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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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

Received: 28 November 2025

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	GU Yifu
	MENG Yang

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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[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(4): 555-558.

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

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