卢燕, 张贤. 上海市某社区老年人体质指数与代谢异常关系的调查[J]. 上海预防医学, 2012, 24(3): 156-159.
引用本文: 卢燕, 张贤. 上海市某社区老年人体质指数与代谢异常关系的调查[J]. 上海预防医学, 2012, 24(3): 156-159.
LU Yan, ZHANG Xian. Relationship between body mass index and metabolic abnormalities among elderly people in a community of Shanghai[J]. Shanghai Journal of Preventive Medicine, 2012, 24(3): 156-159.
Citation: LU Yan, ZHANG Xian. Relationship between body mass index and metabolic abnormalities among elderly people in a community of Shanghai[J]. Shanghai Journal of Preventive Medicine, 2012, 24(3): 156-159.

上海市某社区老年人体质指数与代谢异常关系的调查

Relationship between body mass index and metabolic abnormalities among elderly people in a community of Shanghai

  • 摘要: 目的 了解上海市湖南社区老年人体质指数(BMI)的分布情况及与高血压、高血糖、血脂紊乱、高尿酸、代谢综合征等患病情况的关系,以便更好地进行干预。方法 对社区中60岁以上老人进行体检,询问病史,测定身高、体重、血压、空腹血糖、血脂、血尿酸等。结果 639名资料齐全的老人平均BMI为24.15±3.38,其中男性为24.11±3.15,女性为24.18±3.53。超重、肥胖比例达51.64%,高于体重正常组,男性60~69岁组肥胖比例最高。60岁以上老人高血压检出率在超重和肥胖人群中高达83.40%和87.01%,明显高于体重正常组。血脂紊乱检出率在超重和肥胖人群中高达67.98%和75.33%,高于低体重组和正常体重组;正常体重组女性血脂紊乱检出率高达66.86%,高于同组男性的50.42%。代谢综合征检出率在超重、肥胖人群中分别为35.97%、61.04%,明显高于低体重组和正常体重组。高尿酸血症在肥胖组中达36.36%,高于另3组。高血糖检出率以超重和肥胖组为高。结论 应加强健康教育,提前控制体重等心脑血管疾病危险因素,以利提高老年人的生存质量。

     

    Abstract: Objective To ascertain and so make better intervention in body mass index (BMI) distribution and hypertension,hyperglycemia,dyslipidemia,hyperuricemia,metabolic syndrome,the prevalence of such relationships among elderly people of Hunan community of Shanghai.Methods By the medical analysis of over the age of 60, investigation was done through history taking, physical examination, laboratory tests, measurement of height, weight, blood pressure, fasting blood glucose, blood lipids, blood uric acid etc.Results The average BMI was 24.15±3.38,average BMI for male being 24.11±3.15,average BMI for female being 24.18±3.53,and mean BMI showed no difference between men and women. Proportion of overweight and obesity was 51.64%,higher than that in the normal group.Male 60-69 years old group had the highest proportion of obesity. Over the age of 60 detection rate of hypertension in overweight and obese people was up to 83.40% and 87.01%, significantly higher than those in the normal group. Detection rate of dyslipidemia in overweight and obese population was up to 67.98% and 75.33%,higher than those in the low weight group and normal group.In normal weight women with dyslipidemia,66.86% detection rate was higher than that in the same group of men 50.42%.In metabolic syndrome in overweight and obesity,the detection rate was 35.97% and 61.04% respectively, significantly higher than those in the low weight group and normal group. Hyperuricemia in obese group reached 36.36%, higher than those in the other three groups. Detection rate of high blood sugar in overweight and obesity was higher than that in the other groups.Conclusion We should strengthen health education,control weight and other cardiovascular diseases risk factors,so as to improve the quality of life in elderly people.

     

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