上海保税区企业人群体质指数、腰臀比与血脂异常的关系

目的 探讨上海保税区企业人群体质指数、腰臀比（WHR）与血脂异常的关系。方法 从2006年1月至2007年8月上海外高桥保税区企业员工的体检资料中选取有人体成分、血脂及肝脏超声波检查项目者350名,根据体质指数分为超重肥胖组（177例）及正常组（173例）,比较两组的体质指数、WHR、体脂比率（FAT%）及血脂状况、脂肪肝及血脂异常患病率。结果 超重肥胖组的WHR、FAT%、血清甘油三酯（TG）和胆固醇（TC）的水平明显高于正常组,高密度脂蛋白胆固醇的水平明显低于正常组,两组间的差别均有统计学意义（P=0.000）。超重肥胖组中心性肥胖、脂肪肝和高TG血症、高TC血症、低HDL-C血症的患病率分别为88.70%，72.32%，49.7%33.89%，40.68%，与正常组比较,差别有统计学意义（P=0.000）。结论 通过人体成分测定可以早期识别、早期干预高危人群,对预测和降低心血管疾病的发生有重要意义。

The Relationship Dysllpidemia with Body Mass Index and Waist Hip Ratio in the Population in Shanghai Free Trade Zone

Objective To explore the relationship between Body Mass Index （BMI）, Waist-Hips-Ratio （WHR） and Blood lipids. Methods Body measurements including BMI, WHR and body fat percentage （FAT%）, and blood lipid profile assessment and liver uhrasonography were conducted on 350 employees from Shanghai Waigaoqiao Free Trade Zone from January 2006 to August 2007. All subjects were classified into a group of overweight/obesity and a group of normal body weight based on their BMI. BMI, WHR, FAT%, blood lipid profile, the prevalence of fatty liver and dyslipidemia were compared between the two groups. Results WHR, FAT%, the level of TG and TC in overweight/obesity group were significantly higher than that in normal body weight group（P=0.000）, but the level of HDL-C was significantly lower than that in normal body weight group （P=0.000）. The prevalence of central obesity （88.70%）, fatty liver （72.32%）, and hypertriglycerldemia （49.7%）,hypereholesterolemia （33.89%）, low HDL-C （40.68%） in overweight/obesity group were significantly higher than those in normal body weight group （P=0.000）. Concludes BMI, WHR were associated with blood lipids. Early identification and intervention on these people with high risk of cardiovascular diseases are possible by body measurement, which are significant for predicting and reducing the occurrence of cardiovascular diseases.