超重/肥胖、运动及其交互作用对痰湿体质的影响研究
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摘要
目的探讨超重/肥胖、运动及其交互作用对痰湿体质的影响。方法在"正常人群中不同体质中医脉诊生理参数系统调查"数据库中,选取2015年3月—2016年5月在北京市获得的健康体检数据,排除相关变量缺失、体质量过低(BMI<18.5 kg/m~2)者,将符合条件的970例受试者的中医体质量表中痰湿体质亚量表得分由高到低排序,以得分的前262例(27.0%)为高分组、后262例(27.0%)为低分组。采用Logistic回归分析,将性别、年龄、文化程度、吸烟偏好、饮酒偏好作为混杂因素,探讨超重/肥胖、运动及其交互作用对痰湿体质的影响。结果多因素Logistic回归分析显示,超重、肥胖会增加高痰湿体质得分的风险[OR(95%CI)分别为1.981(1.275,3.079)、4.032(1.985,8.190),P<0.05];运动习惯对痰湿体质无影响(P>0.05)。按是否超重/肥胖、有无运动习惯分层后的Logistic回归分析显示,非超重/肥胖+无运动习惯者、超重/肥胖+无运动习惯者的高痰湿体质得分风险高于非超重/肥胖+有运动习惯者[OR(95%CI)分别为2.735(1.644,4.551)、2.154(1.168,3.976),P<0.05]。相乘和相加交互作用分析均显示,超重/肥胖、运动对痰湿体质的影响不存在交互作用。结论超重/肥胖、缺乏运动会增加痰湿体质的倾向,但二者间在统计学上无交互作用,进行运动和体质量管理将有助于调护痰湿体质。
Objective To investigate the relationships of overweight/obesity,exercise,and their interaction with phlegm-dampness constitution in normal adults.Methods The physical examination data of the Beijing part during March 2015 to May 2016 were collected from the Systematic Survey of TCM Pulse Diagnosis Physiological Parameters in Normal Adult Populations with Different Constitutions Database.In Beijing,after excluding those with missing variables and very low body weight(BMI<18.5 kg/m2),970 eligible individuals were included.Of them,262 cases(27.0%) with the highest scores of Phlegm Dampness Constitution Subscale(PDCS),a subscale of the TCM Physical Constitution Scale,and 262 cases(27.0%) with the lowest scores of PDCS were assigned to high score group and low score group,respectively.Logistic regression analysis was used to analyze the impacts of overweight/obesity,exercise and their interaction on phlegm-dampness constitution after adjusting for the confounding factors of gender,age,education level,smoking preference and drinking preference.Results Multivariate Logistic regression analysis showed that both overweight[OR=1.981,95%CI(1.275,3.079),P<0.05]and obesity[OR=4.032,95%CI(1.985,8.190),P<0.05] increased the risk of having higher scores of PDCS,but exercise habits had no effect on the scores of PDCS(P>0.05).When considered overweight/obesity and exercise habits as stratified factors,Logistic regression analysis demonstrated that individuals without overweight/obesity and exercise habits[OR=2.735,95%CI(1.644,4.551),P<0.05]and those with overweight/obesity but without exercise habits[OR=2.154,95%CI(1.168,3.976),P<0.05]had higher risk of having higher scores of PDCS than those with exercise habits but without overweight/obesity.Multiplicative and additive interaction analyses showed that there were no obvious interactions between overweight/obesity and exercise.Conclusion Overweight/obesity and lack of exercise increase the possibility of having phlegm-dampness constitution,although there is no obvious interaction between the two.Exercise and weight management help to improve phlegm-dampness constitution.
Objective To investigate the relationships of overweight/obesity,exercise,and their interaction with phlegm-dampness constitution in normal adults.Methods The physical examination data of the Beijing part during March 2015 to May 2016 were collected from the Systematic Survey of TCM Pulse Diagnosis Physiological Parameters in Normal Adult Populations with Different Constitutions Database.In Beijing,after excluding those with missing variables and very low body weight(BMI<18.5 kg/m2),970 eligible individuals were included.Of them,262 cases(27.0%) with the highest scores of Phlegm Dampness Constitution Subscale(PDCS),a subscale of the TCM Physical Constitution Scale,and 262 cases(27.0%) with the lowest scores of PDCS were assigned to high score group and low score group,respectively.Logistic regression analysis was used to analyze the impacts of overweight/obesity,exercise and their interaction on phlegm-dampness constitution after adjusting for the confounding factors of gender,age,education level,smoking preference and drinking preference.Results Multivariate Logistic regression analysis showed that both overweight[OR=1.981,95%CI(1.275,3.079),P<0.05]and obesity[OR=4.032,95%CI(1.985,8.190),P<0.05] increased the risk of having higher scores of PDCS,but exercise habits had no effect on the scores of PDCS(P>0.05).When considered overweight/obesity and exercise habits as stratified factors,Logistic regression analysis demonstrated that individuals without overweight/obesity and exercise habits[OR=2.735,95%CI(1.644,4.551),P<0.05]and those with overweight/obesity but without exercise habits[OR=2.154,95%CI(1.168,3.976),P<0.05]had higher risk of having higher scores of PDCS than those with exercise habits but without overweight/obesity.Multiplicative and additive interaction analyses showed that there were no obvious interactions between overweight/obesity and exercise.Conclusion Overweight/obesity and lack of exercise increase the possibility of having phlegm-dampness constitution,although there is no obvious interaction between the two.Exercise and weight management help to improve phlegm-dampness constitution.
