健康查体者体重指数与血压及血脂的关系(1)
[摘要] 目的 探讨健康查体者体重指数(BMI)与血压及血脂的关系。 方法 选取本院107例健康查体者，测量他们身高、体重、血压(BP)、血脂。根据BMI进行分组，对每组的血脂、血压情况进行分析与比较。并比较体重指数与各指标的相关性。 结果 三组SBP、DBP、MAP均有统计学差异。肥胖组TG、LDL-C、HDL-C与正常组比较，有统计学差异，三组间CHOL比较无统计学差异；BMI与SBP、DBP、MAP、HDL-C的相关系数分别为0.35、0.41、0.40、-0.36。 结论 随着BMI的增加，血压逐渐增加，肥胖是高血压的危险因素之一；随着BMI增加CHOL无明显变化，TG渐升高，而HDL-C渐下降。
[关键词]体重指数；血压；血脂
[中图分类号] R195 [文献标识码] B [文章编号] 2095-0616(2014)24-54-03
Relationship between the body mass index and the level of blood pressure and blood lipid of the healthy people
LI Yuting1 LI Xiaoe1 LIU Xuewei2
1.Department of Endocrinology， People's Hospital of Weishan County， Shandong， Weishan 277600， China； 2.Intensive Care Unit， People's Hospital of Weishan County， Shandong， Weishan 277600， China
[Abstract] Objective To investigate the relationship between the body mass index (BMI) and the level of blood pressure and blood lipid of healthy people. Methods 107 cases of healthy persons were selected in the author's hospital. They were measured the height， weight， blood pressure (BP)， blood lipid. According to body mass index (BMI) ，they were grouped， blood lipids， level of blood pressure in each group were analyzed and compared. The correlation between body mass index and each index were compared. Results Three groups of SBP， DBP， MAP had significant difference.Obesity group of TG， LDL-C， HDL-C had significant differences compared with that of normal group in， there were no significant differences between the three groups of CHOL； the correlation coefficient BMI and SBP， DBP， MAP， HDL-C were 0.35， 0.41， 0.40， -0.36. Conclusion With the increase of the BMI， blood pressure is gradually increasing， obesity is a risk factor for hypertension， with the increase of the BMI； there is no significant change in CHOL， TG gradually increased， while HDL-C decreased gradually.
[Key words] Body mass index； Blood pressure； Blood lipid
2012年WHO统计报告显示，1980～2008年间在世界范围内，男性体重BMI均值增加了0.8kg/m2、肥胖率由5%增长为10%。女性体重BMI均值增加了1.0kg/m2，肥胖率由8%增长为14%；据估算2008年全球>15岁人群中超重及肥胖人数达到14.6亿[1]。而据欧美国家估计，由于肥胖及其相关疾病的医疗支出已达医疗卫生总支出的2%～7%[2]。肥胖的衡量指标之一是体重指数，随着体重指数的增加，高血压及高血脂的患病率增加。本研究根据不同体重指数对健康查体者进行分组，对每组的脂代谢及MAP，SBP，DBP情况进行分析与比较，现报道如下。
1 资料与方法
1.1 一般资料
选取我院2014年1～5月107例健康查体者。排除标准：家族性高胆固醇血症者；有烟酒嗜好者；明确心血管疾病者；肿瘤病史者；甲状腺疾病及垂体、肾上腺疾病者；已接受过调脂治疗或正在接受调脂治疗的患者；正在服用降压药物其治疗的患者，明确的慢性肝肾疾病者；年龄<30岁，>60岁者。
按体重指数划分，根据2002年中国成人体重指数分类的建议分为三组[3]，肥胖：BMI≥28kg/m2，超重：24≤BMI<28kg/m2，正常范围：18.5, 百拇医药(李玉亭 李小娥 刘学威)
[关键词]体重指数；血压；血脂
[中图分类号] R195 [文献标识码] B [文章编号] 2095-0616(2014)24-54-03
Relationship between the body mass index and the level of blood pressure and blood lipid of the healthy people
LI Yuting1 LI Xiaoe1 LIU Xuewei2
1.Department of Endocrinology， People's Hospital of Weishan County， Shandong， Weishan 277600， China； 2.Intensive Care Unit， People's Hospital of Weishan County， Shandong， Weishan 277600， China
[Abstract] Objective To investigate the relationship between the body mass index (BMI) and the level of blood pressure and blood lipid of healthy people. Methods 107 cases of healthy persons were selected in the author's hospital. They were measured the height， weight， blood pressure (BP)， blood lipid. According to body mass index (BMI) ，they were grouped， blood lipids， level of blood pressure in each group were analyzed and compared. The correlation between body mass index and each index were compared. Results Three groups of SBP， DBP， MAP had significant difference.Obesity group of TG， LDL-C， HDL-C had significant differences compared with that of normal group in， there were no significant differences between the three groups of CHOL； the correlation coefficient BMI and SBP， DBP， MAP， HDL-C were 0.35， 0.41， 0.40， -0.36. Conclusion With the increase of the BMI， blood pressure is gradually increasing， obesity is a risk factor for hypertension， with the increase of the BMI； there is no significant change in CHOL， TG gradually increased， while HDL-C decreased gradually.
[Key words] Body mass index； Blood pressure； Blood lipid
2012年WHO统计报告显示，1980～2008年间在世界范围内，男性体重BMI均值增加了0.8kg/m2、肥胖率由5%增长为10%。女性体重BMI均值增加了1.0kg/m2，肥胖率由8%增长为14%；据估算2008年全球>15岁人群中超重及肥胖人数达到14.6亿[1]。而据欧美国家估计，由于肥胖及其相关疾病的医疗支出已达医疗卫生总支出的2%～7%[2]。肥胖的衡量指标之一是体重指数，随着体重指数的增加，高血压及高血脂的患病率增加。本研究根据不同体重指数对健康查体者进行分组，对每组的脂代谢及MAP，SBP，DBP情况进行分析与比较，现报道如下。
1 资料与方法
1.1 一般资料
选取我院2014年1～5月107例健康查体者。排除标准：家族性高胆固醇血症者；有烟酒嗜好者；明确心血管疾病者；肿瘤病史者；甲状腺疾病及垂体、肾上腺疾病者；已接受过调脂治疗或正在接受调脂治疗的患者；正在服用降压药物其治疗的患者，明确的慢性肝肾疾病者；年龄<30岁，>60岁者。
按体重指数划分，根据2002年中国成人体重指数分类的建议分为三组[3]，肥胖：BMI≥28kg/m2，超重：24≤BMI<28kg/m2，正常范围：18.5, 百拇医药(李玉亭 李小娥 刘学威)