摘要
目的 调查广东省顺德市容奇镇肥胖症及其相关疾病的流行病学情况 ,并分析体重指数 (BMI)、腰围及腰臀比与高血压的关系。方法 普查容奇镇 15岁以上所有有户口的居民 2 5 6 80人 ,内容包括问卷 ,测定身高、体重、血压 ,对于≥ 4 0岁的被调查者还测定了腰围、臀围等。结果1996年容奇镇 15岁以上的人群中 ,BMI 2 3.0～ 2 4 .9kg/m2 占 13.4 % (标化率 ,以下同 ) ,2 5 .0～ 2 9.9kg/m2 占 8.9% ,≥ 30kg/m2 占 1.3%。随年龄增加 ,肥胖患病率增高 ,5 0～ 5 9岁组最高。 4 0岁以上的人群中 ,腹型肥胖患病率为 35 .0 % (以腰围为判断标准 )和 36 .7% (以腰臀比为判断标准 )。女性腹型肥胖患病率明显高于男性。高血压患者中更倾向于腹型肥胖。以高血压为状态变量 ,以BMI、腰围、腰臀比为测定变量 ,做受试者工作特征曲线 (ROC曲线 ) ,并对曲线下面积两两比较 ,结果提示腰围、腰臀比对高血压诊断的特异性和敏感性明显优于BMI;腰围、腰臀比对高血压诊断的特异性和敏感性差异无显著性。结论 ≥ 4 0岁以上人群中腹型肥胖患病率较高 ,且女性高于男性。腰围。
Objective To investigate the epidemic status of obesity and its relative diseases and to analyse the association of body mass index (BMI), waist circumference (WC) and waist hip ratio (WHR) with hypertension in Rongqi suburban area, Shunde city, Guangdong province, China, where economy is growing up rapidly. Methods The whole population aged ≥15 year old in Rongqi Town was covered (n=25680). The questionnaire, body weight, height, and blood pressure (BP) were collected using standard protocols. The hip and waist circumferences were measured in the persons aged ≥40 years. Results In the subjects aged≥15 year old, the percentage of BMI 23.0～24.9 kg/m 2 was 13.4%, BMI 25.0～29.9kg/m 2 was 8.9%, and BMI ≥30 kg/m 2 was 1.3% (all standardized). The prevalence of obesity was increased withaging,itreachedthehighestin50～59 year old group. The prevalence of abdominal adiposity was 36.7% (by using WHR cut offs), or 35.0% (by using WC cut offs). Abdominal adiposity in women was more common than that of men. The patients with hypertension were more likely to be abdominal adiposity. Graphed receiver operating characteristic curve (ROC curves), using hypertension as 'state variables' and BMI, WC and WHR as 'test variables' and compared the areas under the curves for every pair, it was concluded that the specificity and sensitivity in diagnosing hypertension were significantly higher by using WC and WHR than with BMI. WC and WHR had similarly value in diagnosing hypertension. Conclusion There is higher prevalence of abdominal adiposity in the persons aged≥40 years, and the prevalence of abdominal adiposity in females is higher than in males. The specificity and the sensitivity of diagnosing hypertension are significantly higher by using WC and WHR than by BMI.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2002年第3期173-176,共4页
Chinese Journal of Endocrinology and Metabolism
