宜蘭縣大專青年腰臀圍比與血脂肪、血液流體力學之相關性研究

Correlation Study between Waist-To- Hip Ratio, Lipidemia and Hemodynamics Among College Students in Yilan County

陳旺全(Wang-Chuan Chen) ； 吳淑禎(Shu-Chen Wu) ； 呂萬安(Wan-An Lu)

《中醫藥研究論叢》 21卷1期 (2018/03) Pp. 15-28

https://doi.org/10.6516/TJTCM.201803_21(1).0002

摘要

目的：藉由健康檢查分析大專學生腰臀圍比、血脂肪與血液流體力學之相關性，喚醒大專青年對於慢性疾病的關注以及相關單位之重視。方法：選取宜蘭縣某大學一般新生及轉學新生，採匿名方式收集，資料包括年齡、性別、腰臀圍比、總膽固醇、三酸甘油酯、收縮壓、舒張壓、脈搏壓及平均動脈壓等；統計方法為獨立樣本t檢定(Independent-samples t-test)、卡方檢定(Chi-square test)及Pearson's積差相關係數(Pearson product-moment correlation coefficients)。結果：男生666位、女生314位，女生之總膽固醇高於男生，男生之三酸甘油酯則高於女生，男生之收縮壓、舒張壓、脈搏壓及平均動脈壓皆高於女生；性別與腰臀圍比(χ^²=10.60, p＜.01)、性別與三酸甘油酯(χ^²=14.00, p＜.001)、性別與收縮壓(χ²=26.10, p＜.001)、性別與脈搏壓(χ^²=20.52, p＜.001)等皆達顯著差異，腰臀圍比與膽固醇(r=.084, p＜.01)、腰臀圍比與三酸甘油酯(r=.325, p＜.001)、腰臀圍比與收縮壓(r=.112, p＜.001)、腰臀圍比與脈搏壓(r=.103, p＜.01)、腰臀圍比與平均動脈壓(r=.090, p＜.01) 等皆呈顯著正相關。結論：血壓與血脂肪皆隨著腰臀圍比之增加而增加，腰臀圍比或許可以作為高血脂症與高血壓風險的指標，其所代表的生理、病理意義似乎與中醫的帶脈之說有很深的連結，值得進一步探討。

關鍵字

帶脈 ； 腰臀圍比 ； 血脂肪 ； 血液流體力學

並列摘要

Objectives: The purpose of this study was wake up attention on chronic disease of collegiate youth and respect of units concerned by investigated the correlation among waist-to-hip ratio, lipidemia and hemodynamics of health examination in college students. Methods: Select freshman and transfer students in yilan county university, in accordance with health examination through anonymous methods. The collected data included age, gender, waist-to-hip ratio, total cholesterol, triglyceride and hemodynamics. There were statistical methods in this study such as Independentsamples t-test, Chi-square test and Pearson product-moment correlation coefficients. Results: There were 666 college boys and 314 college girls in thie study. Total cholesterol of girls were significantly higher than boys, but the triglyceride of boys were significantly higher than girls. All the hemodynamics of boys were significantly higher than girls. Waist-to-hip ratio, triglyceride, systolic pressure and pulse pressure were all significant difference from gender, the Chi-square test was 10.60 with p value ＜0.01 between waist-to-hip ratio and gender, 14.00 with p value ＜0.001 between triglyceride and gender, 26.10 with p value ＜0.001 between systolic pressure and gender, 20.52 with p value ＜0.001 between pulse pressure and gender respectively. Total cholesterol, triglyceride, systolic pressure, pulse pressure and mean arterial pressure were all positive correlation from waist-to-hip ratio with significant difference, the correlation coefficient was 0.084 with p value ＜0.01 between waist-to-hip ratio and total cholesterol, 0.325 with p value ＜0.001 between waist-to-hip ratio and triglyceride, 0.112 with p value ＜0.001 between waist-to-hip ratio and systolic pressure, 0.103 with p value ＜0.01 between waistto- hip ratio and pulse pressure, and 0.090 with p value ＜0.01 between waist-to-hip ratio and mean arterial pressure respectively. Conclusions: Hemodynamics and lipidemia were higher following the waistto- hip ratio increased. Evidently, there were correlation between waist-to-hip ratio and hemodynamics, and between waist-to-hip ratio t and lipidemia. These indicated that waist-to-hip ratio might be the risk indicator of the hyperlipidemia and hypertension. The physiological and pathological representatives meaning of the waist circumference seems to have a deep link with the dai meridian theory of traditional Chinese medicine, it was worth further study.

並列關鍵字

dai meridian ； waist-to-hip ratio ； lipidemia ； hemodynamics

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