Objective
To explore the relationship between obesity and the three targets including blood pressure, glucose, and lipid.
Methods
A total of 181 adult Tibetans who underwent physical examination between March and September 2015 at Xigaze People's Hospital were enrolled in this study. Their obesity degrees were assessed with body mass index (BMI) and waist circumference (WC) respectively. The levels of blood pressure, glucose, and lipid were compared at the different levels of BMI or WC.
Results
The incidence of systematic obesity and central obesity in these adults were 57.5% and 79.0%, respectively. Compared the overweight group with the normal BMI group, the systolic pressure and diastolic pressure of the former were 9.26 mm Hg (1 mm Hg=0.133 kPa) [95% confidence interval (CI) (3.46, 15.07) mm Hg, P=0.002] and 7.76 mm Hg [95%CI (3.96, 11.57) mm Hg, P<0.001] higher, respectively. Similarly, the systolic pressure and diastolic pressure of the central obesity group were 8.24 mm Hg [95%CI (1.03, 15.46) mm Hg,P=0.026] and 6.79 mm Hg [95%CI (2.03, 11.55) mm Hg, P=0.006] higher than those in the normal WC group, respectively. For the normal WC or normal BMI subjects, the detection rate of dyslipidemia reached up to 50.0% and 52.6%.
Conclusions
With the increase of BMI/WC values, the level of blood pressure rises. Even though WC or BMI is normal, the detection rate of dyslipidemia is high.
Citation：
Labapianduo, SUN Shuyao, Suolangpianduo, WU Yunhong, HE Hua. Relationship of the blood pressure, glucose, and lipid with obesity in adult Tibetans in urban area of Xigaze in Tibet. West China Medical Journal, 2018, 33(5): 532-536. doi: 10.7507/1002-0179.201608168
Copy
Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. Rao G, Powell-Wiley TM, Ancheta I, et al. Identification of obesity and cardiovascular risk in ethnically and racially diverse populations: a scientific statement from the American heart association. Circulation, 2015, 132(5): 457-472.
- 2. 李晓萍, 宦徽, 邬云红, 等. 西藏日喀则地区 5 个自然村成人代谢疾病相关情况调查. 中国初级卫生保健, 2015, 29(1): 52-54.
- 3. 中国肥胖问题工作组. 中国成人超重和肥胖症预防与控制指南(节录). 营养学报, 2004, 26(1): 1-4.
- 4. 中华医学会糖尿病学分会. 中国 2 型糖尿病防治指南(2017 年版). 中华糖尿病杂志, 2018, 10(1): 4-67.
- 5. 中华心血管病杂志编辑委员会血脂异常防治对策专题组. 《血脂异常防治建议》摘要. 辽宁实用糖尿病杂志, 2001, 9(1): 57-59.
- 6. 闫敏, 关志峰, 陈勇, 等. 西藏部分地区干部超重和肥胖患病情况与防治策略浅析. 实用预防医学, 2007, 14(2): 296-300.
- 7. 张娟, 施小明, 梁晓峰. 2010 年中国城乡居民超重和肥胖的直接经济负担分析. 中华流行病学杂志, 2013, 34(6): 598-600.
- 8. 陈曜, 陈恩强, 唐红, 等. 体检人群血脂和血糖检测结果与体重指数的相关性分析. 华西医学, 2010, 25(3): 487-490.
- 9. Nguyen-Duy TB, Nichaman MZ, Church TS, et al. Visceral fat and liver fat are independent predictors of metabolic risk factors in men. Am J Physiol Endocrinol Metab, 2003, 284(6): E1065-E1071.
- 10. 赵文华, 张坚, 由悦, 等. 中国 18 岁及以上人群血脂异常流行特点研究. 中华预防医学杂志, 2005, 39(5): 306-310.
- 11. 李志超, 伍佳, 黄鹤. 成都市中心城区居民血脂异常合并心血管危险因素的流行病学现状研究. 华西医学, 2015, 30(10): 1845-1848.
- 12. 孙献周, 郭影, 申明慧, 等. 河南农村居民肥胖患病率与糖尿病、高血压和血脂异常的关系. 郑州大学学报: 医学版, 2010, 45(3): 488-490.
- 13. 庞金荣, 颜中. 西藏高原地区藏族人群血脂水平分析. 中华检验医学杂志, 2010, 33(9): 856-861.
