1.上海中医药大学附属岳阳中西医结合医院治未病中心(上海 200437)
韩燕,女,硕士,主治医师,主要从事中医治未病临床研究工作
杨月嫦,副主任医师;E-mail: yyyyzwb_yyc@163.com
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韩燕,杨月嫦,周扬,等.超重/肥胖与中医体质相关性的横断面研究[J].上海中医药杂志,2022,56(10):24-28.
HAN Yan,YANG Yuechang,ZHOU Yang,et al.A cross⁃sectional study of correlation between overweight/obesity and traditional Chinese medicine body constitution[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(10):24-28.
韩燕,杨月嫦,周扬,等.超重/肥胖与中医体质相关性的横断面研究[J].上海中医药杂志,2022,56(10):24-28. DOI: 10.16305/j.1007-1334.2022.2204077.
HAN Yan,YANG Yuechang,ZHOU Yang,et al.A cross⁃sectional study of correlation between overweight/obesity and traditional Chinese medicine body constitution[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(10):24-28. DOI: 10.16305/j.1007-1334.2022.2204077.
目的,2,采用横断面调查研究方法,探讨超重/肥胖与中医体质的相关性,寻找可能影响超重/肥胖的中医体质因素,为超重/肥胖的临床防控提供依据。,方法,2,选择上海中医药大学附属岳阳中西医结合医院体检中心的体检客户为调查对象,收集性别、年龄、婚姻状况、籍贯等一般人口学特征信息,采用超声波电子人体秤测量身高、体质量,并由此获得体质量指数(BMI)数据,借助中医体质辨识软件判断中医体质类型,运用logistic回归模型分析超重/肥胖与一般人口学特征、中医体质之间的相关性。,结果,2,①纳入761例研究对象,其中BMI≥24者303例,设为超重/肥胖组,18.5≤BMI,<,24者458例,设为正常体重组;两组性别分布比较,差异有统计学意义(,P,<,0.05)。②两组均以兼夹体质多见,单一体质偏少。与正常体重组相比,超重/肥胖组阳虚质、血瘀质较少,痰湿质、湿热质较多,差异有统计学意义(,P,<,0.05)。在男性亚组中,两组阳虚质、痰湿质、特禀质判定情况比较,差异有统计学意义(,P,<,0.05);在女性亚组中,两组阳虚质、痰湿质判定情况比较,差异有统计学意义(,P,<,0.05)。③logistic回归分析结果显示,校正性别和9种中医体质相互混杂因素作用后,超重/肥胖与性别[,OR,=3.39,95%,CI,(2.41~4.76),,P,<,0.001]、阳虚质[,OR,=0.46,95%,CI,(0.27~0.79),,P,=0.004]、倾向是痰湿质[,OR,=2.37,95%,CI,(1.20~4.69),,P,=0.013]、痰湿质[,OR,=3.35,95%,CI,(2.01~5.57),,P,<,0.001]有关。,结论,2,超重/肥胖可能与多种中医体质类型相关,其中与痰湿质、阳虚质相关的可能性最大。
Objective,2,To investigate the correlation between overweight/obesity and traditional Chinese medicine (TCM) constitution, to find TCM constitution factors that may affect overweight/obesity, and to provide a basis for clinical prevention and control of overweight/obesity based on a cross-sectional survey study.,Methods,2,The clients of the physical examination center of Yueyang Hospital of Integrative Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine were selected as the subjects of the survey, and data on general demographic characteristics such as gender, age, marital status, and place of origin were collected. Digital ultrasonic electronic body scales were used to measure height and body mass, and body mass index (BMI) was calculated. The type of TCM constitution was evaluated with the TCM constitution identification software. Logistic regression model was used to analyze the correlation between overweight/obesity and general demographic data and TCM constitution.,Results,2,①Totally 761 subjects were included, among which 303 cases (BMI≥24) were categorized as overweight/obesity group, and 458 cases (18.5≤BMI,<,24) were categorized as normal weight group. There was significant difference in gender distribution between the two groups (,P,<,0.05). ②Participants in both groups often possessed two or more constitutional types, and seldom had just one type. Compared with the normal weight group, the overweight/obesity group had less yang deficiency constitution and blood stasis constitution, but more phlegm dampness constitution and damp heat constitution, and the differences were statistically significant (,P,<,0.05). In the male subgroup, there were significant differences in the prevalence of yang deficiency constitution, phlegm dampness constitution and special endowment constitution between the two groups (,P,<,0.05); In the female subgroup, there were significant differences in the prevalence of yang deficiency constitution and phlegm dampness constitution between the two groups (,P,<,0.05). ③Logistic regression analysis adjusted for the gender and 9 TCM constitutions that confounded each others showed that overweight/obesity was correlated with gender [,OR,=3.39,95%,CI,(2.41~4.76),,P,<,0.001], yang deficiency constitution [,OR,=0.46,95%,CI,(0.27~0.79),,P,=0.004], phlegm dampness constitution inclination [,OR,=2.37,95%,CI,(1.20~4.69),,P,=0.013], and phlegm dampness constitution [,OR,=3.35,95%,CI,(2.01~5.57),,P,<,0.001].,Conclusion,2,Overweight/obesity may be correlated with a variety of TCM constitution types, with the greatest correlation with phlegm-damp constitution and yang-deficiency constitution.
超重肥胖中医体质体质量指数痰湿质阳虚质横断面研究
overweightobesityTCM constitutionbody mass indexphlegm-damp constitutionyang deficiency constitutioncross-sectional study
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