥110cm三个组血糖差异有统计学意义（P值分别为0．0112，0．0001，0．0009）；与≥110cm组比较，90≤WL〈100cm，100≤WL〈110cm组血糖差异无统计学意义（P值分别为0．5661，0.073）；而90≤WL〈100cm，100≤wL〈110cm两组间血糖差别有差异有统计学意义（P值为0．0001）。（3）腰围〈90cm，90≤WL〈100cm，100≤WL〈110cm，≥110cm4个切点，空腹血糖异常的比率分别为10．13％，13．80％，18．53％，26．53％，而糖尿病的发生比率分别为5．45％，9．46％，15．33％，21．42％。结论（1）老年男性人群中中心性肥胖患者糖代谢异常发生率高，且随着腰围的增加而升高。（2）腰围是预测老年人群高血糖危险的有效指标之一。

The relationship between the waistline and blood glucose in the elderly men

Objective Waistline （WL） is a simple measurement index for fat content in human intermal organs. It could reflect central obesity and act as an important index for predicting obesity-associated healthy risks. In this study, the relationship between the WL and blood glucose in the elderly man of shanghai was investigated. Methods 2000 retired male cadres who aged 73.9±5 years and received the health examination in the Ranking Medical Examination Center of the Sixth People, s Hospital of Shanghai from May to December 2006 were selected. 1922 people with complete data and the informed consent were analyzed. ① The WL was horizontally measured via the midpoint of line from the anterior superior iliac spine to the inferior margin of waist.② The Hitachi 7600-020 automatic biochemical analyzer was applied to determine the blood glucose. The differences in blood glucose were analyzed in elderly people with WL 〈 90 cm, 90 ≤ WL 〈 100 cm, 109 ≤ WL 〈 110 cm, WL≥110 cm, respectively. Results All 1921 people with complete data were involved in the result analysis. ① Of the enrolled people, the incidence of cental obesity was 79.96% （1536/1921）; The incidence of the impair fasting glucose and diabetes mellitus in this group were significant higher than the control group respectively （P=0.002, 0.001）. ② Compared with the WL〈90 cm group, there were significant diference in blood glucose in other groups （P=0.0112, 0.0001, 0.0009）; Compared with the WL≥ 110 cm group, there were no significant diference in blood glucose both 90≤ WL〈 100 cm and 100≤WL〈 110 cm groups （P=0.566, 0.073）; While there was significant diference in blood glucose between 90 ≤WL 〈 100 cm and 100 ≤WL 〈 110 cm groups （P =0.0001）. ③In the diferent groups, the incidence of fasting blood glucose disorder was 10.13%, 13.80%, 18.53%, 26.53%, respectively. While the incidence of Diabetes Mellitus was 5.45%, 9.46%, 15.33%, 21.42%, respectively. Conclusions （1） Of the enrolled people with the central obesity, the incidence of glucose metabolic disorder was high and was increased concomitantly with the increase of waistline. （2） Waistline is one of the effective indexes for prediction of hyperglycemia in the elderly people.