气虚体质与痰湿体质超重及肥胖人群生命质量差异性评价

Analysis about differences in quality of life between the overweight and obese people with qi deficiency constitution and phlegm-dampness constitution

关键词:  中医体质  生命质量  肥胖  气虚体质  痰湿体质

Key words:  constitution in traditional Chinese medicine  quality of life  obesity  qi deficiency constitution  phlegm-dampness constitution

摘要:

[目的]在超重及肥胖流行的背景下，探讨气虚体质与痰湿体质超重及肥胖人群的生命质量是否存在差异。[方法]以气虚体质超重者548例、痰湿体质超重者418例、气虚体质肥胖者153例、痰湿体质肥胖者167例为研究对象，对超重组、肥胖组、超重及肥胖组中气虚体质者与痰湿体质者的简明健康调查问卷SF-36所属的8个维度、2个领域及总分的得分均值及控制相关社会人口学因素后的最小二乘均值进行差异性检验。[结果]独立样本t检验结果显示，在超重组中，气虚体质者一般健康维度及活力维度得分低于痰湿体质者；在肥胖组中，气虚体质者的生理功能维度、生理职能维度、一般健康维度、活力维度、情感职能维度、精神健康维度、生理领域、心理领域得分及总分低于痰湿体质者；在超重及肥胖组中，气虚体质者的生理功能维度、生理职能维度、一般健康维度、活力维度、生理领域得分及总分低于痰湿体质者。控制社会人口学因素后，在肥胖组中，气虚体质者在生理功能维度、生理职能维度、活力维度、情感职能维度、精神健康维度、生理领域、心理领域及总分方面的最小二乘均值低于痰湿体质者；在超重及肥胖组中，气虚体质者在生理职能维度及活力维度方面的最小二乘均值低于痰湿体质者。[结论]气虚体质和痰湿体质虽同为超重及肥胖人群常见的体质类型，但气虚体质超重及肥胖人群在生命质量评价方面存在劣势，体质调护和体质量管理工作中，应加强对气虚体质超重及肥胖人群的关注。

Abstract:

[Objective] In the background of prevalence of overweight and obesity, discuss whether there is a difference in the quality of life between the overweight and obese people with qi deficiency constitution and phlegm-dampness constitution.[Methods] The 548 cases of overweight qi deficiency, 418 cases of overweight phlegm-dampness, 153 cases of obesity qi deficiency, 167 cases of obesity phlegm-dampness, were selected to be subjects. The mean scores of 8 dimensions, 2 domains and the total scales between qi deficiency constitution cases and phlegm-dampness constitution cases in the overweight groups, the obesity groups, the overweight and obesity groups, as well as the least squares mean scores after adjusting the confounding factors, were compared.[Results] The independent samples t test showed that in the overweight groups, qi deficiency constitution cases had lower scores in general health dimension and vitality dimension than phlegm-dampness constitution cases. In the obesity groups, qi deficiency constitution cases had lower scores in physical functioning dimension, role-physical dimension, general health dimension, vitality dimension, role-emotional dimension, mental health dimension, physical component summary, mental component summary, and total scales than phlegm-dampness constitution cases. In the overweight and obesity groups, qi deficiency constitution cases had lower scores in physical functioning dimension, role-physical dimension, general health dimension, vitality dimension, physical component summary and total scales than phlegm-dampness constitution cases. In the overweight and obesity groups, qi deficiency constitution cases had lower scores in physical functioning dimension, role-physical dimension, general health dimension, vitality dimension, physical component summary and total scales than phlegm-dampness constitution cases. After adjusting confounding factors, in the obesity groups, qi deficiency constitution cases had lower least squares mean scores in physical functioning dimension, role-physical dimension, vitality dimension, role-emotional dimension, mental health dimension, physical component summary, mental component summary, and total scales than phlegm-dampness constitution cases. In the overweight and obesity groups, qi deficiency constitution cases had lower least squares mean scores in role-physical dimension and vitality dimension.[Conclusion] Although qi deficiency and phlegm-dampness are the two common constitution types in overweight and obesity people, the advantages about overweight and obesity people with qi deficiency suggested that we should strengthen the attention in the periods of constitution care and weight management.