引文
[1]王江敏,王洪波,贾静源,等.北京市海淀区居民超重/肥胖流行现状及其影响因素[J].公共卫生与预防医学,2015,26(1):57-60.WANG J M,WANG H B,JIA J Y,et al.Status of overweight/obesity and its influencing factors among residents in Haidian District of Beijing[J].Journal of Public Health and Preventive Medicine,2015,26(1):57-60.
[2]王琦.中医体质学[M].北京:中国医药科技出版社,1995:195.
[3]朱燕波,王琦,吴承玉,等.18 805例中国成年人中医体质类型与超重和肥胖关系的Logistic回归分析[J].中西医结合学报,2010,8(11):1023-1028.DOI:10.3736/jcim20101104.ZHU Y B,WANG Q,WU C Y,et al.Logistic regression analysis on relationships between traditional Chinese medicine constitutional types and overweight or obesity[J].Journal of Integrative Medicine,2010,8(11):1023-1028.DOI:10.3736/jcim20101104.
[4]刘艳骄.肥胖人痰湿体质与脑中风的相关性研究[J].河北中医药学报,1996,11(3):13-17.LIU Y J.Relationships between obese people with phlegm-dampness constitution and attack of stroke[J].Journal of Hebei Traditional Chinese Medicine and Pharmacology,1996,11(3):13-17.
[5]董静,王琦,王东坡,等.从痰湿体质角度论析代谢综合征[J].北京中医药大学学报,2006,29(12):802-803.DONG J,WANG Q,WANG D P,et al.Analysis of metabolic syndrome from the perspective of phlegm and dampness constitution[J].Journal of Beijing University of Traditional Chinese Medicine,2006,29(12):802-803.
[6]王琦,叶加农,朱燕波,等.中医痰湿体质的判定标准研究[J].中华中医药杂志,2006,21(2):73-75.WANG Q,YE J N,ZHU Y B,et al.Research on diagnosis standard of phlegm-dampness constitution of TCM[J].China Journal of Traditional Chinese Medicine and Pharmacy,2006,21(2):73-75.
[7]王琦.论中医体质研究的3个关键问题:下[J].中医杂志,2006,47(5):329-332.DOI:10.13288/j.11-2166/r.2006.05.003.WANG Q.Discussion on three key issues on constitution study of traditional Chinese medicine:part two[J].Journal of Traditional Chinese Medicine,2006,47(5):329-332.DOI:10.13288/j.11-2166/r.2006.05.003.
[8]沈月,王益平,冯莉,等.三豆苡苓药膳结合有氧运动治疗超重肥胖痰湿体质疗效观察[J].亚太传统医药,2016,12(20):87-90.DOI:10.11954/ytctyy.201620039.SHEN Y,WANG Y P,FENG L,et al.Observation on effect of Sandouyiling cuisine combined with aerobic exercise in overweight and obesity with phlegm-dampness constitution[J].AsiaPacific Traditional Medicine,2016,12(20):87-90.DOI:10.11954/ytctyy.201620039.
[9]索艳风.不同年龄睡眠质量对健康相关生命质量影响的差异研究[D].北京:北京中医药大学,2017.
[10]中国肥胖问题工作组.中国成人超重与肥胖症预防与控制指南:节录[J].营养学报,2004,26(1):1-4.DOI:10.13325/j.cnki.acta.nutr.sin.2004.01.001.Working Group on Obesity in China.Guidelines for the prevention and control of overweight and obesity in Chinese adults:excerpt[J].Acta Nutrimenta Sinica,2004,26(1):1-4.DOI:10.13325/j.cnki.acta.nutr.sin.2004.01.001.
