摘要：

目的 分析云南布朗族、德昂族、佤族的營養(yǎng)水平、肥胖狀況與高血壓患病的情況，探討營養(yǎng)體格指數(shù)、肥胖判定指標(biāo)與血壓之間的關(guān)系，并利用相關(guān)指標(biāo)的截?cái)嘀殿A(yù)警高血壓。  方法 調(diào)查并分析了766例布朗族、570例德昂族、565例佤族的7項(xiàng)營養(yǎng)體格指數(shù)、5種肥胖狀況及高血壓狀況。  結(jié)果 布朗族多項(xiàng)（男性4項(xiàng)，女性 4項(xiàng)）營養(yǎng)體格指數(shù)顯著高于德昂族與佤族（P<0.05），德昂族女性艾里斯曼指數(shù)、培利迪西指數(shù)顯著高于布朗族女性與佤族女性（P<0.05）。腰圍、腰臀比及體脂率3種肥胖判定指標(biāo)判定的肥胖率在3個(gè)族群間的差異具有統(tǒng)計(jì)學(xué)意義（P<0.05），身體質(zhì)量指數(shù)(BMI)、人體肥胖指數(shù)(BAI)及體脂率3指標(biāo)判定的肥胖率均為布朗族最高，腰圍及腰臀比2指標(biāo)判定的中心性肥胖率均為佤族最高。高血壓患病率為佤族>布朗族>德昂族且差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。7種營養(yǎng)體格指數(shù)與5種肥胖判定指數(shù)均與收縮壓、舒張壓成顯著正相關(guān)（P<0.05）。 結(jié)論 培利迪西指數(shù)、腰臀比、體脂率對3個(gè)民族高血壓患病均有較好的預(yù)警作用。

關(guān)鍵詞: 營養(yǎng)體格指數(shù), 肥胖, 高血壓, 族群, 活體測量, 成人

Abstract:

Objective To analyze the nutritional level, obesity status and the prevalence of hypertension in Blang, Deang and Va ethnic groups in Yunnan, to explore the relationship among nutritional physical index, obesity indicators and blood pressure, and use the cutoff value of related indicators to warn hypertension.  Methods This paper was based on a statistical analysis of the 7 nutritional physical indexes, 5 types of obesity status and hypertension status of 766 Blang, 570 Deang and 565 Va.   Results  We found that the nutritional physique index of many items (4 items for men and 4 items for women) of Blang was significantly higher than that of Deang and Va (P<0.05), the Erismann’s index and Pelidisi’s index of Deang female were significantly higher than those of Blang female and Va female (P<0.05). The differences in the obesity rates determined by the three obesity determination indexes of waist circumference(WC), waist-to-hip ratio(WHR) and percent of body fat(PBF)were statistically significant among the three ethnic groups (P<0.05), and the obesity rates determined by the three indexes of body mass index (BMI), body adiposity index (BAI) and PBF were all the highest in the Blang, and the central obesity rates determined by the two indexes of WC and WHR were all the highest in Va. The rank of the prevalence of hypertension was Va > Blang > Deang and the difference was statistically significant (P<0.05). Conclusion Pelidisi’s index, WHR, and PBF all have good early warning effects on hypertension in all three ethnic groups.

Key words: Nutritional physical indexes, Obesity, Hypertension, Ethnic group, Somatometry, Adult

中圖分類號(hào): 

Q983 

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