平原就读的藏族与汉族腹型肥胖大学生心肺功能比较研究*

doi:10.12047/j.cjap.6198.2022.030

中国应用生理学杂志 ›› 2022, Vol. 38 ›› Issue (2): 131-136.doi: 10.12047/j.cjap.6198.2022.030

平原就读的藏族与汉族腹型肥胖大学生心肺功能比较研究^*

陈婷¹, 史展雨¹, 申艳¹, 王叶秋¹, 赵昕^2△

1.西藏民族大学高原体育与健康研究中心, 陕西咸阳 712082;
2.咸阳市中心医院, 陕西咸阳 712000

收稿日期:2021-03-17 修回日期:2021-12-17 出版日期:2022-03-28 发布日期:2022-08-29
通讯作者: ^△Tel: 18791901293; E-mail: 821878981@qq.com
基金资助:
^*国家自然科学基金项目(82060422);西藏自治区教育厅重大委托课题子项目

Comparison of cardiopulmonary function between Tibetan and Han obese abdominal college students in plain area

CHEN Ting¹, SHI Zhan-yu¹, SHEN Yan¹, WANG Ye-qiu¹, ZHAO Xin^2△

Received:2021-03-17 Revised:2021-12-17 Online:2022-03-28 Published:2022-08-29

摘要/Abstract

摘要： 目的: 探讨腹型肥胖对平原就读藏汉族大学生心肺功能影响的差异研究。方法: 选取在校男性大学生96人,依照BMI和WC分类标准,分为藏族腹型肥胖组 (TA)、藏族对照组(TC)、汉族腹型肥胖组(HA)、汉族对照组(HC)各24名。使用心脏彩色多普勒超声检查仪检测超声心动图,检测心脏结构和AV、PV、MVE、MVA、TVE、TVA等心功能指标。检测VC、FVC、FEV1、PEF、MMF、MVV等肺功能指标。检测身体形态学,血液和脂肪肝状况等基础指标。结果: 腹型肥胖对血压的影响:与TC组相比,TA组SBP显著增加 (P＜0.01 );与HC组相比,HA组SBP和DBP均显著增加 (P＜0.01,P＜0.05 )。腹型肥胖对心功能的负性影响:与TC组相比,TA组AV和PV显著减慢(P均＜0.01);与HC组相比,HA组IVSA显著增大(P＜0.05 )。腹型肥胖对肺功能的负性影响:与TC组相比,TA组MMF和肺活量/体重水平显著降低(P＜0.05);与HC组相比,HA组FEV1、FEV1%、PEF、MMF、MVV、MVV%和肺活量/体重水平均显著降低(P均＜0.05)。相关性结果显示:TA组SBP与BMI、WC呈正相关(r均=0.6,P＜0.05);MPAID与BMI、WC、WHtR呈正相关(r均=0.6,P＜0.05);AV与WC呈负相关(r=-0.6,P＜0.05);PV与BMI(r=-0.8,P＜0.01)、BFR(r=-0.7,P＜0.01)、WC(r=-0.7,P＜0.05)、WHR(r=-0.7,P＜0.05)、WHtR(r=-0.7,P＜0.01)呈负相关;TVE与BMI呈负相关(r=-0.6,P＜0.05);MVV与BFR(r=-0.9,P＜0.05)、WC(r=-0.6,P＜0.05)呈负相关。结论: 腹型肥胖可导致平原就读藏族大学生心肺功能下降,主要表现为主肺动脉流速和最大呼气中段流量降低,收缩压增加。腹型肥胖对藏汉族大学生心肺功能影响存在差异,对藏族血压、室间隔搏幅和肺功能的负性影响小于汉族。藏族腹型肥胖大学生身体形态学指标与心肺功能呈负相关,其中BMI、WC与心脏功能指标相关性较为密切,BFR与肺通气功能指标相关性较为密切。

关键词: 腹型肥胖, 藏族大学生, 心肺功能, 心脏结构, 身体形态学指标

Key words: abdominal obesity, Tibetan college students, cardiopulmonary function, cardiac structure, morphological index of body

中图分类号:

陈婷, 史展雨, 申艳, 王叶秋, 赵昕. 平原就读的藏族与汉族腹型肥胖大学生心肺功能比较研究^*[J]. 中国应用生理学杂志, 2022, 38(2): 131-136.

CHEN Ting, SHI Zhan-yu, SHEN Yan, WANG Ye-qiu, ZHAO Xin. Comparison of cardiopulmonary function between Tibetan and Han obese abdominal college students in plain area[J]. CJAP, 2022, 38(2): 131-136.

