摘要
Abstract
Objective Waistline (WL) is a simple measurement index for fat content in human intermal organs. It could reflect central obesity and act as an important index for predicting obesity-associated healthy risks. In this study, the relationship between the WL and blood glucose in the elderly man of shanghai was investigated. Methods 2000 retired male cadres who aged 73.9±5 years and received the health examination in the Ranking Medical Examination Center of the Sixth People, s Hospital of Shanghai from May to December 2006 were selected. 1922 people with complete data and the informed consent were analyzed. ① The WL was horizontally measured via the midpoint of line from the anterior superior iliac spine to the inferior margin of waist,② The Hitachi 7600-020 automatic biochemical analyzer was applied to determine the blood glucose. The differences in blood glucose were analyzed in elderly people with WL < 90 cm, 90≤WL<100cm, 100≤ WL<110cm, WL≥110cm, respectively. Results All 1921 people with complete data were involved in the result analysis. ① Of the enrolled people, the incidence of cental obesity was 79.96% (1536/1921); The incidence of the impair fasting glucose and diabetes mellitus in this group were significant higher than the control group respectively (P=0.002, 0.001). ② Compared with the WL<90 cm group, there were significant diference in blood glucose in other groups (P=0.0112, 0.0001, 0.0009); Compared with the WL≥110 cm group, there were no significant diference in blood glucose both 90 ≤ WL < 100 cm and 100 ≤WL < 110 cm groups (P=0.566, 0.073); While there was significant diference in blood glucose between 90≤WL< 100 cm and 100≤WL< 110 cm groups (P=0.0001).③In the diferent groups, the incidence of fasting blood glucose disorder was 10.13%, 13.80%, 18.53%, 26.53%, respectively. While the incidence of Diabetes Mellitus was5.45%, 9.46%, 15.33%, 21.42%, respectively. Conclusions (1) Of the enrolled people with the central obesity, the incidence of glucose metabolic disorder was high and was increased concomitantly with the increase of waistline. (2) Waistline is one of the effective indexes for prediction of hyperglycemia in the elderly people.关键词
腰围/中心性肥胖/血糖/胰岛素抵抗Key words
Waistline/ Central obesity/ Blood glucose/ Insulin resistance分类
医药卫生
