The correlation among body fat distribution, lipid and glucose metabolism and blood pressure in healthy persons

doi:10.3877/cma.j.issn.2095-655X.2016.04.014

Abstract

Abstract:

Objective

To evaluated the correlation among body mass index (BMI), waist-hip ratio (WHR), waist-height ratio (WHtR), hip-height of the healthy and lipid and glucose metabolism, blood pressure.

Methods

One hundred and seven patients of healthy persons physical examination from January 2014 to May 2014 were enrolled.The correlation between BMI, WHR, WHtR, hip-height ratio and lipid and glucose metabolism, blood pressure was analyzed.

Results

The correlation coefficients of BMI and systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP), triglycerides (TG), cholesterol (CHOL), low density lipoprotein (LDL-C), very low density lipoprotein (VLDL-c), high-density lipoprotein (HDL-C), gamma glutamyl transpeptidase (GGT), fasting blood-glucose(GLU), fasting insulin (FINS), insulin resistance (HOMA-IR), insulin sensitivity index (ISI), β cell function (HOMA-β) in male were 0.26, 0.33, 0.32, 0.24, 0.25, 0.36, 0.18, -0.15, 0.38, 0.54, 0.61, 0.59, -0.59, 0.59, respectively.The correlation coefficients of WHR and the above indicators were 0.12, 0.25, 0.20, 0.43, 0.43, 0.48, 0.34, -0.15, 0.36, 0.43, 0.49, 0.55, -0.55, 0.40, respectively.The correlation coefficients of waist-height ratio and the above indicators were 0.32, 0.27, 0.24, 0.25, 0.34, 0.44, 0.22, -0.10, 0.30, 0.26, 0.59, 0.57, -0.57, 0.54, respectively.The correlation coefficients of hip-height ratio and indicators were 0.17, 0.20, 0.20, 0.03, 0.16, 0.26, 0.05, -0.03, 0.15, 0.04, 0.46, 0.41, -0.41, 0.46, respectively.The correlation coefficients of BMI and the above indicators in female were 0.21, 0.21, 0.30, 0.38, 0.13, 0.26, 0.27, -0.37, 0.49, 0.46, 0.55, 0.55, -0.55, 0.47, respectively.The correlation coefficients of WHR and indicators were 0.32, 0.17, 0.25, 0.38, 0.16, 0.04, 0.31, -0.02, 0.34, 0.15, 0.18, 0.15, -0.15, 0.2, respectively.The correlation coefficients of waist-height ratio and indicators were 0.27, 0.16, 0.23, 0.39, 0.16, 0.15, 0.30, -0.12, 0.46, 0.33, 0.39, 0.37, -0.37, 0.36, respectively.The correlation coefficients of hip-height ratio and indicators were 0.12, 0.10, 0.11, 0.30, 0.11, 0.23, 0.20, -0.31, 0.47, 0.45, 0.54, 0.55, -0.55, 0.47, respectively.

Conclusions

Compared with the other three anthropometric indices, the correlation of BMI and sugar metabolic disorder, elevated GGT are stronger and the correlation of WHR and TG, CHOL, LDL-C, VLDL-C are stronger in male.

Key words: Body mass index, Waist-hip ratio, Insulin resistance index

Xiaoe Li, Yinwei Wang. The correlation among body fat distribution, lipid and glucose metabolism and blood pressure in healthy persons[J]. Chinese Journal of Diagnostics(Electronic Edition), 2016, 04(04): 268-271.

