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目的：藉由健康检查分析大专学生腰臀围比、血脂肪与血液流体力学之相关性，唤醒大专青年对於慢性疾病的关注以及相关单位之重视。
方法：选取宜兰县某大学一般新生及转学新生，采匿名方式收集，资料包括年龄、性别、腰臀围比、总胆固醇、三酸甘油酯、收缩压、舒张压、脉搏压及平均动脉压等；统计方法为独立样本 t 检定(Independentsamplest-test)、卡方检定(Chi-square test) 及Pearson’s 积差相关系数(Pearson product-moment correlation coefficients)。
结果：男生666 位、女生314 位，女生之总胆固醇高於男生，男生之三酸甘油酯则高於女生，男生之收缩压、舒张压、脉搏压及平均动脉压皆高於女生；性别与腰臀围比(χ²=10.60, p<.01)、性别与三酸甘油酯(χ²=14.00, p<.001)、性别与收缩压(χ²=26.10, p<.001)、性别与脉搏压(χ²=20.52, p<.001) 等皆达显着差异，腰臀围比与胆固醇(r=.084,p<.01)、腰臀围比与三酸甘油酯(r=.325, p<.001)、腰臀围比与收缩压(r=.112, p<.001)、腰臀围比与脉搏压(r=.103, p<.01)、腰臀围比与平均动脉压(r=.090, p<.01) 等皆呈显着正相关。
结论：血压与血脂肪皆随着腰臀围比之增加而增加，腰臀围比或许可以作为高血脂症与高血压风险的指标，其所代表的生理、病理意义似乎与中医的带脉之说有很深的连结，值得进一步探讨。
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Wang-Chuan Chen1 Shu-Chen Wu2 Wan-An Lu3*
1The schoolo of Chinese Medicine for Post Baccalaureate, I Shou University, Kaohsiung, Taiwan
2Life Study Group for Graduate Institute of Life and Religions Studies, Fo Guang University, Yilan, Taiwan
3Institute of Cultural Assets and Reinvention, Fo Guang University, Yilan, Taiwan
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Objectives: The purpose of this study was wake up attention on chronic disease of collegiate youth and respect of units concerned by investigated the correlation among waist-to-hip ratio, lipidemia and hemodynamics of health examination in college students.
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-to-hip ratio, 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-to-hip ratio, triglyceride, systolic pressure and pulse pressure were all significant difference from gender, the Chi-square test was 10.60 with p value <0.01 between waist-to-hip ratio 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, pulse pressure and mean arterial pressure were all positive correlation from waist-to-hip ratio with significant difference, the correlation coefficient was 0.084 with p value <0.01 between waist-to-hip ratio and total cholesterol, 0.325 with p value <0.001 between waist-to-hip ratio and triglyceride, 0.112 with p value <0.001 between waist-to-hip ratio and systolic pressure, 0.103 with p value <0.01 between waistto-hip ratio and pulse pressure, and 0.090 with p value <0.01 between waist-to-hip ratio and mean arterial pressure respectively.
Conclusions: Hemodynamics and lipidemia were higher following the waistto-hip ratio increased. Evidently, there were correlation between waist-to-hip ratio and hemodynamics, and between waist-to-hip ratio t and lipidemia. These indicated that waist-to-hip ratio might be the risk indicator of the hyperlipidemia and hypertension. The physiological and pathological representatives meaning of the waist circumference seems to have a deep link with the dai meridian theory of traditional Chinese medicine, it was worth further study.
Keywords：dai meridian, waist-to-hip ratio, lipidemia, hemodynamics
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211.2 宜兰县大专青年腰臀围比与血脂肪、血液流体力学之相关性研究
