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題名 | Overweight and Clustering of Cardiovascular Risk Factors among Freshmen at a National University in Hualien County=花蓮縣某一國立大學新生體重過重與心血管疾病危險因素聚合盛行的調查 |
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作者 | 李燕鳴; 傅振宗; 葉日弌; Li, Yin-ming; Fu, Chen-chung; Yeh, Jih-i; |
期刊 | 慈濟醫學 |
出版日期 | 20051000 |
卷期 | 17:5 民94.10 |
頁次 | 頁323-329+383 |
分類號 | 415.599 |
語文 | eng |
關鍵詞 | 過重; 體質指數; 心血管疾病危險因素; 大學新生; 花蓮縣; Overweight; Body mass index; Cardiovascular risk factors; Freshmen; Hualien; |
中文摘要 | 目的:為評估大學新生的過重和聚集相關心血管疾病危險因素的狀況。材料與方法:在2001年花蓮縣內一所國立大學新生在入學時進行健康檢查,每一位學生由曾接受訓練之同仁測量身高、體重和血壓,同時接受空腹生化血液檢驗。血壓偏高(≥130/85 mmHg)、高膽固醇值(血漿總膽固醇≥200 mg/dL)、三酸甘油酯值(150 mg/dL)界定為心血管疾病。結果:在876位大學新生中有25.6%是過重(體重指數≥25),其中男生28.7%、女生20.4%;整體中14.7%是有血壓上升、16.5%高膽固醇值、和2.1%高血脂。在過重男生中約三分之一是有血壓偏高和高膽固醇值,及59.1%高血尿酸值。過重女生亦高風險出現心血管疾病危險因素(血壓偏高14.3%,高膽固醇值11.4%,血尿酸值偏高34.3%)。可見在過重男性出現心血管疾病危險因素的聚集性較高,58.4%有一個或以上的危險因素。結論:過重在大學新生中普遍,且屬較高風險合併其他心血管疾病因素,故應及早發現和預防其中年期出現心血管疾病的發生。建議應用全國性的新生入學之健康檢查資料,可有助及早偵察及防制成年期心血管或代謝異常的發生。 |
英文摘要 | Objective: To investigate the prevalence of overweight and its associated cardiovascular disease (CVD) risk factors in university freshmen. Materials and Methods: A medical examination of freshmen at a national University was conducted in 2001. Well-trained staff measured students' weight, height and blood pressure (BP). Each student also had a fasting biochemical blood test. An elevated BP (≥130/85 mmHg), high total serum cholesterol (TCHO) level (≥200mg/dL), and triglycerides (TG) level ≥ 150 mg/dL were defined as biochemical CVD risk factors. Results: Of 876 freshmen, the overall prevalence of overweight (body mass index ≥25) students was 25.6%, 28.8% in the men and 20.4% in the women. Altogether, 14.7% had an elevated BP, 16.5% had a high TCHO and 2.1% had high triglycerides. About one third of overweight men had an elevated BP or high TCHO level and 59.1% had hyperuricemia. Overweight women also had increased risk with CVD risk factors (elevated BP 14.3%, high TCHO 11.4%, hyperuricemia 34.3%). Clustering of CVD risk factors was more common in overweight men, 58.4% of who had one or more risk factors. Conclusions: Overweight was common among freshmen and was more likely associated with biochemical CVD risk factors. Early detection and intervention is needed to forestall the development of cardiovascular disease as these young adults mature. We suggest that medical examination data in Taiwan may be helpful in the early detection and prevention of adult cardiovascular and metabolic disorders. |
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