健康查体者体脂分布与糖脂代谢指标及血压的相关性分析

目的探讨健康查体者体质量指数(BMI)、腰臀比(WHR)、腰围身高比(WHtR)、臀围身高比与糖脂代谢指标及血压的相关性。 方法选取微山县人民医院体检中心2014年1—5月107例健康查体者为研究对象。测量其身高、体质量、空腹血糖(GLU)、血脂及血压(BP)，计算不同性别查体者BMI、WHR、WHtR、臀围身高比并与糖脂代谢指标、血压的相关性并进行比较。 结果①男性：BMI与收缩压(SBP)、舒张压(DBP)、平均动脉血压(MAP)、甘油三酯(TG)、胆固醇(CHOL)、低密度脂蛋白(LDL-C)、极低密度脂蛋白(VLDL-C)、高密度脂蛋白(HDL-C)、谷氨酰转肽酶(GGT)、空腹葡萄糖(GLU)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、胰岛素敏感指数(ISI)、胰岛β细胞功能(HOMA-β)的相关系数分别为0.26，0.33，0.32，0.24，0.25，0.36，0.18，－0.15，0.38，0.54，0.61，0.59，－0.59，0.59; WHR与上述指标的相关系数分别为0.12，0.25，0.20，0.43，0.43，0.48，0.34，－0.15，0.36，0.43，0.49，0.55，－0.55，0.40；WHtR与上述指标的相关系数分别为0.32，0.27，0.24，0.25，0.34，0.44，0.22，－0.10，0.30，0.26，0.59，0.57，－0.57，0.54；臀围身高比与上述指标相关系数分别为0.17，0.20，0.20，0.03，0.16，0.26，0.05，－0.03，0.15，0.04，0.46，0.41，－0.41，0.46；②女性：BMI与SBP、DBP、MAP、TG、CHOL、LDL-C、VLDL-C、HDL-C、GGT、GLU、FINS、HOMA-IR、ISI、HOMA-β的相关系数分别为0.21，0.21，0.30，0.38，0.13，0.26，0.27，－0.37，0.49，0.46，0.55，0.55，－0.55，0.47；WHR与上述指标的相关系数分别为0.32，0.17，0.25，0.38，0.16，0.04，0.31，－0.02，0.34，0.15，0.18，0.15，－0.15，0.2；WHtR与上述指标的相关系数分别为0.27，0.16，0.23，0.39，0.16，0.15，0.30，－0.12，0.46，0.33，0.39，0.37，－0.37，0.36；臀围身高比与上述指标相关系数分别为0.12，0.10，0.11，0.30，0.11，0.23，0.20，－0.31，0.47，0.45，0.54，0.55，－0.55，0.47；③男性BMI与血压、糖代谢指标、GGT的相关性和WHR与TG、CHOL、LDL-C、VLDL-C的相关性均有统计学意义(P<0.05)。女性BMI与糖代谢指标、GGT的相关系数大于其他指标(P<0.01)。 结论与其他三种测量指标比较，BMI与糖代谢紊乱及GGT的升高的相关性较显著；WHR与男性TG、CHOL、LDL-C、VLDL-C的相关性较显著。

The correlation among body fat distribution,lipid and glucose metabolism and blood pressure in healthy persons

ObjectiveTo evaluated the correlation among body mass index (BMI), waist-hip ratio (WHR), waist-height ratio (WHtR), hip-height of the healthy and lipid and glucose metabolism, blood pressure. MethodsOne hundred and seven patients of healthy persons physical examination from January 2014 to May 2014 were enrolled.The correlation between BMI, WHR, WHtR, hip-height ratio and lipid and glucose metabolism, blood pressure was analyzed. ResultsThe correlation coefficients of BMI and systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP), triglycerides (TG), cholesterol (CHOL), low density lipoprotein (LDL-C), very low density lipoprotein (VLDL-c), high-density lipoprotein (HDL-C), gamma glutamyl transpeptidase (GGT), fasting blood-glucose(GLU), fasting insulin (FINS), insulin resistance (HOMA-IR), insulin sensitivity index (ISI), β cell function (HOMA-β) in male were 0.26, 0.33, 0.32, 0.24, 0.25, 0.36, 0.18, -0.15, 0.38, 0.54, 0.61, 0.59, -0.59, 0.59, respectively.The correlation coefficients of WHR and the above indicators were 0.12, 0.25, 0.20, 0.43, 0.43, 0.48, 0.34, -0.15, 0.36, 0.43, 0.49, 0.55, -0.55, 0.40, respectively.The correlation coefficients of waist-height ratio and the above indicators were 0.32, 0.27, 0.24, 0.25, 0.34, 0.44, 0.22, -0.10, 0.30, 0.26, 0.59, 0.57, -0.57, 0.54, respectively.The correlation coefficients of hip-height ratio and indicators were 0.17, 0.20, 0.20, 0.03, 0.16, 0.26, 0.05, -0.03, 0.15, 0.04, 0.46, 0.41, -0.41, 0.46, respectively.The correlation coefficients of BMI and the above indicators in female were 0.21, 0.21, 0.30, 0.38, 0.13, 0.26, 0.27, -0.37, 0.49, 0.46, 0.55, 0.55, -0.55, 0.47, respectively.The correlation coefficients of WHR and indicators were 0.32, 0.17, 0.25, 0.38, 0.16, 0.04, 0.31, -0.02, 0.34, 0.15, 0.18, 0.15, -0.15, 0.2, respectively.The correlation coefficients of waist-height ratio and indicators were 0.27, 0.16, 0.23, 0.39, 0.16, 0.15, 0.30, -0.12, 0.46, 0.33, 0.39, 0.37, -0.37, 0.36, respectively.The correlation coefficients of hip-height ratio and indicators were 0.12, 0.10, 0.11, 0.30, 0.11, 0.23, 0.20, -0.31, 0.47, 0.45, 0.54, 0.55, -0.55, 0.47, respectively. ConclusionsCompared with the other three anthropometric indices, the correlation of BMI and sugar metabolic disorder, elevated GGT are stronger and the correlation of WHR and TG, CHOL, LDL-C, VLDL-C are stronger in male.