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时间:2020-05-07
《体检人群肥胖超重流行现状及与高血压和高血脂脂肪肝的关系-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、医学动物防制2013年12月第29卷第12期JMedPestControl,Dec2013,Vo1.29,No.12·1345·doi:10.7629/yxdwfz201312015·论著·体检人群肥胖超重流行现状及与高血压和高血脂脂肪肝的关系贾晓梅,张明明,张翠改,段瑞生,宋光耀,史瑞华,刘晶摘要:目的了解河北省人群超重、肥胖的现状,探讨体重指数与血压、血脂水平、脂肪肝的关系。方法对2011年河北省体检中心的体检人员49083人进行研究,测量身高、体重、血压、胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HD
2、L)、计算体重指数,结合肝脏超声检查分析超重、肥胖与血压、血脂、脂肪肝的关系。结果体检人员中男27907人(56.86%)、女21176人(43.14%),男女肥胖率分别为21.79%、9.86%,超重率分别为45.19%、28.96%。肥胖组及超重组与正常组比较,高血压的发病率明显升高,且I、Ⅱ期高血压的发病率也明显增加;TC、TG的水平明显升高,HDL水平明显下降,脂肪肝的发病率明显升高,且中、重度脂肪肝尤其是重度脂肪肝的发病率也明显增加,差异有统计学意义。BMI与胆固醇、甘油三酯、高血压和脂肪肝的异常率有明
3、显关系(P<0.05)。结论控制肥胖尤其是腹型肥胖对于防治高血压、高血脂、脂肪肝有重要意义。关键词:肥胖;高血压;高血脂;脂肪肝;流行病学特征中图分类号:R589.2文献标识码:A文章编号:1003—6245(2013)t2—1345—04Analysisonrelationshipofoverweigtandobesitywithhypertension,dyslipidemiaandadiposishepaticaamongexaminationpopulationinHeBel‘healthexaminat
4、ioncenterJIAXiao—min,ZHANGMing—ming,,ZHANGCui—gai,DUANRui—sheng,SONGGuang—yao.SHIRui—hua,LIUJing.PeopleshospitalofHeibeiprovince,Shijiazhuang050051,China.Abstract:ObjectiveToinvstigatethecurrentstatusofoverweightandobesityamongexaminationpopulationinhebei,and
5、todiscusstherelationshipofbodymassindex(BMI)withbloodpressure,dyslipidemiaandadipo—sishepatica.MethodsThroughmeasuringtheheight,bloodpressure,totalcholesterol(TC),triacylglycerol(TG),highdensitylipoprotein(HDL)of48831examinationpopulationdirectly,wecalculated
6、BMI,con—binedliverultrasoundexamination,analyzedtherelationshipbetweenoverweigt,obesityandbloodpressure,dyslipidemiaandadiposishepatica.Resultstherewere27907males(56.86%)and21176females(43.14%)inexaminationpopulation.Theratesofobesityofmalesandfemaleswere21.7
7、9%and9.86%respectively,theratesofoverweightamongthemwere45.19%and28.96%,respectively.Conclusionswiththenormalgroup,theincidenceofhypertensionofobesityandoverweightgroupwassignificantlyelevated,andtheincidenceratesof1,IItypeofhypertensionalsoincreasedsignifica
8、ntly,thelevelsofTC,TGweresignificantlyelevated,HDLlevelsweresignificantlydecreased,Andthemorbidityoffattyliverwassignifi—cantlyelevated,theincidenceratesofmoderateandseverefattyliver,inpa
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