Study on the correlation between TCM constitution and metabolism syndrome in middle and old age
Objective:To explore the correlation between metabolism syndrome(MS)and traditional Chinese medicine(TCM)constitution in middle-aged and elderly people,so as to provide a theoretical basis for preventing the occurrence of MS from the perspective of TCM constitution.Methods:From January 2022 to December 2022,a total of 4222 people who participated in community health examination at the Dazhangzhuang Town Community Service Center,Beichen District,Tianjin were enrolled and divided into the MS group(1588 cases)and the normal group(2634 cases).The diagnostic criteria referred to MS in Guideline for the prevention and Treatmeont of Type 2 Diabetes Mellitus in China(2020 edition)of Chinese Diabetes Society.According to the TCM Constitution Classification and Evaluation Table,The relationship between age,gen-der,body mass,blood pressure,blood glucose,blood lipids,liver function,chronic disease,lifestyle and MS was analyzed.the types of people's constitution were judged,and the relationship between MS and TCM constitution was analyzed by Logis-tic regression.Results:The number of patients with MS who participated in the health examination was 1588,and the preva-lence rate was 37.6%.Balanced constitution was the main type of constitution in both groups.Compared with the normal group,the proportion of phlegm-dampness and mixed constitution was increased in MS group,and the proportion of blood stasis and Yang deficiency constitution was decreased.With the increase of age,the proportion of phlegm-dampness in MS group decreased significantly,and the proportion of blood stasis and Yang deficiency constitution increased significantly.Compared with balanced constitution,phlegm-dampness constitution[OR=2.047,95%CI:(1.696-2.472)]and mixed con-stitution[OR=1.384,95%CI:(1.103-1.737)]were closely related to the incidence of MS.Phlegm-dampness and mixed constitution were positively correlated with waist circumference.Blood stasis and Yang deficiency constitution were nega-tively correlated with waist circumference.Phlegm-dampness constitution was negatively correlated with high density lipo-protein cholesterol(HDL-C),while blood stasis constitution was positively correlated with HDL-C.Phlegm-dampness con-stitution were positively correlated with hypertension.Conclusion:People with phlegm-dampness and mixed constitution are more likely to suffer from MS.
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