【摘要】 目的探讨老年人群不同体质指数与相关代谢危险因素对健康的影响。方法对研究对象1343人进行健康体检,检查项目有BMI、血脂、FPG及肝脏实时超声波(B超)。检查参数采用χ2检验,P<0.05为差异有统计学意义。BMI按规定分为过低、正常、超重和肥胖4组。结果BMI(x±S)不同性别,男女无明显差别(χ2=3.20,P>0.05)。4组BMI检出率分别为6.2%、51.7%、35.5%和6.6%,男女差异无统计学意义(P>0.05)。血脂异常患病率为40.9%、糖尿病为7.5%和脂肪肝为23.3%。不同性别对此3种疾病患病率进行比较,分别为41.1%VS61.8%、7.0%VS8.6%和21.5%VS28.5%,除糖尿病外,血脂异常和脂肪肝患病率,均为女性高于男性(P<0.005)。不同性别对不同体质指数4组进行比较,血脂异常患病率依次为12.9%VS33.3%、33.7%VS59.2%、52.6%VS71.1%和63.3%VS62.1%;糖尿病患病率依次为0%VS4.8%、4.9%VS8.7%、10.2%VS6.1%和13.3%VS20.7%;脂肪肝患病率依次为0%VS0%、7.6%VS17.9%、35.5%VS40.9%和7.5%VS69.0%,通常均为女性高于男性(P<0.001)。结论老年退休离职员血脂异常、糖尿病和脂肪肝患病率显著高于18岁以上成年人的平均患病率,同时此3种相关代谢性疾病患病率随着体质指数升高而依次上升,而且女性患病率高于男性。更多还原

【Abstract】 Objective To explore the relationship between Body Mass Index(BMI)and metabolic diseases such as blood fat abnormity,diabetes and fatty liver in the elder people.Methods 1343 subjects accepted physical examination and indexes measurements for BMI,blood fat,FPG and real time type-B ultrasonic of liver.All the subjects were categorized by BMI into four groups as under weight,normal,over weight and fat.Results No significant difference was shown for BMI in different genders(P>0.05).Morbidity rates of blood fat abnormity,diabetes and fatty liver were 40.9%,7.5% and 23.3%,respectively.Compared with males the morbidity rates of blood fat abnormity and fatty liver were higher in females(P<0.005,respectively).Males compared with females,different BMI level showed different morbidity rates as for blood fat abnormity were 12.9% VS 33.3%,33.7% VS 59.2%,52.6% VS 71.1%,and 63.3% VS 62.1%;rates for diabetes were 0% VS 4.8%,4.9% VS 8.7%,10.2% VS 6.1%,and 13.3% VS 20.7%;rates for fatty liver were 0% VS 0%,7.6% VS 17.9%,35.5% VS 40.9%,and 7.5% VS 69.0%.Conclusion Morbidity rates of blood fat abnormality,diabetes and fatty liver in the elder people are markedly higher than the average level of national adult citizens.The morbidity rates of these three metabolic diseases are positively related with BMI and especially higher in females.更多还原