|本期目录/Table of Contents|

[1]朱丽冰 王济 朱燕波 李英帅 李玲孺 郑燕飞 张惠敏 白明华 王琦.体重指数与中医体质类型的相关性探析[J].环球中医药,2017,10(02):164-169.[doi:10.3969/j.issn.1674-1749.2017.02.008]
　ZHU Libing,WANG Ji,ZHU Yanbo,et al.Explore and analyze the correlation between body mass index and traditional Chinese medicine constitution[J].,2017,10(02):164-169.[doi:10.3969/j.issn.1674-1749.2017.02.008]
点击复制

体重指数与中医体质类型的相关性探析()
     
分享到：

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第10卷
期数:
2017年02期
页码:
164-169
栏目:
论著
出版日期:
2017-01-06

文章信息/Info

Title:
Explore and analyze the correlation between body mass index and traditional Chinese medicine constitution
作者:
朱丽冰 王济 朱燕波 李英帅 李玲孺 郑燕飞 张惠敏 白明华 王琦
100029 北京中医药大学中医体质与生殖医学研究中心[朱丽冰(博士研究生)、王济、李英帅、李玲孺、郑燕飞、张惠敏、白明华、王琦],管理学院(朱燕波)
Author(s):
ZHU Libing; WANG Ji; ZHU Yanbo; et al.
Center of Reproductive Medicine and Traditional Chinese Medicine Constitution,Beijing University of Traditional Chinese Medicine,Beijing 100029,China
关键词:
体重指数;  中医体质;  相关性;  逻辑回归分析
Keywords:
BMI;  TCMC;  Correlation;  Logistic regression analysis
分类号:
R229
DOI:
10.3969/j.issn.1674-1749.2017.02.008
文献标志码:
A
摘要:
目的 探析体重指数与中医体质类型之间的相互关系,为从中医体质角度调节异常体重或从体重角度调理偏颇体质提供依据。方法 从全国9省市横断面调查的21948例中医体质分类与健康调查数据库中,筛选出有完整身高、体重及中医体质类型记录的20513例样本作为研究对象。通过逻辑回归分析、单因素方差分析等统计方法分析不同体重指数人群的社会人口学特征、体质分布特点以及体重指数与中医体质类型之间的相互关系。结果 气虚质与肥胖之间呈正相关(OR,1.20; 95%CI,1.01～1.41); 阳虚质与超重、肥胖之间呈负相关(OR,0.84; 95%CI,0.72～0.98)(OR,0.58; 95%CI,0.50～0.67),与体重偏轻呈正相关(OR,1.37; 95%CI,1.17～1.59); 痰湿质与肥胖之间呈正相关(OR,2.37; 95%CI,2.04～2.75),与体重偏轻呈负相关(OR,0.76; 95%CI,0.63～0.91); 血瘀质与体重偏轻呈正相关(OR,1.16; 95%CI,1.01～1.34),与肥胖呈负相关(OR,0.66; 95%CI,0.57～0.76); 气郁质与超重、肥胖呈负相关(OR,0.86; 95%CI,0.75～1.00)(OR,0.75; 95%CI,0.65～0.87)。结论 体重指数与中医体质类型之间存在着一定的关联性,但是对于两者之间的因果关系仍未明晰,仍需设计科学严谨、样本量充足的研究予以证实。
Abstract:
Objective To explore and analyze the correlation between body mass index(BMI)and traditional Chinese medicine constitution(TCMC)in order to provide evidence for regulating weight from the perspective of TCMC or recuperating TCMC from the perspective of weight. Methods 20513 cases who have the completed data of height,weight and TCMC were screened from data base which was formed by a TCMC cross-sectional survey of 21948 natural population from nine provinces in China. Statistical analysis was conducted for analyzing the characteristics of sociodemographic characteristics,TCMC and the correlation between BMI and TCMC among different BMI population. Results Qi deficiency constitution was positively correlated with overweight and obesity(OR,1.20; 95%CI,1.01～1.41). Yang-deficiency constitution was negatively correlated with overweight and obesity(OR,0.84; 95%CI,0.72～0.98)(OR,0.58; 95%CI,0.50～0.67),while positively correlated with underweight(OR,1.37; 95%CI,1.17～1.59). Phlegm wetness constitution was positively correlated with obesity(OR,2.37; 95%CI,2.04～2.75),while negatively correlated with underweight(OR,0.76; 95%CI,0.63～0.91). Blood stasis constitution was negatively correlated with obesity(OR,0.66; 95%CI,0.57～0.76),while positively correlated with underweight(OR,1.16; 95%CI,1.01～1.34). Qi depressed constitution was negatively correlated with overweight and obesity(OR,0.86; 95%CI,0.75～1.00; OR,0.75; 95%CI,0.65～0.87). Conclusion There is a certain correlations between BMI and TCMC,but the causal relationship between the two is still not clear. It is necessary to design a scientific and rigorous research to confirm the relationship between the two.

