Based On Different Obesity Index Of Obesity And Tcm Constitution Type Of Relationship

Objective:Currently, obesity is becoming the most common chronic disease worldwide. Obesity is closely related to a variety of chronic diseases and affects populations quality of life. Obesity is one of the public health problems of the21st century which should be corncerned about. The probability of occurrence of overweight or obesity is different if types of traditional Chinese medicine constitution (TCM constitution) are different. In this study, there were five obesity indicators diagnosed overweight or obesity, in order to explore the relationship between overweight and TCM constitution or obesity and TCM constitution in Ruijin region, consider the relevance of different types of obesity and TCM constitution were the same, looking for the most appropriate indicator in studying the relationship between obesity and TCM constitution, and provide the basis for adjust the biased constitution to combat obesity.Methods:Through cross-sectional survey, collected466cases of data as the study sample.The data was derived from Ruijin City, Jiangxi Province, People’s Hospital Medical Center. The age of the sample population was35-74years old. If the characteristics of the population were different, comparing the difference of the distribution of overweight and obesity by Chi-square test. Fisher’s exact test was used if the chi-square test was inappropriate. Logistic regression model was used to analyze the relationship between overweight and TCM constitution or obesity and TCM constitution (diagnosed by different obesity indicators). Logistic regression model was used to analyze the relationship between systemic obesity and TCM constitution or abdominal obesity and TCM constitution.Results:Overweight and obesity were diagnosed by five obesity indicators, the logistic regression model one showed that:if overweight and obesity were diagnosed by BMI, compared with the gentleness type, phlegm-wetness type (OR=3.74) and wet-heat type (OR=2.50) increased the risk of overweight; model did not hold if obesity was diagnosed by skinfold thickness, logistic stepwise regression revealed that phlegm-wetness type and wet-heat type were obesity risk factors; if obesity was diagnosed by WHtR, compared with the gentleness type, phlegm-wetness type (OR=6.69) and wet-heat type (OR=3.90) increased the risk of obesity; model did not hold if obesity was diagnosed by WHR or WC, logistic stepwise regression revealed that phlegm-wetness type was a obesity risk factor. Removed the influence of gender, age, occupation, educational background, high blood pressure, family history of disease, like meat, model two showed that:if overweight and obesity were diagnosed by BMI, compared with the gentleness type, phlegm-wetness type (OR=3.11) and wet-heat type (OR=2.29) increased the risk of overweight and obesiy: if obesity was diagnosed by skinfold thickness, compared with the gentleness type, phlegm-wetness type (OR-2.99) increased the risk of overweight; if obesity was diagnosed by WHtR, compared with the gentleness type, phlegm-wetness type (OR=5.50) and wet-heat type (OR=3.85) increased the risk of obesity; if obesity was diagnosed by WHR, compared with the gentleness type, qi-deficiency type (OR=2.80), phlegm-wetness type (OR=9.17) increased the risk of obesity; if obesity was diagnosed by WC, compared with the gentleness type, qi-deficiency type (OR=3.09), phlegm-wetness type (OR=3.44), wet-heat type (OR-3.29) increased the risk of obesity. Superimposed systemic obesity indicators or abdominal obesity indicators, model one showed that: compared with the gentleness type, phlegm-wetness type (OR-3.74), wet-heat type (OR=2.50) increased the risk of systemic obesity; compared with the gentleness type, qi-deficiency type (OR=2.10), phlegm-wetness type (OR=7.38), wet-heat type (OR=3.11) increased the risk of abdominal obesity. Removed the influence of gender, age, occupation, educational background, high blood pressure, family history of disease, like meat, model two showed that: phlegm-wetness type (OR=3.19), wet-heat type (OR=2.32) were systemic obesity risk factors; qi-deficiency type (OR=2.57), phlegm-wetness type (OR=8.12), wet-heat type (OR=3.07) were abdominal obesity risk factors.Conclusions: If overweight and obesity were diagnosed by different obesity indicators, the relationship between overweight and TCM constitution or obesity and TCM constitution was different. Phlegm-wetness type, wet-heat type, qi-deficicncy type were the main associated factors of overweight and obesity. Compared with systemic obesity, Phlegm-wetness type, wet-heat type, qi-deficiency type were more susceptible to get abdominal obesity. WHtR is a better diagnostic indicator of obesity in studying the relationship of obesity and phlegm-wetness type or obesity and wet-heat type. WC is a better diagnostic indicator of obesity in studying the relationship of obesity and qi-deficiency type.