Relationship of the blood pressure, glucose, and lipid with obesity in adult Tibetans in urban area of Xigaze in Tibet_West China Medical Journal

Authors：

Labapianduo ¹ ,  SUN Shuyao ² , Suolangpianduo ³ , WU Yunhong ² , HE Hua ²

1. Physical Center, Xigaze People’s Hospital, Xigaze, Tibet 857000, P. R. China;
2. Department of Endocrinology and Metabolism, Hospital of Chengdu Office of People’s Government of Tibetan Autonomous Region, Chengdu, Sichuan 610041, P. R. China;
3. Emergency Center, Xigaze People’s Hospital, Xigaze, Tibet 857000, P. R. China;

Corresponding?author：

SUN Shuyao, Email: ssyflying@163.com

Keywords：

Tibetan; Blood pressure; Glucose; Blood lipid; Body mass index; Waist circumference

DOI：

10.7507/1002-0179.201608168

Video：

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Objective To explore the relationship between obesity and the three targets including blood pressure, glucose, and lipid. Methods A total of 181 adult Tibetans who underwent physical examination between March and September 2015 at Xigaze People's Hospital were enrolled in this study. Their obesity degrees were assessed with body mass index (BMI) and waist circumference (WC) respectively. The levels of blood pressure, glucose, and lipid were compared at the different levels of BMI or WC. Results The incidence of systematic obesity and central obesity in these adults were 57.5% and 79.0%, respectively. Compared the overweight group with the normal BMI group, the systolic pressure and diastolic pressure of the former were 9.26 mm Hg (1 mm Hg=0.133 kPa) [95% confidence interval (CI) (3.46, 15.07) mm Hg, P=0.002] and 7.76 mm Hg [95%CI (3.96, 11.57) mm Hg, P<0.001] higher, respectively. Similarly, the systolic pressure and diastolic pressure of the central obesity group were 8.24 mm Hg [95%CI (1.03, 15.46) mm Hg,P=0.026] and 6.79 mm Hg [95%CI (2.03, 11.55) mm Hg, P=0.006] higher than those in the normal WC group, respectively. For the normal WC or normal BMI subjects, the detection rate of dyslipidemia reached up to 50.0% and 52.6%. Conclusions With the increase of BMI/WC values, the level of blood pressure rises. Even though WC or BMI is normal, the detection rate of dyslipidemia is high.

Citation： Labapianduo, SUN Shuyao, Suolangpianduo, WU Yunhong, HE Hua. Relationship of the blood pressure, glucose, and lipid with obesity in adult Tibetans in urban area of Xigaze in Tibet. West China Medical Journal, 2018, 33(5): 532-536. doi: 10.7507/1002-0179.201608168 Copy

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9.	Nguyen-Duy TB, Nichaman MZ, Church TS, et al. Visceral fat and liver fat are independent predictors of metabolic risk factors in men. Am J Physiol Endocrinol Metab, 2003, 284(6): E1065-E1071.
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11.	李志超, 伍佳, 黃鶴. 成都市中心城區居民血脂異常合并心血管危險因素的流行病學現狀研究. 華西醫學, 2015, 30(10): 1845-1848.
12.	孫獻周, 郭影, 申明慧, 等. 河南農村居民肥胖患病率與糖尿病、高血壓和血脂異常的關系. 鄭州大學學報: 醫學版, 2010, 45(3): 488-490.
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1. Rao G, Powell-Wiley TM, Ancheta I, et al. Identification of obesity and cardiovascular risk in ethnically and racially diverse populations: a scientific statement from the American heart association. Circulation, 2015, 132(5): 457-472.
2. 李曉萍, 宦徽, 鄔云紅, 等. 西藏日喀則地區 5 個自然村成人代謝疾病相關情況調查. 中國初級衛生保健, 2015, 29(1): 52-54.
3. 中國肥胖問題工作組. 中國成人超重和肥胖癥預防與控制指南(節錄). 營養學報, 2004, 26(1): 1-4.
4. 中華醫學會糖尿病學分會. 中國 2 型糖尿病防治指南(2017 年版). 中華糖尿病雜志, 2018, 10(1): 4-67.
5. 中華心血管病雜志編輯委員會血脂異常防治對策專題組. 《血脂異常防治建議》摘要. 遼寧實用糖尿病雜志, 2001, 9(1): 57-59.
6. 閆敏, 關志峰, 陳勇, 等. 西藏部分地區干部超重和肥胖患病情況與防治策略淺析. 實用預防醫學, 2007, 14(2): 296-300.
7. 張娟, 施小明, 梁曉峰. 2010 年中國城鄉居民超重和肥胖的直接經濟負擔分析. 中華流行病學雜志, 2013, 34(6): 598-600.
8. 陳曜, 陳恩強, 唐紅, 等. 體檢人群血脂和血糖檢測結果與體重指數的相關性分析. 華西醫學, 2010, 25(3): 487-490.
9. Nguyen-Duy TB, Nichaman MZ, Church TS, et al. Visceral fat and liver fat are independent predictors of metabolic risk factors in men. Am J Physiol Endocrinol Metab, 2003, 284(6): E1065-E1071.
10. 趙文華, 張堅, 由悅, 等. 中國 18 歲及以上人群血脂異常流行特點研究. 中華預防醫學雜志, 2005, 39(5): 306-310.
11. 李志超, 伍佳, 黃鶴. 成都市中心城區居民血脂異常合并心血管危險因素的流行病學現狀研究. 華西醫學, 2015, 30(10): 1845-1848.
12. 孫獻周, 郭影, 申明慧, 等. 河南農村居民肥胖患病率與糖尿病、高血壓和血脂異常的關系. 鄭州大學學報: 醫學版, 2010, 45(3): 488-490.
13. 龐金榮, 顏中. 西藏高原地區藏族人群血脂水平分析. 中華檢驗醫學雜志, 2010, 33(9): 856-861.

West China Medical Journal

Relationship of the blood pressure, glucose, and lipid with obesity in adult Tibetans in urban area of Xigaze in Tibet

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