【作者】 朱燕波； 王琦； 吴承玉； 庞国明； 赵健雄； 沈世林； 闫雪；

【Author】 Zhu Yan-bo,Wang Qi~*,Wu Cheng-yu,Pang Guo-ming,Zhao Jian-xiong, Shen shi-lin,Yan Xue

【机构】 北京中医药大学； 北京中医药大学管理学院 基础医学院； 南京中医药大学基础医学院； 开封市第一中医院； 兰州大学中西医结合研究所；

【摘要】 目的探索中医体质类型与超重/肥胖的相关性,为调整体质偏颇、防治肥胖提供依据。方法汇集我国9省市(江苏、安徽、甘肃、青海、福建、北京、吉林、江西、河南)横断面中医体质调查的18岁以上人群的数据18805例。中医体质调查采用标准化的中医体质量表,体质类型(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质)的判定应用判别分析法。采用Logistic回归分析方法探索中医体质类型与超重/肥胖的关系。结果与平和质相比,痰湿质者超重(OR=2.05,95%CI=1.79-2.35)和肥胖(OR=4.34,95% CI=3.52-5.36)的危险度均显著增高,气虚质者肥胖(OR=1.60,95% CI=1.30-1.98)危险度显著增高,而阳虚质、血瘀质、气郁质超重和肥胖的危险度显著降低。结论痰湿质、气虚质是超重/肥胖的主要体质影响因素。更多还原

【Abstract】 OBJECTIVE To explore the relationships between TCM constitutional types and overweight and obesity in order to provide some evidence for adjusting constitutional bias and preventing and treating obesity.METHODS The data comes from a cross-sectional survey on TCM constitution of 18805 person aged above 18 in nine provinces(Jiangsu, Anhui,Gansu,Qinghai,Fujian,Beijing,Jilin,Jiangxi,and Henan).The survey of TCM constitution was performed by standardized Constitution in Chinese Medicine Questionnaire(CCMQ).Use discriminatory analysis method to judge the Individual’s constitutional types(Gentleness type, Qi-deficiency type,Yang-deficiency type,Yin-deficiency type, Phlegm-dampness type,Wet-heat type,Blood-stasis type,Qi-depression type and Special diathesis type).The relationships between TCM constitution types and overweight and obesity was performed by logistic regression analysis.RESULTS Compared with Gentleness type,the risk of overweight(OR=2.05,95%CI=1.79-2.35) and obesity(OR=4.34,95% CI=3.52-5.36) in Phlegm-dampness type is significantly increased.The risk of obesity(OR=1.60,95%CI=1.30-1.98) in Qi-deficiency type is significantly increased.The risk of overweight and obesity in Yang-deficiency type,Blood-stasis type,Qi-depression type are all significantly decreased.CONCLUSION Phlegm-dampness type and Qi-deficiency type are the main constitutional risk factors of overweight and obesity.更多还原