大專青年腰圍與血脂肪、血液流體力學之相關性研究

Correlation Study between Waist Circumference, Lipidemia and Hemodynamics among College Students

10.6516/TJTCM.2015.18(1)13

吳淑禎(Shu-Chen Wu)；呂萬安(Wan-An Lu)

帶脈 ； 腰圍 ； 血脂肪 ； 血液流體力學 ； waist circumference ； lipidemia ； hemodynamics ； dai meridian

中醫藥研究論叢

18卷1期（2015 / 03 / 30）

13 - 26

繁體中文

目的：藉由健康檢查分析大專學生腰圍、血脂肪與血液流體力學之相關性，提醒中醫界對於慢性疾病的關注以及重視腰圍與帶脈的研究。方法：選取宜蘭縣某大學一般新生及轉學新生，採匿名方式收集，資料包括年齡、性別、腰圍、總膽固醇、三酸甘油酯、收縮壓、舒張壓、脈搏壓及平均動脈壓等；統計方法為獨立樣本t檢定（Independent-samples t-test）、卡方檢定（Chi-square test）及Pearson's積差相關係數（Pearson product-moment correlation coefficients）。結果：男生666位、女生314位，女生之總膽固醇高於男生，男生之三酸甘油酯則高於女生，男生之收縮壓、舒張壓、脈搏壓及平均動脈壓皆高於女生；性別與腰圍（χ^2=9.35,p＜.01）、性別與三酸甘油酯（χ^2=14.00,p＜.001）、性別與收縮壓（χ^2=26.10,p＜.001）、性別與脈搏壓（χ^2=20.52,p＜.001）等皆達顯著差異，腰圍與膽固醇（r=.141,p＜.001）、腰圍與三酸甘油酯（r=.354,p＜.001）、腰圍與收縮壓（r=.140,p＜.001）、腰圍與舒張壓（r=.077,p＜.05）、腰圍與脈搏壓（r=.117,p＜.001）、腰圍與平均動脈壓（r=.122,p＜.001）等皆呈顯著正相關。結論：血壓與血脂肪皆隨著腰圍之增加而增加，腰圍或許可以作為高血脂症與高血壓風險的指標，其所代表的生理、病理意義似乎與中醫的帶脈之說有異曲同工之處，值得進一步探討。

Objectives: The purpose of this study was to investigate the correlation among waist circumference, lipidemia and hemodynamics of health examination in college students. Focus on chronic diseases and research emphasis on the waist circumference and dai meridian to remind practitioners of traditional Chinese medicine. Methods: Select freshman and transfer students in yilan county university, in accordance with health examination through anonymous methods. The collected data included age, gender, waist circumference, total cholesterol, triglyceride and hemodynamics. There were statistical methods in this study such as Independentsamples t-test, Chi-square test and Pearson product-moment correlation coefficients. Results: There were 666 college boys and 314 college girls in thie study. Total cholesterol of girls were significantly higher than boys, but the triglyceride of boys were significantly higher than girls. All the hemodynamics of boys were significantly higher than girls. Waist circumference, triglyceride, systolic pressure and pulse pressure were all significant difference from gender, the Chi-square test was 9.35 with p value ＜ 0.01 between waist circumference and gender, 14.00 with p value ＜ 0.001 between triglyceride and gender, 26.10 with p value ＜ 0.001 between systolic pressure and gender, 20.52 with p value ＜ 0.001 between pulse pressure and gender respectively. Total cholesterol, triglyceride, systolic pressure, diastolic pressure, pulse pressure and mean arterial pressure were all positive correlation from waist circumference with significant difference, the correlation coefficient was 0.141 with p value ＜ 0.001 between waist circumference and total cholesterol, 0.354 with p value ＜ 0.001 between waist circumference and triglyceride, 0.140 with p value ＜ 0.001 between waist circumference and systolic pressure, 0.077 with p value ＜ 0.05 between waist circumference and diastolic pressure, 0.117 with p value ＜ 0.001 between waist circumference and pulse pressure, and 0.122 with p value ＜ 0.001 between waist circumference and mean arterial pressure respectively. Conclusions: Hemodynamics and lipidemia were higher following the waist circumference increased. These indicated that the waist circumference might be the risk indicator of the hyperlipidemia and hypertension. The physiological and pathological representatives meaning of the waist circumference seems to match the dai meridian theory of traditional Chinese medicine, it was worth further study.

