[Association between the types of obesity and the 10-year-coronary heart disease risk, in Tibet Autonomous Region and Xinjiang Uygur Autonomous Region].

• DOI: 10.3760/cma.j.issn.0254-6450.2017.06.006
• Publication Date: 2017-06-10
• Authors: C Y Zheng; Z W Wang; Z Chen; L F Zhang; X Wang; Yonghai Dong; Jiatong Nie; Jiali Wang; Lipei Shao; Yizhu Tian
• Keywords: Adult; Male; China; Coronary Disease; Middle Aged; Reference Standards; Tibet; Asian People; Psychological Distance; Risk Factors; Obesity, Abdominal; Ethnicity; Prevalence; Humans; Female; Obesity; Seasons; Aged

Objective: To investigate the association between types of obesity and 10-year-coronary heart disease risk in Tibet Xinjiang China. Methods: Using multi-stage random sampling method, 7 631 participants aged 35 or older were examined under International Standardized Examination process but with only 5 802 eligible for analysis, 2015-2016 season. Results: The prevalence rates general obesity, central visceral compound 0.53%, 12.62%, 10.08% 42.35%, respectively. Out all cases, 58.65% (1 441/2 457) them appeared as having our study. Risk related to was higher men than women [(3.05±4.14)% vs. (1.42±2.37) %, P<0.000 1. Compound (30.16%) showed highest proportion on (28.01%), (18.46%) (19.35%). After adjustment confounding factors, results from multivariate analysis associated (OR=2.889, 95%CI: 2.525-3.305). People anomalous BMI WC seemed have had (OR=3.168, 2.730-3.677). Conclusions: Obesity popular residents areas Men people (especially both abnormal) carry greater disease.目的： 探讨我国新疆、西藏地区居民肥胖类型以及与10年冠心病发病风险关系。 方法： 采用多阶段分层随机抽样的方法，共抽取新疆、西藏两地≥35岁研究对象7 631人，其中5 802人纳入本研究分析。 结果： 研究对象的普通肥胖、腹型肥胖、内脏肥胖和混合型肥胖患病率分别为0.53%、12.62%、10.08%和42.35%。其中混合肥胖中同时满足3种肥胖类型诊断标准的研究对象占58.65%（1 457）。男、女性10年冠心病患病风险分别为（3.05±4.14）%和（1.42±2.37）%（男性高于女性，P<0.000 1）。混合型肥胖研究对象高等级冠心病发病风险所占比例为30.16%，显著高于普通肥胖（19.35%）、腹型肥胖（28.01%）和内脏肥胖（18.46%）。多因素分析校正混杂因素后显示，混合型肥胖人群10年冠心病发病风险高于其他肥胖类型（OR=2.889，95%CI：2.525~3.305），其中BMI和腰围两项指标均异常的研究对象10年冠心病风险更高（OR=3.168，95%CI：2.730~3.677）。 结论： 肥胖问题在新疆、西藏地区较为严重，男性、混合型肥胖（特别是BMI与腰围均异常）人群10年冠心病发病风险高。.