目的: 探讨体质指数( Body mass index，BMI) 与血压、血脂、血糖等的相关性，进一步论证BMI 与各代
谢指标动态变化的相互关系。方法: 回顾性分析2013 ～ 2016 882 例成年人的体检资料并进行动态比较。结果:
( 1) 第1a 男性空腹血糖受损( IFG) 、肥胖、高脂血症、高血压、高尿酸血症的患病率均高于女性( P＜0．05) ; ( 2) 第
1 a 体检人群BMI 与空腹血糖( FPG) 尚无相关关系( r = 0．194，P= 0．052) ，第4 a，两者出现了相关关系( r = 0．317，
P= 0．001) ; ( 3) 第1 a，与BMI＜24 kg /m2 组相比，BMI≥24 kg /m2 组人群TC、LDL、UA、SBP、DBP 均增高( t = －
3．75、－4．38、－0．36、－6．19、－4．55，均P＜0．05) ，HDL 降低( t = 4．05，P＜0．05) ; ( 4) 与FPG＜5．6mmol /L 组相比，FPG
≥5．6mmol /L 组UA 升高( t = －2．789，P＜0．05) ，HDL 降低( t = 2．349，P＜0．05) ; ( 5) 45～ 59 岁中年人群BMI、FPG 较
18～ 44 岁青年人群增加( F= 0．946、2．76，均P＜0．05) ; ( 6) 第4a，人群中TC 及LDL 水平较第1a 升高( t = －2．448、－
2．335，均P＜0．05) 。结论: 男性是代谢性疾病的高发人群，初始的超重对机体损害不明显，但随着时间的推移，逐
渐对人体健康产生了巨大影响。体重超标易患血压增高、IFG、高脂血症及高尿酸血症; FPG≥5．6mmol /L 人群已
存在部分代谢的改变; 年龄增加会伴随BMI、FPG 及胆固醇水平的增加。

Objective: To investigate the correlation between body mass index ( BMI) and blood
pressure，blood lipids and plasma glucose， in order to demonstrate the relationship of BMI and dynamic
changes of the metabolic indicators．Methods: The physical examination data of 882 adults who underwent
physical examinations in 2013 ～ 2016 were compared retrospectively and analyzed dynamically．
Ｒesults: ( 1) The prevalence of impaired fasting blood glucose( IFG) ，obesity，hyperlipidemia，hypertension
and hyperuricemia were higher in men than in women( P＜0．05) ; ( 2) There was no correlation between
BMI and FPG in the first year of physical examination( r = 0．194，P = 0．052) ．But in the fourth
year，a correlation was observed between them( r = 0．317，P = 0．001) ; ( 3) Compared with Group of BMI
＜24 kg /m2， the TC ( Total Cholesterol) ，LDL ( Low － Density Lipoprotein) ，UA ( Uric Acid) ，SBP
( Systolic Blood Pressure) and DBP( Diastolic Blood Pressure) in BMI≥24 kg /m2 Group were higher( t
= －3．75，－4．38，－0．36，－6．19，－4．55，P＜0．05) ; HDL( High－Density Lipoprotein) in BMI≥24 kg /m2
Group decreased significantly( t = 4．05，P＜0．05) ; ( 4) Compared with FPG＜5．6mmol /L Group，higher
UA( t = － 2．789，P ＜ 0．05) and lower HDL( t = 2．349，P ＜ 0．05) were observed in FPG≥5．6mmol /L
Group． ( 5) BMI and FPG of the middle－aged population ranged from 45 to 59 years－old increased in
comparison with those of the young population ranged from 18 to 44 years－old( F = 0．946，2
．76，all P＜
0．05) ． ( 6) At the fourth year， the TC and LDL levels of the population were higher than those in the
first year( t = －2．448and－2．335，all P＜0．05) ．Conclusion: Male is in a high risk for metabolic disease．
Initial obesity causes unobvious damage on the body initially，but gradually produces a huge impact on
human health over time．Overweight is a risk factor of hypertension， IFG，hyperlipidemia and hyperuricemia．
The population of FPG≥5．6mmol /L has somewhat metabolic changes．BMI、FPG and TC increases
with age．

Ｒ58

 收稿日期: 2017－11－09; 修回日期: 2018－01－10
基金项目: 内蒙古自治区自然科学基金项目( 2016MS( LH) 0803)
作者简介: 薛梦若( 1990－) ，女，内蒙古医科大学2014 级在读硕士研究生。
通讯作者: 闫朝丽，主任医师，教授，E－mail: aliceyzl@ 126．com 内蒙古医科大学附属医院内分泌科， 010050