| 朱燕波,骆晓霞,王琦.中国9省市中老年人群体重指数与健康相关生命质量的关系[J].Chinese journal of Epidemiology,2009,30(7):687-691 |
| 中国9省市中老年人群体重指数与健康相关生命质量的关系 |
| Study on the relationship betweeen body mass index and health—related quality of life in middle—aged or older Chinese adults |
| Received:March 02, 2009 |
| DOI：10.3760/cma.j.issn.0254-6450.2009.07.010 |
| KeyWord: 体重指数 中老年人 健康相关生命质量 |
| English Key Word: Body mass index Middle, aged and older adults Health, related quality of life |
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| Abstract: |
| 目的 研究中国中老年人BMI与健康相关生命质量(HRQOL)的关系。方法 汇集9省市(江苏、安徽、甘肃、青海、福建、北京、吉林、汀两、河南)横断面健康状况调查巾老年人群数据共9539例。采用秩和检验比较BMl分类不同的中老年人生命质量的差异;用多元logistic回归模型检验排除性别、年龄、婚姻状况、学历、运动水平和慢性病史等混杂因素后, 中老年人BMl分类与生命质量的相关性。结果 与体重正常的中老年人相比, 体重过轻组sF.36的生理领域(PPPPPPPPOR=1.67, 95％CI：1.35—2.06)、心理领域(OR=1.39, 95％CI, ：1.13.1.70)以及所有8个维度生命质量减损的危险度显著增高;超重组心理领域(OR=O.86, 95％CI：0.78～0.95)及其生理职能、精力、社会功能、情感职能、精神健康维度生命质量受损的危险度显著降低;肥胖组生理机能维度(OR=1.51, 95％CI：1.27.1.80)受损的危险度显著增高。心理领域(OR=0.71, 95％CI：0.60～O.85)及其精力、情感职能、精神健康维度生命质量受损的危险度显著降低。结论 BMl分类不同的中老年人其sF一36各领域生命质量不同, 体重过轻组牛理领域和心理领域生命质量均较差, 超重和肥胖组心理领域生命质最较好, 肥胖组生理领域生命质量较差。超重和肥胖的中老年人生命质量的减损与慢性疾病有关。 |
| English Abstract: |
| Objective To study the association between body mass index(BMI)and the health.related quality of lire(HRQOL)in the middle.aged and older Chinese people.Methods Data of 9539 middle.aged and older adults was collected from a cross-sectional survey performed in 9 provinces of China(Jiangsu, Anhui, Gansu, Qinghai, Fujian, Beijing。Jilin。Jiangxi and Henan province).MOS SF-36 was used to measure HROoL.BMI classification was in accordance with the critcria recommended by the Ministry of Health of China.Rank sum test was used to compare HROOL between SUbjects with normal weight and those with different BMI classification.Multiple logistic regression analysis was used to assess the association of HR00L with BMI after adjusted for sex, age, marital, education, physical activity status and chronic diseases.Results When compared with middle.aged and elder adults at normal weight range(18.5≤BMI<24), data on physical domain(P<0.001), mental domain(P<0.01)and 8 dimensions of HROOL(physical functioning, mental health, PP<0.01)among subjects with overweight(BMI<18.5) were significantly lower while mcntal component summary(PPOR=1.67, 95%CI：1.35-2.06), mental domain(OR=1.39, 95%CI, 1.13-1.70)and 8 dimensions increased among underweight subjcots while 0Rs ofimpaired HROOL in mental domain(0R=0.86,95%CI：0.78-0.95)and role.physicaI.vitality, social functioning.role.emotional and mental health dimensions decreased among overweight suhjects.ORs increased(OR=1.51.95%CI：1.27-1.80)in impaired HROOL i11 physical functioning dimension but decreased i13 mental domain(OR=0.71, 95%CI,0.60-0.85)as well as vitality.role-emotional and mental health dimensions among obese subjects.Conclusion HROOL of each domain were different among middle aged and older adults with different BMl classification.Underweight people had poor HROOL in both physical domain and psychological domain.and obese people had poor physical function but good mental health condition. |
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