[11]王琦,朱燕波,薛禾生,等.中医体质量表得初步编制[J].中国临床康复,2006,10(3):12-14.WANG Q,ZHU Y B,XUE H S,et al.Primary compiling of Constitution in Chinese Medicine Questionnaire[J].Chinese Journal of Clinical Rehabilitation,2006,10(3):12-14.
[12]朱燕波,王琦,薛禾生,等.中医体质量表性能的初步评价[J].中国临床康复,2006,10(3):15-17.ZHU Y B,WANG Q,XUE H S,et al.Preliminary assessment on performance of Constitution in Chinese Medicine Questionnaire[J].Chinese Journal of Clinical Rehabilitation,2006,10(3):15-17.
[13]朱燕波,王琦,折笠秀树.中医体质量表的信度和效度评价[J].中国行为医学科学,2007,16(7):651-654.DOI:10.3760/cma.j.issn.1674-6554.2007.07.032.ZHU Y B,WANG Q,ORIGASA H,et al.Evaluation on reliability and validity of the Constitution in Chinese Medicine Questionnaire(CCMQ)[J].Chinese Journal of Behavioral Medicine and Brain Science,2007,16(7):651-654.DOI:10.3760/cma.j.issn.1674-6554.2007.07.032.
[14]ROTHMAN K J,GREENLAND S.Modern epidemiology[M].United States:Lippincott Williams&Wilkins,2008.
[15]ANDERSSON T,ALFREDSSON L,K?LLBERG H,et al.Calculating measures of biologic interaction[J].2005,20(7):575-579.
[16]姚海强,李玲孺,张曾亮,等.基于中医痰湿体质探讨代谢紊乱相关疾病危险人群的健康管理[J].中华中医药学刊,2015,33(6):1327-1330.DOI:10.13193/j.issn.1673-7717.2015.06.014.YAO H Q,LI L R,ZHANG Z L,et al.Based on the Chinese medicine phlegm-dampness constitution theory to discuss the health management of metabolic disorders related disease high-risk groups[J].Chinese Archives of Traditional Chinese Medicine,2015,33(6):1327-1330.DOI:10.13193/j.issn.1673-7717.2015.06.014.
[17]梁伟,张小卫,于亨,等.甘肃省居民肥胖现状调查及其与高血压的相关性研究[J].中国全科医学,2017,20(8):969-973.DOI:10.3969/j.issn.1007-9572.2017.08.016.LIANG W,ZHANG X W,YU H,et al.Investigation on current status of obesity and its correlation with hypertension among residents in Gansu Province[J].Chinese General Practice,2017,20(8):969-973.DOI:10.3969/j.issn.1007-9572.2017.08.016.
[18]王亚莉,朱明宇,崔玲玲,等.某高校教职工体质指数及腰臀比与血压关系[J].中国公共卫生,2010,26(10):1246-1247.WANG Y L,ZHU M Y,CUI L L,et al.Relationship between BMI,WHR and hypertension among staff in university[J].Chinese Public Health,2010,26(10):1246-1247.
[19]张琪,庞书勤,李绵利,等.超重及肥胖成人中医体质与生命质量的相关性研究[J].护理学报,2013,20(6):60-62.ZHANG Q,PANG S Q,LI M L,et al.Study on the correlation between the physical constitution and life quality of overweight and obese adults[J].Journal of Nursing,2013,20(6):60-62.
[20]王琦,朱燕波,折笠秀树,等.中医痰湿体质相关影响因素的研究[J].北京中医药大学学报,2008,31(1):10-13.WANG Q,ZHU Y B,ORIGASA H,et al.Study on related influencing factors of phlegm-dampness constitution in Chinese medicine[J].Journal of Beijing University of Traditional Chinese Medicine,2008,31(1):10-13.
[21]李萍.慢性非传染性疾病流行现状与控制策略[J].中国实用医药,2012,7(14):239-240.LI P.Chronic non infectious disease epidemic situation and the control strategy[J].China Prac Med,2012,7(14):239-240.
[22]宋咏梅.痰湿体质形成的影响因素[J].山东中医药大学学报,2002,26(2):100-101.SONG Y M.Factors influencing the formation of phlegm-dampness constitution[J].Journal of Shandong University of TCM,2002,26(2):100-101.
[23]朱震亭.丹溪治法心要[M].济南:山东科学技术出版社,1985.
[24]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.WANG Q.Classification of 9 basic TCM constitution types and their diagnostic expression basis[J].Journal of Beijing University of Traditional Chinese Medicine,2005,28(4):1-8.
