摘要
目的 探讨中医体质与血脂、体重指数、尿酸、脂肪含量的相关性,分析影响血脂异常发生的危险因素。方法 选取2019年1月—2020年12月在佛山市中医院体检的1 061例人群进行横断面回顾性研究,运用SPSS24.0统计学软件分析不同体质者的血脂、尿酸、体重指数和脂肪含量的相关性以及血脂异常和超重/肥胖发生率,采用二元logistic回归分析方法分析血脂异常发生的危险因素。结果 1 061例体检人群中,平和质300例(28.28%),偏颇体质761例(71.73%),其中,偏颇体质中痰湿质202例(19.04%),阳虚质172例(16.21%),气虚质136例(12.82%);男性痰湿质占比高于女性,女性气郁质、阴虚质和血瘀质占比高于男性(均P<0.05);偏颇质者TC、LDL-C、BMI高于平和质者(均P<0.05);与平和质相比较,痰湿质者TG、LDL-C、BMI偏高,HDL-C偏低,湿热质者LDL-C、BMI、脂肪含量偏高,气郁质者BMI偏低(均P<0.05);痰湿质和湿热质者超重/肥胖发生率高于平和质者(均P<0.05);男性患血脂异常的风险是女性的2.521倍,尿酸偏高者患血脂异常的风险是尿酸正常者的1.808倍,脂肪含量、BMI水平与血脂异常呈正相关关系(均P<0.05)。结论 性别为男性,高UA、高BMI和脂肪含量偏高是影响血脂异常发生的危险因素,纠正偏颇体质和控制体重有助于减少血脂异常和超重/肥胖的发生。
Objective To explore the correlation between traditional Chinese medicine(TCM)constitution and blood lipid,body mass index,uric acid and fat content,and analyze the risk factors affecting the occurrence of dyslipidemia.Methods A cross-sectional retrospective study was conducted on 1061 patients who underwent physical examination in Foshan Hospital of Traditional Chinese Medicine from January 2019 to December 2020.SPSS 24.0 statistical software was used to analyze the correlation between blood lipid,uric acid,body mass index and fat content of people with different physical conditions,as well as the incidence of dyslipidemia and overweight/obesity.Binary logistic regression analysis was used to analyze the risk factors of dyslipidemia.Results Among the 1061 cases of physical examination,300 cases(28.28%)of peaceful constitution,761 cases(71.73%)of biased constitution,of which 202 cases(19.04%)of phlegm-wet,172 cases(16.21%)of Yang deficiency,136 cases(12.82%)of qi deficiency;The proportion of phlegmwet in male was higher than that in female,and the proportion of Qi-stagnation,Yin deficiency and blood stasis in female was higher than that in male(all P<0.05).The TC,LDL-C and BMI of the biased constitution were higher than those of the peaceful constitution(all P<0.05).TG,LDL-C and BMI were higher and HDL-C was lower in phlegm-wet patients,LDL-C,BMI and fat contents were higher in damp-heat patients,and BMI was lower in Qi-stagnation patients(all P<0.05).The incidence of overweight/obesity was higher in phlegm-wet and damp-heat constitution than in peaceful constitution(all P<0.05).The risk of dyslipidemia in males was 2.521 times higher than that in females,and the risk of dyslipidemia in those with high uric acid was 1.808 times higher than that of those with normal uric acid.Fat content and BMI were positively correlated with dyslipidemia(all P<0.05).Conclusion Sex for male,high uric acid,high BMI and high fat content are risk factors for dyslipidemia.Correcting biased constitution and controlling weight can help reduce the occurrence of dyslipidemia and overweight/obesity.
作者
郑美鸿
张斌
李东彩
梁绮君
董承煊
潘智斌
关锦图
徐光镇
刘继洪
ZHENG Meihong;ZHANG Bin;LI Dongcai;LIANG Qijun;DONG Chengxuan;PAN Zhibin;GUAN Jintu;XU Guangzhen;LIU Jihong(Department of Preventive Treatment of Disease,FoShan Hospital of Traditional Chinese Medicine Afiliated to Guangzhou University of Traditional Chinese Medicine,Foshan,Guangdong 528000,China)
出处
《中华全科医学》
2023年第9期1581-1584,1606,共5页
Chinese Journal of General Practice
基金
广东省中医药局科研项目(20223038)。
关键词
中医体质
体重指数
血脂异常
超重/肥胖
Constitution of TCM
Body mass index
Dyslipidemia
Overweight/obesity
