上海市宝山区祁连社区17 655例老年体检者腰臀比与血压、血脂及体重指数的相关性分析<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2026.04.008

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摘要 【目的】探讨上海市宝山区祁连社区17 655例老年体检者腰臀比(WHR)与血压、血脂及体重指数(BMI)的相关性。【方法】选择上海市宝山区祁连社区2018年3月至2024年11月老年体检者17 655例,记录体检人员的身高、体重、腰围(WC)、臀围(HC)、血压,并计算WHR和BMI。依据WHR将老年体检者分为W1组(WHR＜0.8,n=365)、W2组(0.8≤WHR＜0.9,n=6469)、W3组(0.9≤WHR<1.0,n=9885)、W4组(WHR≥1.0,n=936),比较各组的血压、BMI及血脂指标。采用Pearson线性相关评估WHR与血压、血脂、BMI的相关性。【结果】老年男性体检者BMI、收缩压、舒张压、WC、HC及WHR水平均高于老年女性体检者,血清总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)及低密度脂蛋白胆固醇(LDL-C)均低于老年女性体检者,差异均有统计学意义(P<0.05)。随着WHR的不断增加,血压、TC、LDL-C及BMI逐渐增加,HDL-C逐渐降低,差异有统计学意义(P<0.05)。Pearson相关分析显示:WHR与HDL呈极弱负相关(r=－0.105,95%CI:－0.120~－0.090);与收缩压、舒张压、TC、LDL-C、BMI呈极弱正相关(r为0.040~0.108,95%CI均不包含0)。偏相关分析(控制BMI后)显示:WHR与HDL-C的负相关减弱(r=－0.082,P<0.001),与血压、血脂的正相关未发生方向性改变(|r|<0.05)。W1组、W2组、W3组、W4组老年男性的WHR高于老年女性,差异均有统计学意义(P<0.05)。【结论】WHR与老年人的健康具有一定的关系,维持合理的WHR是老年人保持健康的基础。

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	顾一夫
	孟杨

关键词 ：腰臀比, 体格检查, 社区卫生服务, 人体质量指数, 老年人, 数据相关性

Abstract：【Objective】 To explore the correlation between waist-to-hip ratio (WHR) and blood pressure, blood lipids, and body mass index (BMI) among 17,655 elderly physical examinees in Qilian Community, Baoshan District, Shanghai. 【Methods】 A total of 17,655 elderly individuals who underwent physical examinations in Qilian Community, Baoshan District from March 2018 to November 2024 were selected. Their height, weight, waist circumference(WC), hip circumference(HC), and blood pressure were recorded, and WHR and BMI were calculated. Based on WHR, the elderly were divided into Group W1 (WHR < 0.8, n=365), Group W2 (0.8 ≤ WHR < 0.9, n=6469), Group W3 (0.9 ≤ WHR < 1.0, n=9885), and Group W4 (WHR ≥ 1.0, n=936). The WHR levels of each group were compared. Pearson linear correlation was used to evaluate the correlation between WHR and blood pressure, blood lipids, and BMI. 【Results】 The levels of BMI, systolic blood pressure, diastolic blood pressure, WC, HC, and WHR in elderly male examinees were higher than those in elderly female examinees, while serum total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were lower in elderly males than in elderly females, with statistically significant differences (all P<0.05). With the increase in WHR, blood pressure, TC, LDL-C, and BMI gradually increased, while HDL-C gradually decreased, and the differences were statistically significant (all P<0.05). Pearson correlation analysis showed that WHR had an extremely weak negative correlation with HDL-C (r=-0.105, 95%CI:-0.120--0.090); and extremely weak positive correlations with systolic blood pressure, diastolic blood pressure, TC, LDL-C, and BMI (r ranged from 0.040 to 0.108, with all 95%CI not containing 0). Partial correlation analysis (after controlling for BMI) revealed that the negative correlation between WHR and HDL-C weakened (r=-0.082, P<0.001), while the positive correlations between WHR and blood pressure/blood lipids did not change in direction (|r|<0.05). The WHR of elderly males in Group W1, Group W2, Group W3, and Group W4 was significantly higher than that of elderly females, with statistically significant differences (all P<0.05). 【Conclusion】 WHR is associated with the health of the elderly, and maintaining a reasonable WHR is the foundation for the elderly to maintain good health.

Key words： Waist-Hip Ratio Physical Examination Community Health Services Body Mass Index Aged Correlation of Data

收稿日期: 2025-11-28

中图分类号:

R443

基金资助:^*上海市宝山区科委医学卫生项目(2023-E-44)

通讯作者: ^**E-mail:654776388@qq.com

引用本文:

顾一夫, 孟杨. 上海市宝山区祁连社区17 655例老年体检者腰臀比与血压、血脂及体重指数的相关性分析^*[J]. 医学临床研究, 2026, 43(4): 555-558.
GU Yifu, MENG Yang. Correlation Analysis between Waist-to-Hip Ratio and Blood Pressure, Blood Lipids, and Body Mass Index among 17,655 Elderly Physical Examinees in Qilian Community, Baoshan District, Shanghai. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 555-558.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.04.008 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I4/555

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