参考文献

[1] Zhang LF, Wang ZW ,Wang X, et al. Prevalence of abdominal obesity in China: Results from a cross-sectional study of nearly half a million participants[J]. Obesity, 2019, 27(11): 1898-1905.
[2] 邵威, 费加明. 不同运动方式对肥胖青少年减肥效果的比较[J]. 中国应用生理学杂志, 2017, 33(3): 211-213.
[3] Wouters EF. Obesity and metabolic abnormalities in chronic obstructive pulmonary disease[J]. Ann Am Thorac Soc, 2017, 14(5): 389-394.
[4] Silvestre OM, Nadruz W, Querejeta RG, et al. Declining lung function and cardiovascular risk: The ARIC study [J]. Am Coll Cardiol, 2018, 72(10): 1109-1122.
[5] Son JW, Sung JK, Lee JW, et al. Abdominal obesity and structure and function of the heart in healthy male Koreans: The ARIRANG study[J]. Medicine(Baltimore), 2016, 95(39): e4930.
[6] 王纯, 邵平. 西藏自治区世居藏族青年BMI与身体机能指标和素质指标的相关性分析[J]. 中国体育科技, 2016, 52(2): 62-70.
[7] Garvey WT, Mechanick JI, Brett EM, et al. American association of clinical endocrinologists and American college of endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity[J]. Endocr Pract, 2016, 22(3): 1-203.
[8] 王旭萍. 高原移居人群返回平原后高原脱适应证的诊断标准:多中心、随机对照研究[J]. 高原医学杂志, 2012, 22(2): 43.
[9] Xu S, Jia YZ, Li b, et al. Prevalence and clustering of cardiovascular disease risk factors among Tibetan adults in China: A population-based study.[J]. PloS one, 2015, 10(6): e0129966.
[10] 黄永寿, 阮元. 云南省三种民族肥胖现状及利用ROC曲线对高血压进行预警研究[J]. 卫生软科学, 2019, 33(3): 74-78.
[11] Shirasawa T, Ochiai H, Yoshimoto T, et al. Associations between normal weight central obesity and cardiovascular disease risk factors in Japanese middle-aged adults: a cross-sectional study[J]. Health Popul Nutr, 2019, 38(4): 46.
[12] Lee TC, Jin Z, Homma S, et al. Changes in left ventricular mass and geometry in the older adults: Role of body mass and central obesity[J]. Am Soc Echocardiogr, 2019, 32(10): 1318-1325.
[13] Pan J, Xu L, Lam TH, et al. Association of obesity with pulmonary function in older Chinese: Guangzhou Biobank Cohort Study[J]. Respir Med, 2017, 132: 102-108.
[14] Kim HY, Kim JK, Shin GG, et al. Association between abdominal obesity and cardiovascular risk factors in adults with normal body mass index: Based on the Sixth Korea National Health and Nutrition Examination Survey.[J]. Obes Metab Syndr, 2019, 28(4): 262-270.
[15] Slamkova M, Zorad S, Krskova K, et al. Alternative rcnin-angiotcnsin system pathways in adipose tissue and their role in the pathogenesis of obesity [J]. Endocr pucgul, 2016, 50(4): 229-240.
[16] Sonpeayung R, Tantisuwat A, Janwantanakui P, et al. Total and compartmental chest wall volumes, lung function, and respiratory muscle strength in individuals with abdominal obesity: Effects of body positions[J]. Obesity, 2019: e9539846.
[17] Walid A, Ezeddin SG, Rania A, et al. The Effect of obesity on pulmonary function testing among the Jordanian population [J]. Curr Respir Med Rev, 2018, 14(2): 89-94.
[18] He H, Wang B, Zhou M, et al. Systemic inflammation mediates the associations between abdominal obesity indices and lung function decline in a Chinese general population[J]. Diabetes Metab Syndr Obes, 2020, 13: 141-150.
[19] 屈雯慧. 18周体育舞蹈训练对隐性肥胖女大学生体成分及骨密度的影响[J]. 中国应用生理学杂志, 2020, 36(1): 82-84.
[20] Kawabata R, Soma Y, Kudo Y, et al. Relationships between body composition and pulmonary function in a community-dwelling population in Japan[J]. PLoS One, 2020, 15(11): e0242308.
[21] Enhao Z, Jihang Z, Jun J, et al. Variants of the low oxygen sensors EGLN1 and HIF-1AN associated with acute mountain sickness[J]. Int Mol Sci, 2014, 15(12): 21777-21787.

平原就读的藏族与汉族腹型肥胖大学生心肺功能比较研究^*

Comparison of cardiopulmonary function between Tibetan and Han obese abdominal college students in plain area

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 2

编辑推荐

Metrics

本文评价

[1]	芦劼明, 刘善云, 孙鹏, 李乌兰, 连志强. 不同压力血流限制结合低强度抗阻训练对大学生下肢肌肉及心肺功能影响^*[J]. 中国应用生理学杂志, 2020, 36(6): 595-599.
[2]	范斌. 不同步数的健步走对男性中老年人健身的效果[J]. 中国应用生理学杂志, 2018, 34(2): 126-129.