目的:了解延边地区朝鲜族和汉族居民的脂肪分布特征及其与血压、血脂及血糖的关系。方法:于2006—08—8/17在延边地区九龙和翁声社区随机选择40—60岁朝鲜族和汉族常住居民2378名进行内脏脂肪率和体脂肪率以及血压、血脂、血糖等生化指标的检测。调查以健康体检形式进行,①内脏脂肪和体脂肪率测定采用日本TANITA株式会社生产的BC-600型体成分计测定,并且按其判定标准确定超过标准者[内脏脂肪率≥15%(男)、≥10%(女),体脂肪率(40-59岁)≥23%(男)、≥36%(女),体脂肪率(≥60岁)≥25%(男)、≥37%(女)]。②取清晨空腹(禁食12h)静脉血,采用日立-7600—010全自动生化分析仪测量血清总胆固醇、三酰甘油、高密度脂蛋白胆固醇、空腹血糖等指标。③高血压的诊断标准:收缩压≥140mmHg(1mmHg=0.133kPa)及或舒张压≥90mmHg。④血脂异常的诊断标准:总胆固醇≥5.72mmol/L,三酰甘油≥1.7mmol/L,高密度脂蛋白胆固醇〈0.90mmol/L(男)、〈1.0mmol/L(女)。⑤高血糖的诊断标准:空腹血糖≥6.1mmol/L。结果:①汉族男性的内脏脂肪率和体脂肪率均值分别为(10.51±3.66)%和(22.70±4.85)%,朝鲜族男性分别为(9.16±3.81)%和(20.28±5.02)%,汉族均高于朝鲜族(P〈0.01);汉族女性的内脏脂肪率和体脂肪率分别为(6.22±2.27)%和(35.31±5.65)%,朝鲜族女性分别为(5.88±2.19)%和(34.00±5.72)%,汉族均高于朝鲜族(P〈0.01)。②汉族男性的内脏脂肪率和体脂肪率超标率分别为12.1%和45.8%,朝鲜族男性分别为7.8%和28.6%,汉族均高于朝鲜族(P〈0.05);汉族女性的内脏脂肪率和体脂肪率超标率分别为6.7%和47.9%,朝鲜族女性分别为3.8%和37.3%,汉族均高于朝鲜族(
AIM: To analyze the relationship between the distribution of fat and blood pressure, blood fat, and plasma glucose among Han and Korean populations in Yanbian area. METHODS: This survey was carried out during August 8^th and 17^th in 2006 among 2 378 residents selected randomly from two towns of Yanbian area, where the Han and Korean residents aged 40-60 years participated in health examination. Their blood pressure, blood fat, plasma glucose, visceral fat percentage, and body fat percentage were measured.(1)BC-600 body composition detector, produced by Japan TANITA company, was used to measure and rank the visceral fat percentage and body fat percentage: Visceral fat percentage ≥ 15% (male) and ≥ 10% (female), body fat percentage (40-59 years old) ≥ 23% (male) and ≥ 36% (female), body fat percentage (≥ 60 years old) ≥ 25% (male) and ≥ 37% (female).(2)Fasting venous blood was sampling in the moming for detecting total cholesterol (TC), triacylglycerol (TG), high-density lipoprotein cholesterol (HDLC) and fasting plasma glucose (FPG).(3)Hypertension: blood systolic pressure ≥ 140 mm Hg (1 mm Hg=0.133 kPa) and/or diastolic pressure ≥ 90 mm Hg.(4)Lipid abnormality: TC ≥ 5.72 mmol/L, TG ≥ 1.7 mmol/L, HDLC 〈 0.90 mmol/L (male) and 〈 1.0 mmol/L (female).(5)High plasma glucose: FPG ≥ 6.1 mmol/L. RESULTS. (1)The mean visceral fat and body fat percentages were (10.51±3.66)% and (22.70±4.85)% in the males of Han nationality, (9.16±3.81)% and (20.28±5.02) in those of Korean nationality, respectively, which were significantly higher in Han nationality than in Korean nationality (P 〈 0.01); For female, the two targets were (6.22±2.27)% and (35.31 ±5.65) in Han, (5.88±2.19)% and (34.00±5.72)% in Korean, respectively, which were significantly higher in Han than in Korean (P〈 0.01). (2)The prevalence rates of high visceral fat and high body fat were 12