中国临床医学2024，Vol.31Issue(2)：227-232,6.DOI:10.12025/j.issn.1008-6358.2024.20240194
上海老年体检者体质量指数与血压、血脂、腰臀比及血红蛋白的关系
The relationship between body mass index and blood pressure,blood lipids,waist-to-hip ratio,and hemoglobin in the elderly undergoing physical examination in Shanghai,China
摘要
Abstract
Objective To explore the relationship between body mass index(BMI)and blood pressure(BP),blood lipids,waist-to-hip ratio(WHR),and hemoglobin(Hb)in the elderly.Methods A total of 10 978 elderly individuals aged≥65 years old in a community in Baoshan District,Shanghai from February 2023 to October 2023 were selected as the research subjects.Height,body mass,waist circumference(WC),hip circumference(HC),systolic blood pressure(SBP),diastolic blood pressure(DBP),total cholesterol(TC),high-density lipoprotein(HDL),low-density lipoprotein(LDL),Hb were measured,and BMI and WHR were calculated.According to the Chinese BMI reference standard,the elderly were divided into a lean group(BMI＜18.5 kg/m2,n= 310),a normal body mass group(18.5 kg/m2≤BMI＜24 kg/m2,n=4 692),a overweight group(24 kg/m2≤BMI＜28 kg/m2,n= 4 615),and an obese group(BMI≥28 kg/m2,n=1 361).The levels of BP,blood lipids,WHR,and Hb in the four groups were compared and correlation analysis was conducted.Results The levels of BMI,WC,HC,WHR,SBP,DBP,and Hb in elderly men were higher than those in elderly women(all P＜0.01),while the levels of TC,HDL,and LDL were lower than those in elderly women(all P＜0.01).The differences in SBP,DBP,TC,HDL,LDL,WHR,and Hb among the four groups were statistically significant(all P＜0.05),and BMI was positively correlated with SBP,DBP,TC,LDL,WHR,and Hb(r=0.109,0.064,0.041,0.042,0.108,0.089,all P＜0.01),and negatively correlated with HDL(r=﹣0.106,P＜0.01).The BMI of elderly men in the normal body mass group was higher than that of elderly women,while the BMI of elderly women in the obesity group was higher than that of elderly men(both P＜0.01).In the normal body mass group,the BMI of elderly people aged＜75 years old was higher than that of elderly people aged≥75 years old(P＜0.05).Conclusions BMI is closely related to the health of the elderly,and maintaining an ideal BMI is the foundation for health management and prevention of chronic diseases in the elderly.关键词
老年人/体质量指数/血压/血脂/腰臀比/血红蛋白Key words
elderly/body mass index/blood pressure/blood lipids/waist-to-hip ratio/hemoglobin分类
医药卫生引用本文复制引用
苏建花,许海民,程克文,沈晓冬,吴萍..上海老年体检者体质量指数与血压、血脂、腰臀比及血红蛋白的关系[J].中国临床医学,2024,31(2):227-232,6.基金项目
上海市宝山区医学重点学(专)科建设(BSZK-2023-Z05).Supported by Baoshan District Health Commission Key Subject Construction Project,Shanghai(BSZK-2023-Z05). （专）
