中文摘要：

目的：探讨河南省农村居民不同肥胖类型人群代谢异常的差别。方法：采用随机整群抽样的方法抽取河南省某农村18岁以上常住居民1158人进行横断面调查。根据体质指数（BMI）和腰围（WC）将其分为正常组、全身性肥胖组、中心性肥胖组和复合型肥胖组。对年龄、血压、血糖、总胆固醇、甘油三酯、高密度脂蛋白及低密度脂蛋白进行分析,对多代谢异常进行聚集性分析。结果：男性的高血压、高总胆固醇、低高密度脂蛋白的患病率均低于女性（P〈0.05）,男性的血脂异常率（58.6%）低于女性（65.9%）（χ2=6.642,P=0.010）。男性人群中,只有1种代谢异常时中心性肥胖组高血脂患病率最高（χ2=10.669,P=0.014）,复合型肥胖组合并高血压、高血脂的患病率和合并高血糖、高血脂的患病率均较高（χ2=12.601,P=0.006;χ2=25.922,P〈0.001）,合并3种代谢异常时全身性肥胖组的患病率较高（χ2=27.431,P〈0.001）。女性人群中,复合型肥胖组合并高血压、高血脂的患病率较高（χ2=35.637,P〈0.001）,合并3种代谢异常时复合型肥胖组的患病率较高（χ2=34.477,P〈0.001）。多重线性回归分析显示WC标准偏回归系数多大于BMI。结论：河南省农村居民肥胖人群多代谢异常患病率较高,多代谢异常个体聚集现象严重;人群多代谢异常与中心性肥胖关系更密切。

英文摘要：

Aim： To explore the difference of multiple metabolic disorders in the residents with varied type obesity from Henan rural area. Methods：A total of to 1 158 permanent residents over 18 years were extracted from some villages in the west of Henan by random cluster sampling. The samples were classified into the normal group, overall obesity group,central obesity group and compound obesity group according to BMI and WC. We analyzed age, blood pressure, blood glu- cose, total cholesterol, triglycerides, high density lipoprotein cholesterol and low density lipoprotein cholesterol and multi- ple metabolic disorders clustering. Results：The prevalences of men＇s high blood pressure, high total cholesterol, low high density lipoprotein cholesterol were lower than those of women （P 〈 0.05 ） , dyslipidemia prevalence of male was lower than women （58.6% , 65.9% ;X2 =6. 642, P = 0. 010）. For male, the hyperlipaemia prevalence in central obesity group was highest（x2 = 10. 669, P = O. 014） , the prevalence of merging hypertension with hypertipaemia and that of merging hyper- glycemia with hyperlipaemia were higher in compound obesity group（/y2 = 12. 601, P =0.006; X2 =25. 922, P 〈0.001 ）, the prevalence of merging three kinds of multiple metabolic disorders was higher in overall Obesity group（x2 = 27. 431, P 〈 0.001）. For female; the prevalence of merging hypertension with hyperlipaemia was higher in compound obesity group （X2 = 35. 637, P 〈 0. 001 ） , the prevalence of merging three kinds of multiple metabolic disorders was higher in compound obesity group （X2 = 34. 477, P 〈 O. 001 ）. Multiple liner regression analysis showed standard partial regression coefficient of WC was higher than BMI. Conclusion： The prevalence of multiple metabolic disorders in Henan rural area is higher and multiple metabolic disorders cluster seriously; the multiple metabolic disorders are correlated with obesity type, and the central obesity is closely correlated.