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References 21

[1]	Organization WH.Obesity：preventing and managing the global epidemic[R]．WHO Technical Report series，2000：894-983.
[2]	中国肥胖问题工作组数据汇总分析协作组. 我国成人体重指数和腰围对相关疾病危险因素异常的预测价值：适宜体重指数和腰围切点的研究[J]. 中华流行病学杂志, 2002, 23(1): 5-10.
[3]	Stern MP.Diabetes and cardiovascular disease.The "common soil" hypothesis[J]. Diabetes, 1995, 44(4): 369-374.
[4]	Mi SQ,Yin P,Hu N, et al.BMI, WC, WHtR, VFI and BFI：which indictor is the most efficient screening index on type 2 diabetes in Chinese community population[J]. Biomde Environ Sci, 2013, 26(6): 485-491.
[5]	杨炯贤,陈伟. 内脏脂肪对慢性代谢性疾病影响的研究进展[J]. 中国临床医生, 2013, 41(8): 14-17.
[6]	Li C,Ford ES,Zhao G, et al.Waist-to-thigh ratio and diabetes among US adults：the third national health and nutrition examination survey [J].Diabetes Res Clin Pract, 2010, 89(1): 79-87.
[7]	孙东辉,沙洪,赵舒, 等. 多层螺旋CT测量人体腹部脂肪与体质指数方法判断肥胖的相关性[J]. 中国组织工程研究与临床康复, 2008, 12(22): 4270-4274.
[8]	何亚,田刚,卢群, 等. 血管周围脂肪体积与代谢综合征组分及其冠状动脉损伤的关系[J]. 山西医科大学学报, 2013, 44(6): 419-426.
[9]	Takaoka M,Suzuki H,Shioda S, et al.Endovascular injury induces rapid phenotypic changes in perivascular adipose tissue[J]. Arterioscler Thromb Vasc Biol, 2010, 30(18): 1576-1582.
[10]	Yudkin JS,Eringa E,Stehouwer CD. "Vasocrine" signalling from perivascular fat：a mechanism linking insulin resistance to vascular disease[J]. Lancet, 2005, 365(9473): 1817-1820.
[11]	Sack HS,Fain JN,Bahouth SW, et al.Adult epicardial fat exhibits beige features[J]. J Clin Endocrinol Metab, 2013, 98(9): E1448-1455.
[12]	黄爱群,藏桐华,徐希平, 等. 人体测量指标与心血管病危险因素的典型相关分析[J]. 中国公空卫生, 2000, 16(4): 360-361.
[13]	Talaei M,Sadeghi M,Marshall T, et al.Anthropometric indices predicting incident type 2 diabetes in an Iranian population：the Isfahan Cohort study[J]. Diabetes Metab, 2013, 39(5): 424-431.
[14]	邢燕,叶山东,洪海鸥, 等. 健康体检人群体质量指数与血脂水平及非酒精性脂肪肝关系的研究[J/CD]. 中华诊断学电子杂志, 2013, 1(1): 47-50.
[15]	张志将,赵根明,吴元明, 等. 人体测量指标和糖尿病危险状态指标的相关关系[J]. 中国公共卫生, 2002, 18(6): 689-690.
[16]	Rajput R,Rajput M,Bairwa M, et al.Waist height ratio：a universal screening tool for prediction of metabolic syndrome in urban and rural population of Haryana[J]. Indian J Endocrinol Metab, 2014, 18(3): 394-399.
[17]	Tseng CH,Chong CK,Chan TT, et al.Optimal anthropometric factor cutoffs for hyperglycemia, hypertension and dyslipidemia for the Taiwanese population[J]. Atherosclerosis, 2010, 210(2): 585-589.
[18]	王琨,李淑元,金力, 等.4种肥胖测量指标与高脂血症关系的比较研究及适宜切点的选择[J]. 复旦学报(医学版), 2015, 42(3): 332-337.
[19]	王晨,刘晋,刘娟, 等. 体质量指数,腰臀比和腰身比对2型糖尿病的预测价值[J]. 江苏医药, 2014, 40(15): 1763-1765.
[20]	何双涛,刘军. 人体肥胖指数(BAI)作为中国人肥胖新指标的可行性探讨[J]. 复旦学报(医学版), 2014, 41(6): 760-764.
[21]	陈志威,顾春华,戴珉, 等. 体质量指数完全代替腰围或腰臀比用于肥胖评估的可行性研究[J]. 国际消化病杂志, 2012, 32(4): 247-250.

项目	SBP	DBP	MAP	TG	CHOL	LDL-C	VLDL-C	HDL-C	GGT	GLU	FINS	HOMA-IR	ISI	HOMA-β
BMI	0.26^a	0.33^a	0.32^a	0.24	0.25^a	0.36^a	0.18	－0.15	0.38^a	0.54^a	0.61^a	0.59^a	－0.59^a	0.59^a
WHR	0.12	0.25	0.20	0.43^a	0.43^a	0.48^a	0.34^a	－0.15	0.36^a	0.43^a	0.49^a	0.55^a	－0.55^a	0.40^a
腰围/身高	0.32^a	0.27^a	0.24	0.25^a	0.34^a	0.44^a	0.22	－0.10	0.30^a	0.26	0.59^a	0.57^a	－0.57^a	0.54^a
臀围/身高	0.17	0.20	0.20	0.03	0.16	0.26^a	0.05	－0.03	0.15	0.04	0.46^a	0.41^a	－0.41^a	0.46^a

项目	SBP	DBP	MAP	TG	CHOL	LDL-C	VLDL-C	HDL-C	GGT	GLU	FINS	HOMA-IR	ISI	HOMA-β
BMI	0.26^a	0.33^a	0.32^a	0.24	0.25^a	0.36^a	0.18	－0.15	0.38^a	0.54^a	0.61^a	0.59^a	－0.59^a	0.59^a
WHR	0.12	0.25	0.20	0.43^a	0.43^a	0.48^a	0.34^a	－0.15	0.36^a	0.43^a	0.49^a	0.55^a	－0.55^a	0.40^a
腰围/身高	0.32^a	0.27^a	0.24	0.25^a	0.34^a	0.44^a	0.22	－0.10	0.30^a	0.26	0.59^a	0.57^a	－0.57^a	0.54^a
臀围/身高	0.17	0.20	0.20	0.03	0.16	0.26^a	0.05	－0.03	0.15	0.04	0.46^a	0.41^a	－0.41^a	0.46^a

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