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

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.