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目的·探讨上海市嘉定区中老年非糖尿病人群颈围与心血管危险因素的相关性。方法·2014年8月—2015年7月选取上海市嘉定区4 657名40岁及以上非糖尿病常住居民,进行问卷调查、体格检查和生化指标检测。按照颈围四分位数分组,分析颈围与心血管危险因素的相关性。结果·随着颈围的增粗,腰围、体质量指数(BMI)、血压、血脂、空腹血糖、胰岛素抵抗指数水平升高,腹型肥胖、胰岛素抵抗、高血压和血脂异常发生率显著增加(均趋势P值<0.01)。多元Logistic回归分析显示,校正年龄、性别、吸烟、饮酒、体力活动、BMI、腰围、收缩压、C-反应蛋白、空腹血糖和血脂等因素后,随着颈围的增粗,各心血管相关危险因素的发生风险均显著增加(均趋势P值<0.01)。结论·上海市嘉定区中老年非糖尿病人群中,颈围与各心血管危险因素呈独立正相关。
Objective · To investigate the relationship between cervical circumference and cardiovascular risk factors in middle-aged and non-diabetic population in Jiading District of Shanghai. Methods · August 2014-July 2015 A total of 4 657 non-diabetic residents aged 40 years and above in Jiading District of Shanghai were selected for questionnaire survey, physical examination and biochemical tests. Groups were divided by cervical quartile to analyze the association between neck circumference and cardiovascular risk factors. Results · With the increase of neck circumference, waist circumference, body mass index (BMI), blood pressure, blood lipids, fasting blood glucose, insulin resistance index increased significantly, abdominal obesity, insulin resistance, hypertension and dyslipidemia were significantly increased All trend P value <0.01). Multivariate Logistic regression analysis showed that with correction of age, gender, smoking, drinking, physical activity, BMI, waist circumference, systolic blood pressure, C-reactive protein, fasting blood glucose and blood lipids, Risk of risk factors were significantly increased (both trend P value <0.01). CONCLUSIONS: Among the non-diabetic middle-aged and elderly people in Jiading District of Shanghai, there is a positive correlation between neck circumference and cardiovascular risk factors.