【摘要】 目的分析上海市某社区老年居民的代谢异常情况。方法 2013年3月至2013年10月对上海市宜川社区60岁以上常住2 588位老年人建立健康档案,测量身高、体重、体质指数(body mass index,BMI)、腰围、血压,检测空腹血糖、总胆固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)、低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)、心电图等。结果超重和肥胖检出率为55.72%,中心性肥胖检出率为23.03%,高血压的检出率为53.40%,高血糖检出率为11.31%,高TC检出率为10.56%,高TG检出率为20.21%,低HDL-C检出率为23.87%,高LDL-C检出率为12.45%,心肌缺血及心律失常的检出率为49.55%。BM I与收缩压、舒张压、空腹血糖、TG、HDL-C的相关系数分别为0.119、0.111、0.109、0.191、-0.356(P<0.01)。腰围与收缩压、舒张压、空腹血糖、TG、HDL-C的相关系数分别为0.203、0.108、0.140、0.159、-0.323(P<0.01)。空腹血糖与收缩压、TC、TG、HDL-C的相关系数分别为0.094、0.040、0.126、-0.138(P<0.05)。空腹血糖与心肌缺血、心律失常之间有一定的相关性(P<0.01)。结论体质指数、腰围、空腹血糖以及血脂的各项指标密切相关,空腹血糖与心肌缺血及心率失常密切相关。更多还原

【Abstract】 Objective To survey the metabolic abnormalities in elderly residents in a community of Shanghai. Methods Health records of 2 588 elderly residents aged over 60 years in Yichuan Community of Shanghai were collected from M arch to October in 2013. The measurement of height,weight,waist circumference, blood pressure, fasting blood glucose, total cholesterol( TC),triglyceride( TG), high-density lipoprotein cholesterol( HDL-C) and lowdensity lipoprotein cholesterol( LDL-C) were measured, electrocardiogram( ECG) was examined. Results The detection rate of overweight and obesity was 55. 72%,central obesity was 23. 03%,hypertension was53. 40%,high blood glucose was 11. 31%,hypercholesterolemia was 10. 56%,high triglycerides was20. 21%, lowhigh-density lipoprotein cholesterol was 23. 87%, high low-density lipoprotein cholesterol was 12. 45%,the prevalence rate of myocardial ischemia or arrhythmia detection was49. 55%. The correlation coefficient of BM I and systolic pressure,diastolic blood pressure,fasting blood sugar,TG and HDL-C were 0. 119,0. 111,0. 109,0. 191,- 0. 356 respectively( P < 0. 01).The correlation coefficient of waist circumference with systolic pressure,diastolic blood pressure,fasting blood glucose,TG and HDL-C were 0. 203,0. 108,0. 140,0. 159,- 0. 323 respectively. The correlation coefficient of fasting plasma glucose with systolic pressure,TC,TG and HDL-C were0. 094,0. 040,0. 126,- 0. 138,respectively( P < 0. 05). The fasting plasma glucose was correlated with myocardial ischemia or arrhythmia( P < 0. 01). Conclusion There is close correlation among body mass index,waist circumference,fasting blood sugar and blood fat of the indicators; and fasting glucose is closely related to myocardial ischemia and arrhythmia.更多还原