参考文献/References:

[1] 王琦. 中医体质学[M].北京:中国医药科技出版社,1995:29.
[2] 王琦. 中医体质学研究与应用[M].北京:中国中医药出版社,2012.
[3] 高飞,王国玮,李健,等.健康体检人群体重指数与中医偏颇体质的相关性研究[J].世界中西医结合杂志,2010,5(2):126-129.
[4] 虞晓含,朱燕波,王琦,等.体重指数与中医体质类型的对应分析[J].中医杂志,2015,56(2):105-107.
[5] 王琦,朱燕波.中国一般人群中医体质流行病学调查—基于全国9省市21948例流行病学调查数据[J].中华中医药杂志,2009,(1):7-12.
[6] Zhou Y,Cowling B J,Wu P,et al. Adiposity and influenza～associated respiratory mortality:a cohort study[J].Clin Infect Dis,2015,60(10):49-57.
[7] 李金梅,付金林,刘淑梅,等.黑龙江省居民体重指数、腰围与高血压患病关系的研究[J].黑龙江医药,2008,21(1):51-53.
[8] 中华中医药学会.中医体质分类与判定[M].北京:中国中医药出版社,2009.
[9] 朱燕波,王琦,折笠秀树.中医体质量表的信度和效度评价[J].中华行为医学与脑科学杂志,2007,16(7):651-654.
[10] 王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[11] 朱燕波,王琦,姚实林.中医阳虚质相关影响因素的研究[J].中医杂志,2007,48(12):1113-1115.
[12] 辛海,吴剑坤,金玫,等.1350例社区慢性病人群的体型与中医体质分布特点[J].中华中医药杂志,2013,(6):1719-1721.
[13] 王健平,朱燕波,姚实林,等.505例健康体检者的中医体质类型与血糖、血脂、体质量指数关系分析[J].安徽中医学院学报,2013,32(6):21-25.
[14] 赵勇.肥胖症的病因学及中医药治疗[J].中国医药导报,2008,5(9):73-74.

相似文献/References:

[1]耿嘉玮,乔会秀.80例支气管哮喘患者中医体质分布特点及其与证候的关系[J].环球中医药,2012,5(08):582.
　GENG Jia-wei,QIAO Hui-xiu..Distribution characteristics of TCM constitutional types in 80 patients with bronchial asthma and relationships between these characteristics and syndromes[J].,2012,5(02):582.
[2]朱丽冰,郑燕飞,于文俊,等.从中医体质角度探讨男性不育症的防治[J].环球中医药,2015,8(12):1528.[doi:10.3969/j.issn.1674.1749.2015.12.034]
　ZHU Li-bing,ZHENG Yan-fei,YU Wen-jun,et al.Discussion on preventing and treating male infertility from the viewpoint of TCM constitution[J].,2015,8(02):1528.[doi:10.3969/j.issn.1674.1749.2015.12.034]
[3]姚海强,李玲孺,王济,等.从痰湿体质角度探讨高同型半胱氨酸血症的防治[J].环球中医药,2016,9(06):715.[doi:10.3969/j.issn.1674-1749.2016.06.020]

备注/Memo

备注/Memo:
基金项目: 国家中医药管理局名老中医药专家王琦传承工作室建设项目; 北京中医药薪火传承“3+3”工程王琦名医传承工作站建设项目; 北京市自然科学基金面上项目(7132125)
作者简介: 朱丽冰(1989- ),女,2014级在读博士研究生。研究方向:中医体质分类研究。E-mail:kongbeizi123@163.com
通信作者: 王琦(1943- ),硕士,教授,博士生导师。研究方向:中医体质学。E-mail:wangqi710@126.com
更新日期/Last Update: 2017-02-06