摘要
目的探讨江苏省社区人群臀围与多代谢异常的关系。方法以江苏省多代谢异常和代谢综合征防治队列研究的调查人群为对象,具有完整分析资料的研究对象共2498人。采用美国国家胆固醇教育计划成人治疗小组第3次会议报告(NCEP-ATPIII)代谢综合征亚裔标准诊断多代谢异常;将研究对象根据臀围分为4组后进入Lo-gistic回归模型分析。结果随着臀围的升高,男女性的总胆固醇、低密度脂蛋白及甘油三酯的调整均数随之升高。Logistic模型分析结果显示,调整常规危险因素后男女性多代谢异常危险均随臀围升高而升高;进一步调整体质指数(BMI)和腰围,则发现臀围对多代谢异常的影响能力逐渐降低。臀围与总胆固醇、低密度脂蛋白、高密度脂蛋白、甘油三酯、空腹血糖、收缩压和舒张压的偏相关系数分别为0.07,0.07,-0.05,0.07,0.08和0.08(P<0.05),腰围与上述变量的偏相关系数分别为0.13,0.15,-0.05,0.14,0.10,0.11,0.10(P<0.05)。结论臀围也是多代谢异常的危险因素之一,但关联程度受体质指数及腰围等因素影响;腰围与各代谢指标的联系较臀围和腰臀比更紧密。
Objective To evaluate the relationship between high hip circumference and multi - metabolic disorders in community population of Jiangsu province. Methods Subjects were recruited from the cohort study in the prevention of the multiple metabolic disorders and metabolic syndrome in Jiangsu province. There were 2 498 valid subjects. The National Cholesterol Education Program Adult Panel Ⅲ Asian criterion was used to define the multiple metabolic disorders. The subjects were divided into 4 groups, and Logistic model was used to analyze the relationship between hip circumference and multiple metabolic disorders. Results The hip circumference was raised with the growth of adjusted mean of total cholesterol, LDL - cholesterol and triglyceride, both in male and female. After adjusting conventional hazardous factors, the Logistc model＇s results showed the risk of multi- metabolic disorders increased with the size of hip circumference; and further considered the body mass index （BMI） and waist circumference （WC） influence, the risk of hip circumference became weaker. The partial correlation coefficients of total cholesterol, low density lipoprotein, triglyceride, fasting plasma glucose , systolic pressure and diastolic pressure with hip circumference were 0.07, 0.07, - 0.05, 0.07 and 0.08 （P 〈 0.05）, respectively, while the same variables with waist circumference, the partial correlation coefficients were 0.13, 0.15, - 0.05, 0.14, 0.10, 0.11 and 0.10 （P 〈 0.05）, respectively. Conclusion High hip circumference was a risk factor the multi - metabolic disorders, and the extent of the relation to multi - metabolic disorders was affected by many factors, such as body mass index and waist circumference. The relationship between waist cicumference and metabolic factors was stronger than the ratio of hip circumference to waist circumference.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2008年第2期229-231,共3页
Chinese Journal of Public Health
基金
卫生部科学研究基金(WKJ2004-2-014)
关键词
臀围
多代谢异常
代谢综合征
hip circumference
multi - metabolic disorders
metabolic syndrome
