回族中老年人群形态学与血脂水平的相关性分析

摘要

目的 探讨回族中老年人群形态学对血脂的影响.方法 随机选取583例南阳市回族中老年世居居民为研究对象,测量形态学数据并检测血脂.结果 ①男性回族居民三酰甘油(TG)水平>75岁组高于45~54岁和55~64岁组,65~74岁组高于55~64岁(P<0.05);而男性总胆固醇(TC)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)水平及女性各项血脂指标在各年龄组间比较,差异无统计学意义(P>0.05);②Pearson相关分析结果表明,TC与肩胛下、髂前上棘和小腿后皮褶、胸围、腰围、腹围、上臂紧张围及小腿围相关,TG与各指标相关,HDL-C与肱三头肌、髂前上棘和小腿后皮褶相关,HDL-C和LDL-C与颈围、腰围、腹围、臀围、上臂紧张围及小腿围比较,差异有统计学意义(P<0.05);③多元回归分析结果表明,肩胛下和髂前上棘皮褶、胸围和小腿围进入TC回归模型,小腿后皮褶、胸围及腰围进入TG回归模型,肱三头肌皮褶、腰围进入HDL-C回归模型.结论 回族中老年人群多种形态学参数与血脂水平相关,建议进一步寻求血脂异常的形态学敏感指标.%Objective To investigate the correlations between anthropometric traits and blood lipids in middle-aged and elderly population of Hui nationality. Methods A total of 583 Hui nationality adults were randomly selected. The anthropometric traits were measured, and blood lipids were detected. Results The average level of TC in the male Hui nationality adults over 75 years old was higher than that in the 45-54 years group and the 55-64 years group (P<0.05), and the TC level of the 65-74 years group was higher than that of the 55-64 years group (P<0.05). The average levels of TG, HDL-C, and LDL-C in the male Hui nationality adults and the average levels of lipids in the female Hui nationality adults had no significant differences among different age groups (P>0.05). TC had correlations with subscapular and anterior superior iliac spine and post-cnemis skinfolds, and circumference of chest and waist and abdomen and upper arm and cnemis. TG had correlations with all the anthropometric traits. HDL-C had correlations with the skinfolds of musculus triceps brachii and anterior superior iliac spine and post-cnemis. HDL-C and LDL-C had correlations with the circumference of neck, waist, abdomen, hip, upper arm and calf (P<0.05). Multiple linear regression analysis revealed that subscapularis and anterior superior iliac spine skinfolds, and chest and calf circumference had correlations with TC; post-cnemis skinfold, chest and waist circumference had correlations with TG; while triceps brachii skinfold and waist circumference had correlations with HDL-C. Conclusions In middle-aged and elderly population of Hui nationality, many anthropometric traits are associated with blood lipid levels. It is suggested to seek further sensitive anthropometric traits of dyslipidemia.