老年人体重指数与心血管危险因素关系的分析

目的了解老年人群体重指数分布特点及与心血管疾病危险因素的关系。方法对参检的1343例60岁以上的离退休职员，检测收缩压、舒张压、血清甘油三酯、总胆固醇及空腹血糖，并计算不同性别不同体重指数（BMI）各组的患病率。结果受检1343人中BMI不足、正常、超重和肥胖各组检出率分别为6．18％、51．67％、35．52％和6．63％。但老年人不同性别体重指数分布差异无统计学意义（P〉0．05）。高血压、高血脂及糖尿病患病率分别为46．09％、46．91％和7．45％。男性高血压和高血脂患病率显著高于女性（P〈0．05），高血压、高血脂及糖尿病患病率伴随体重指数增加而升高。与BMI正常组比较，超重肥胖组高血压、高血脂和糖尿病患病率明显升高（P〈0．05）。心血管病危险因素检出率伴随BMI升高而升高。结论BMI升高是老年人群心血管病相关危险因素聚类的重要因素。

The relationship between the aged retirees＇ group＇s body mass index and relative cardiovascular diseases risk factors

Objective To study the relationship between the aged retirees＇ group＇s body mass index （BMI） distribution characteristics and relative cardiovascular diseases risk factors. Methods One thousand three hundred and forty-three retirees in health medical examination were tested for systolic pressure, diastolic pressure,serum triglyceride, total cholesterol and fasting blood glucose. Groups with different BMI and different genders were tested for their mortality. Results The detective rates of BMI insufficiency, normal, overweight and obesity were 6. 18% , 51.67%, 35.52% and 6.63% respectively. There was no statistic significance between different genders. The prevalence rates of hypertension, hyperlipidemia and diabetes mellitus （DM） were 46.09%, 46. 91% and 7.45% respectively. It showed that the prevalence rates of male hypertension and hyperlipidemia were significantly above those of the female＇s （ P 〈 0. 05 ）. As the BMI increased, hypertention, hyperlipidemia and DM rates increased too, and obviously increased in overweight group compared to normal BMI group （ P 〈 0. 05 ）. The detective rate of cardiovascular disease increased correspondingly with the increase of BMI. Conclusion BMI increasing is the important vascular relative risk factor for the aged retriee.