摘要:Objective To explore the relationship between body mass index (BMI) and high blood fat,high blood glucose and high uric acid.Methods A total of 1067 cases from a university faculty were studied in2015.The blood uric acid (UA), the total cholesterol (TC), the triglyceride (TG) and the fasting blood glucose(FPG) were measured.Results TG and TC levels of the cases at BMI ≥ 28 were higher (P <0.05 or0.01), compared to those at BMI =24 -27.9 and the normal cases, as well as the Glu and UA values (P <0.01), with higher morbidity rates of hyperlipidemia and fatty liver (P <0.05 or 0.01).The morbidity rates ofhigh blood sugar and high uric acid of all the cases at BMI≥24 were much higher compared to the normal cases(P <0.01).The blood glucose value of the cases at BMI <18.5 was lower than the others (P <0.05).Byage, the cases over 61 years old presented a higher BMI.The cases with high blood sugar, hyperlipidemia or fattyliver increased along with age except for those over 70 years old whose hyperlipidemia ratio was lower than thatof the 51 -70 year -old.However, the rate of high uric acid in each group was not different.By gender, menwere fatter with a higher BMI than women.Apart from the similarities, for men with high blood sugar, hyperlipidemiaor fatty liver were evidently higher than those of the women.Conclusion BMI has a positive correlation tohigh blood sugar, high uric acid, high blood fat and fatty liver.Higher BMI can lead to higher morbidity rates ofhigh uric acid, high blood fat and high blood sugar.The results suggest that people should adhere to a healthy lifestylein everyday life, such as improving diet structure and increasing physical exercises, so as to control weightand keep reasonable BMI.%目的:探讨体重指数(BMI)与高血脂、高血糖和高尿酸的关系。方法以2015年某校体检的1067例教职员工为研究对象,将人员按照体重指数分为肥胖、偏胖、正常和偏瘦四组,测定血尿酸(UA)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL -C)和空腹血糖(FPG)五项指标,并进行分析比较。结果肥胖组、正常组和偏胖组相比,TG、TC 水平均明显较高(P <0.05或<0.01),而且高血脂、脂肪肝患病率也较高(P <0.05或<0.01),血糖 GLU 值和UA 值均比正常组明显偏高(P <0.01)。肥胖组和偏胖组罹患高血糖和高尿酸者比率与正常组相比,具有统计学差异(P <0.01)。而偏瘦组血糖值较正常组偏低(P <0.05)。按年龄组看,61岁及以上组别,BMI 指数显示体重偏胖,除高血脂70岁以上组较51~70岁组低外,高血糖、高血脂和脂肪肝患者均随着年龄的增长,比率逐渐增大,但是各组高尿酸比率差别不大。从性别看,BMI指数显示男性体重偏胖,男女罹患高血脂者差异不明显,但是高血糖、高尿酸和脂肪肝患病率有明显差别,男性患病率均比女性明显高。结论 BMI 与高血糖、高尿酸和高血脂和脂肪肝患者有明显正相关性,BMI 的增加会导致高尿酸、高血脂和高血糖罹患比率明显增加,提示在日常生活中应坚持健康的生活方式、注意改善饮食习惯、增加体育锻炼,以控制体重、保持合理的 BMI。