1. 吳一德、胡巧欣、吳志銘(2009)。大學新生身體質量指數與代謝症候群相關之研究。運動休閒餐旅研究，4，1-16。
   連結：
2. 李秋娓、黃怡婷、顏君瑋(2008)。大學新生健康問題及健康缺點分析研究。學校衛生，53，1-15。
   連結：
3. 陳昭源、林忠順、羅錦泉(2008)。某電子工廠員工中央型肥胖與心血管代謝相關因子間的關聯性研究。台灣家醫誌，18，100-110。
   連結：
4. 黃惠雪、吳明灝(2007)。東部某大學2002~2005 年大一學生健康檢查結果研究。學校衛生，50，87-106。
   連結：
5. 行政院衛生署：99 年度死因統計。http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=11962&class_no=440&level_no=4。引用2011/7/29。
6. WHO. Cardiovascular diseases (CVDs). Available at :http://www.who.int/mediacentre/factsheets/fs317/zh/index.html. Accessed August 31 , 2011.
7. 行政院衛生署： 如何定義成人肥胖標準。http://www.doh.gov.tw/CHT2006/DM/SEARCH_RESULT.aspx。引用2011/3/27。
8. 行政院衛生署：腰圍測量及判讀方法。http://www.bhp.doh.gov.tw/BHPnet/Portal/PressShow.aspx?No=200712250188。引用2010/6/27。
9. Abolfotouh, MA,Sallam, SA,Mohammed, MS,Loutfy, AA,Hasab, AA(2011).Prevalence of elevated blood pressure and association with obesity in egyptian school adolescents.Int J Hypertens,8,952537.
10. Appel, SJ,Jones, ED,Kennedy-Malone, L(2004).Central obesity and the metabolic syndrome: implications for primary care providers.J Am Acad Nurse Pract,16(8),335-342.
11. Chehrei, A,Sadrnia, S,Keshteli, AH,Daneshmand, MA,Rezaei, J.(2007).Chehrei A, Sadrnia S, Keshteli AH, Daneshmand MA, Rezaei J. Correlation of dyslipidemia with waist to height ratio, waist circumference, and body mass index in Iranian adults. Asia Pac J Clin Nutr. 2007 ; 16(2) : 248-253.Chehrei A, Sadrnia S, Keshteli AH, Daneshmand MA, Rezaei J. Correlation of dyslipidemia with waist to height ratio, waist circumference, and body mass index in Iranian adults. Asia Pac J Clin Nutr. 2007 ; 16(2) : 248-253,16(2),248-253.
12. Chu, NF,Wang, SC,Chang, HY,Wu, DM(2010).Medical services utilization and expenditure of obesity-related disorders in Taiwanese adults.Value in Health,13(6),829-836.
13. Collins, R,MacMahon, S(1994).Blood pressure, antihypertensive drug treatment and the risks of stroke and of coronary heart disease.Br Med. Bull,50(2),272-298.
14. Czernichow, S,Kengne, AP,Stamatakis, E,Hamer, M,Batty, GD(2011).Body mass index, waist circumference and waist-hip ratio: which is the better discriminator of cardiovascular disease mortality risk?: evidence from an individual-participant meta-analysis of 82 864 participants from nine cohort studies.Obes Rev,12(9),680-687.
15. Eastern Stroke and Coronary Heart Disease Collaborative Research Group(1998).Blood pressure, cholesterol, and stroke in eastern Asia.Lancet,352(9143),1801-1807.
16. Grundy, SM(2004).Obesity, metabolic syndrome, and cardiovascular disease.J Clin Endocrinol Metab,89(6),2595-600.
17. Gruson, E,Montaye, M,Kee, F,Wagner, A,Bingham, A,Ruidavets, JB,Haas, B,Evans, A,Ferrières, J,Ducimetière, PP,Amouyel, P,Dallongeville, J(2010).Anthropometric assessment of abdominal obesity and coronary heart disease risk in men: the PRIME study.Heart,96(2),136-140.
