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云南布朗族、德昂族、佤族营养体格指数、肥胖状况及其高血压预警
王子善1 张兴华2,3* 徐飞4 宇克莉2,3 郑连斌2,3 程瑜1,5
Nutritional physical indexes，obesity status and their warning effect on hypertension among Blang, Deang and Va ethnic groups in Yunnan
WANG Zi-shan1 ZHANG Xing-hua2,3* XU Fei4 YU Ke-li2,3 ZHENG Lian-bin2,3 CHENG Yu1,5
目的 分析云南布朗族、德昂族、佤族的营养水平、肥胖状况与高血压患病的情况，探讨营养体格指数、肥胖判定指标与血压之间的关系，并利用相关指标的截断值预警高血压。 方法 调查并分析了766例布朗族、570例德昂族、565例佤族的7项营养体格指数、5种肥胖状况及高血压状况。 结果 布朗族多项（男性4项，女性 4项）营养体格指数显著高于德昂族与佤族（P<0.05），德昂族女性艾里斯曼指数、培利迪西指数显著高于布朗族女性与佤族女性（P<0.05）。腰围、腰臀比及体脂率3种肥胖判定指标判定的肥胖率在3个族群间的差异具有统计学意义（P<0.05），身体质量指数(BMI)、人体肥胖指数(BAI)及体脂率3指标判定的肥胖率均为布朗族最高，腰围及腰臀比2指标判定的中心性肥胖率均为佤族最高。高血压患病率为佤族>布朗族>德昂族且差异具有统计学意义（P<0.05）。7种营养体格指数与5种肥胖判定指数均与收缩压、舒张压成显著正相关（P<0.05）。 结论 培利迪西指数、腰臀比、体脂率对3个民族高血压患病均有较好的预警作用。
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.
营养体格指数 / 肥胖 / 高血压 / 族群 / 活体测量 / 成人
Nutritional physical indexes / Obesity / Hypertension / Ethnic group / Somatometry / Adult
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