摘要
目的:比较医务工作者中,隐性肥胖人群与体脂正常人群人体成分、生化指标、运动素质等,并探讨其影响因素,为医务工作者健康管理提供依据.方法:选取2019-2020年参加体检且体质量指数(BMI)在18.5～24.9 kg/m2的北京某三甲医院医务工作者进行回顾性分析,共计1 521例(男性300例,女性1 221例).利用Inbody770人体成分分析仪检测体脂百分比(BF%),将男性BF%＜25%、女性BF%＜35%[2]的医务工作者分为正常组,共1 281例(男性236例,女性1 045例);将男性BF%≥25%、女性BF%≥35%[2]的医务工作者分为隐性肥胖组,共 240例(男性64例,女性176例).比较两组的人体成分、生化指标、运动素质等指标,通过多因素Logistic回归分析明确隐性肥胖的独立相关因素.结果:北京某三甲医院医务工作者的隐性肥胖比例为15.8%(240/1 521)其中男性隐性肥胖比例为21.3%(64/300),女性隐性肥胖比例为14.4%(176/1 221).隐性肥胖组人体成分分析检测中去脂体重、骨骼肌肉量明显低于正常组,腰臀比、内脏脂肪面积、臂围、腰围明显高于正常组.隐性肥胖组总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、尿酸、空腹血糖明显高于正常组.隐性肥胖组的中年男性左手握力、青年男性右手握力、中年女性双手握力、青年男性纵跳及中青年女性纵跳明显低于正常组.结论:北京某三甲医院医务工作者的隐性肥胖比例为15.8%.男性、运动强度较小、LDL-C较高、骨骼肌肉量下降、内脏脂肪面积升高是隐性肥胖的独立相关因素.
Abstract
Objective:To compare the body composition,biochemical indexes and exercise quality of normal weight obesity and normal body fat population among medical workers,and explore the influencing factors,so as to provide basis for health management of medical workers.Methods:A total of 1 521 medical workers(300 males and 1 221 females)from a third class hospital in Beijing with body mass index(BMI 18.5-24.9 kg/m2)who participated in physical examination in 2019-2020 were retrospectively analyzed.Inbody770 body composition analyzer was used to detect body fat percentage(BF%),and 1 281 medical workers with male BF%＜25%and female BF%＜35%were divided into normal group(236 males and 1 045 females).A total of 240 medical workers(64 males and 176 females)with male BF%≥25%and female BF%≥35%were divided into normal weight obesity group.The body composition,biochemical indicators,exercise quality and other indicators of the two groups were compared,and the independent related factors of normal weight obesity were identified by multivariate Logistic regression analysis.Results:The ratio of normal weight obesity among the medical workers in a third class hospital in Beijing was 15.8%(240/1 521),among which the ratio of normal weight obesity among males was 21.3%(64/300)and that of females was 14.4%(176/1 221).The fat free weight and skeletal muscle mass in the body composition analysis of the normal weight obesity group was significantly lower than that of the normal group.The waist-to-hip ratio,visceral fat area,arm circumference and abdominal circumference were significantly higher than those of the normal group.Total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),triglyceride(TG)and high density lipoprotein cholesterol(HDL-C),uric acid and fasting blood glucose in normal weight obesity group were significantly higher than normal group.The left hand grip strength of middle-aged men,right hand grip strength of young men,two-handed grip strength of middle-aged women,longitudinal jump of young men and longitudinal jump of middle-aged and young women in the normal weight obesity group were significantly lower than those in normal group.Conclusion:The proportion of normal weight obesity among medical workers in a third class hospital in Beijing was 15.8%.The results showed that male,low exercise intensity,high LDL-C,low skeletal muscle mass and high visceral fat area were independent correlation factors for normal weight obesity.
维普
万方数据