Analysis Of Traditional Chinese Medicine Constitution Distribution And Related Factors In Overweight/Obese Population

Objective:Since obesity has become one of the most common chronic disease in the world,it has a certain correlation with other chronic diseases and affects people’s life and health.This paper mainly studies the distribution characteristics and related factors of overweight/obesity and TCM constitution in cold region,so as to provide clinical basis for the prevention and treatment of overweight/obesity.Methods:In this study,a cross-sectional survey method was adopted to collect patients who underwent physical examinations in the Center for Disease Prevention of the First Affiliated Hospital,Heilongjiang University of Traditional Chinese Medicine from October 2020 to March 2021 and filled in TCM constitution identification and health risk factor assessment form.General information such as gender,age,height,weight,past history,type of TCM constitution and other clinical indicators of western medicine including blood glucose,blood uric acid,cholesterol were collected.Finally,193 patients were enrolled,and the data were statistically analyzed by SPSS 26.0 statistical software.Results:1.The percentage of TCM consititution type in normal group from high to low:Yang-deficiency(35.37%),balanced(26.83%),qi-deficiency(12.20%),qi stagnation(9.76%),dampness-heat(4.88%),phlegm-dampness(3.66%),blood stasis(3.66%),Yin-deficiency(2.44%),inherited special(1.22%);The percentage of TCM consititution type in overweight group from high to low:Yang-deficiency(29.23%),balanced(18.46%),phlegm-damp ness(13.85%),dampness-heat(10.77%),qi-deficiency(9.23%),qi stagnation(7.69%),blood stasis(6.15%),inherited special(3.08%),Yin-deficiency(1.54%);The percentage of TCM consititution type in Obesity group from high to low:dampness-heat(23.91%),balanced(19.57%),qi-deficiency(19.57%),dampness-heat(17.39%),Yang-deficiency(8.70%),qi stagnation(4.35%),Yin-deficiency(4.35%),inherited special(2.17%),blood stasis(0.00%).2.There were 45 males(69.23%)and 20 females(30.77%)with the male-to-female ratio of 2.25:1.In the obese group,there were 40 males(86.96%)and 6 females(13.04%),with a male to female ratio of 6.67:1.In the normal group,there were 24 males(29.27%)and 58 females(70.73%),with a male to female ratio of 1:2.42.There were statistically significant differences in gender among the three groups.(P<0.001)3.There were significant differences among the three groups in age(P<0.05),body index(Blood pressure,abdominal circumference)(P<0.001),biochemical indexes(Uric acid,blood glucose,triglyceride,total cholesterol,homocysteine,high-density Lipoprotein,low-density lipoprotein)(P<0.001),past medical history(fatty liver and hypertension)(P<0.001),living and dietary habits(Alcohol consumption,staying up late,intake of meat and vegetables and fruits)(P<0.05)and TCM consititution.(P<0.01)4.TCM consititution,Gender,age,blood pressure,abdominal circumference,biochemical indicators(blood glucose,uric acid,homocysteine,total cholesterol,triglyceride,low-density lipoprotein,high-density Lipoprotein),living habits(drinking alcohol,staying up late),dietary habits(intake of meat,vegetables and fruits)were related to Body Mass Index level.Conclusion:1.In this study,except for balanced consititution,overweight/obese people are mainly dampness-heat and phlegm-dampness.Normal people are mainly Yang-deficiency and qi-deficiency.As the Body Mass Index gaining,The percentage of dampness-heat and phlegm-dampness becomes higher,while the percentage of qi-deficiency goes lower.2.Among the overweight/obese people,the percentage of male are significantly higher than female.The incidence of hypertension and fatty liver of overweight/obese people is higher.3.The mean values of blood pressure,abdominal circumference,uric acid,blood glucose,homocysteine,total cholesterol,Triglyceride and low-density lipoprotein,in overweight/obese people were higher than those in normal people,while the mean values of high-density Lipoprotein were lower.4.Drinking alcohol,staying up late,over intake of meat,and less intake of vegetables and fruits may be associated with the occurrence of overweight/obesity.