摘要
目的调查了解农村中老年人的健康状况并对相关测量指标的应用进行分析。方法随机抽取青岛市某农村1661名中老年人(男612人,女1049人)进行体格检查,包括身高、体重、腰围、臀围、血压、血糖、血红蛋白等指标。结果 1661名农村中老年人高血压患病率为63.4%,高血糖检出率为23.8%,贫血患病率为35.3%。中老年女性体质指数(BMI)、腰围(WC)、腰围/身高比值(WHtR)均高于男性(P<0.05),男性腰围/臀围比(WHR)高于女性(P<0.05)。65岁之前BMI、WC均较高(BMI>25kg/m2,WC>85cm),65岁以后随年龄升高BMI、WC有逐渐降低的趋势(P<0.05)。BMI、WC、WHR、WHtR4者与收缩压、舒张压、血糖的正相关系数均为WHtR最大(P<0.01)。结论农村中老年人高血压、高血糖、贫血患病率均较高,中老年女性超重和肥胖率高于男性,比男性更易发生高血糖,同时45～65岁中老年人超重和肥胖的发生率也较高;WHtR与BMI、WC、WHR、收缩压、舒张压和血糖的相关性均较强,可以作为有效的腹型肥胖指标和预测高血糖与高血压的有效指标。
Objective To investigate the health status of 1 661 elders in a rural area and study the application of correlative evaluating index. Methods 1 661 elderly people were randomly recruited and the levels of body height, body weight, waist circumference, hip circumference, blood pressure, blood glucose and hemoglobin were measured. Results Among the 1 661 elderly people, the prevalence rate of hypertension, hyperglycemia and anemia was 63.4%, 23.8% and 35.3% respectively. The levels of body mass index （BMI）, waist circumference （WC） and waist to height ratio （WHtR） of women were higher than that of men （P〈0.05）, while waist to hip ratio （WHR）was adverse （P〈0.05）. The levels of BMI and WC were higher （BMI〉25 kg/m^2, and WC85 cm） before 65 years old and descended after 65 （P〈0.05）. BMI, WC, WHR and WHtR all had positive correlations with systolic pressure, diastolic pressure and blood glucose, while WHtR had the highest correlation （P〈0.01）. Conclusions The prevalence rates of hypertension, hyperglycemia and anemia are relatively high. More women than men have a higher prevalence of overweight and obesity, and they are easier to get hyperglycemia. People between 45 and 65 are also easier to get overweighted. WHtR is an effective abdomen type obesity index and an effective index to predict hypertension and hyperglycemia.
出处
《中华疾病控制杂志》
CAS
2010年第6期537-540,共4页
Chinese Journal of Disease Control & Prevention
基金
卫生部疾病预防控制局专项(DC200810)
关键词
高血压
高血糖
贫血
健康
Hypertension
Hyperglycemia
Anemia
Health