18. Hosseini-Esfahani, F,Mousavi Nasl Khameneh, A,Mirmiran, P,Ghanbarian, A,Azizi, F(2011).Trends in Risk Factors for Cardiovascular Disease Among Iranian Adolescents: The Tehran Lipid and Glucose Study, 1999-2008.J Epidemiol,21(5),319-328.
19. Hu, FB(2007).Obesity and mortality: watch your waist, not just your weight.Arch Intern Med,167(9),875-876.
20. Huang, TT,Kempf, AM,Strother, ML,Li, C,Lee, RE,Harris, KJ,Kaur, H(2004).Overweight and components of the metabolic syndrome in college students.Diabetes Care,27(12),3000-3001.
21. Li, C,Ford, ES,McGuire, LC,Mokdad, AH(2007).Increasing trends in waist circumference and abdominal obesity among US adults.Obesity,15(1),216-224.
22. Malnick, SD,Knobler, H(2006).The medical complications of obesity.QJM,99,565-579.
23. Nelson, TF,Gortmaker, SL,Subramanian, SV,Cheung, L,Wechsler, H(2007).Disparities in overweight and obesity among US college students.Am J Health Behav,31(4),363-373.
24. Pinto-Sietsma, SJ,Navis, G,Janssen, WM,de Zeeuw, D,Gans, RO,de Jong, PE,PREVEND Study Group(2003).A central body fat distribution is related to renal function impairment, even in lean subjects.Am J Kidney Dis,41(4),733-741.
25. Power, C,Lake, JK,Cole, TJ(1997).Body mass index and height from childhood to adulthood in the 1958 British born cohort.Am J Clin Nutr,66,1094-1101.
26. Reeder, BA,Senthilselvan, A,Despres, JP(1997).The association of cardiovascular diseaserisk factors with abdominal obesity in Canada.Can Med Assoc J,157,39-45.
27. Sagi, R,Reif, S,Neuman, G,Webb, M,Phillip, M,Shalitin, S(2007).Nonalcoholic fatty liver disease in overweight children and adolescents.Acta Paediatr,96,1209-1213.
28. Shahraki, T,Shahraki, M,Roudbari, M(2009).Waist circumference: a better index of fat location than WHR for predicting lipid profile in overweight/obese Iranian women.East Mediterr Health J,15(4),899-905.
29. Yen, SL,Chiu, TY,Lin, YC,Lee, YC,Lee, LT,Huang, KC(2008).Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen.Int J Obes,32(3),474-480.
30. 世界針聯(2008)。論經絡的實質。WFAS20周年論文集
31. 台灣肥胖醫學會(2004)。肥胖臨床診斷與治療。台北:台灣肥胖醫學會。
32. 行政院衛生署(2005)。臺灣地區2010年衛生指標白皮書。台北:行政院衛生署。
33. 行政院衛生署(2011)。健康生活動起來手冊：健康100 臺灣動起來。台北:行政院衛生署國民健康局。
34. 行政院衛生署(1998)。臺灣常見食品營養圖鑑。台北:行政院衛生署。
35. 吳德敏、申慕韓、楊世賢(2005)。年輕肥胖男性心血管疾病危險因子聚集現象：以健康檢查族群為例。中華職業醫學雜誌，12，215-217。
36. 宋立勤、王志鴻(2008)。代謝症候群中血脂異常的治療：實證醫學的證據。內科學誌，19，305-317。
37. 林冠品、解光輝、郭志宏、陳伯中、熊德筠(2009)。醫護學院新生肥胖與代謝症候群脂探討。護理與健康照護研究，5，1-16。
38. 洪彰鴻、李秋淑、高文揚(2010)。中部某大學2005~2008 年新生健康檢查結果分析。勤益人文社會學刊，1，145-169。
39. 郗亞薇、楊曉倩、湯立新(2013)。帶脈理論探析。北京中醫藥大學學報（中醫臨床版），20，58-60。
40. 梁翠梅、胡慧、李媛媛(2013)。帶脈論治代謝綜合征腹型肥胖思路分析。中醫藥學報，41，3-5。
41. 梁翠梅、胡慧、李媛媛(2012)。通調帶脈法針刺治療腹型肥胖療效觀察。針刺研究，37，493-496。
42. 劉家鴻、吳岱穎、郭冠良、陳建志、林光宇、黃惠娟(2005)。過重與肥胖。基層醫學，20，219-231。

1. 陳旺全、呂萬安、吳淑禎(2018)。宜蘭縣大專青年腰臀圍比與血脂肪、血液流體力學之相關性研究。中醫藥研究論叢，21(1)，15-28。