[25]郭昕,张国英.健康干预对痰湿质高血压人群的疗效评价[J].世界中西医结合杂志,2016,11(4):537-539.DOI:10.13935/j.cnki.Sjzx.160428.GUO X,ZHANG G Y.Effect evaluation of health intervention on hypertension patients of phlegm damp body constitution[J].World Journal of Integrated Traditional and Western Medicine,2016,11(4):537-539.DOI:10.13935/j.cnki.Sjzx.160428.
[26]张春燕.青少年健康幸福感研究:有氧运动对女大学生体质健康的影响分析[J].中国青年政治学院学报,2011,30(3):33-37.DOI:10.16034/j.cnki.10-1318/c.2011.03.047.ZHANG C Y.Influence of aerobic exercise on physical health of female college students[J].Journal of China Youth University for Political Sciences,2011,30(3):33-37.DOI:10.16034/j.cnki.10-1318/c.2011.03.047.
[27]邸洁,海纳尔,朱燕波.不同运动习惯对大学生中医体质的影响[J].天津中医药,2017,34(10):655-658.DOI:10.11656/j.issn.1672-1519.2017.10.03.DI J,HAI N E,ZHU Y B.Relationship of exercise and traditional Chinese medicine constitution of university students[J].Tianjin Journal of Traditional Chinese Medicine,2017,34(10):655-658.DOI:10.11656/j.issn.1672-1519.2017.10.03.
[28]ROTHMAN K J.Epidemiology:an introduction[M].2nd ed.New York:Ny Oxford University Press,2012.
[29]曾慧妍,周钦云,赵玲,等.痰湿体质超重肥胖人群CD4+T细胞亚群变化及其与脂代谢相关指标的相关性研究[J].中国中西医结合杂志,2018,38(1):46-49.ZENG H Y,ZHOU Q Y,ZHAO L,et al.Changes of CD4+Tcell subsets in overweight or obesity patients with phlegm-dampness constitution and its correlation with related indicators of lipid metabolism[J].Chinese Journal of Integrated Traditional and Western Medicine,2018,38(1):46-49.
[30]王东坡,叶超,陈婧,等.论痰湿体质的发病趋势及其综合调理[J].北京中医药大学学报,2011,34(8):517-519.WANG D P,YE C,CHEN J,et al.Occurrence trend and general recuperation of phlegm-damp constitution[J].Journal of Beijing University of Traditional Chinese Medicine,2011,34(8):517-519.
[31]张雪芳,陆源源,韩强,等.有氧运动干预对痰湿体质者血糖、血脂、血尿酸及体质量的影响[J].河北中医,2012,34(12):1774-1776.ZHANG X F,LU Y Y,HAN Q,et al.Effect of aerobics exercise on levels of blood glucose,serum lipids,blood uric acid and body mass in patients with phlegm dampness[J].Hebei Journal of Traditional Chinese Medicine,2012,34(12):1774-1776.2018081620181026
[2]王琦.中医体质学[M].北京:中国医药科技出版社,1995:195.
[3]朱燕波,王琦,吴承玉,等.18 805例中国成年人中医体质类型与超重和肥胖关系的Logistic回归分析[J].中西医结合学报,2010,8(11):1023-1028.DOI:10.3736/jcim20101104.ZHU Y B,WANG Q,WU C Y,et al.Logistic regression analysis on relationships between traditional Chinese medicine constitutional types and overweight or obesity[J].Journal of Integrative Medicine,2010,8(11):1023-1028.DOI:10.3736/jcim20101104.
[4]刘艳骄.肥胖人痰湿体质与脑中风的相关性研究[J].河北中医药学报,1996,11(3):13-17.LIU Y J.Relationships between obese people with phlegm-dampness constitution and attack of stroke[J].Journal of Hebei Traditional Chinese Medicine and Pharmacology,1996,11(3):13-17.
[5]董静,王琦,王东坡,等.从痰湿体质角度论析代谢综合征[J].北京中医药大学学报,2006,29(12):802-803.DONG J,WANG Q,WANG D P,et al.Analysis of metabolic syndrome from the perspective of phlegm and dampness constitution[J].Journal of Beijing University of Traditional Chinese Medicine,2006,29(12):802-803.
[6]王琦,叶加农,朱燕波,等.中医痰湿体质的判定标准研究[J].中华中医药杂志,2006,21(2):73-75.WANG Q,YE J N,ZHU Y B,et al.Research on diagnosis standard of phlegm-dampness constitution of TCM[J].China Journal of Traditional Chinese Medicine and Pharmacy,2006,21(2):73-75.
[7]王琦.论中医体质研究的3个关键问题:下[J].中医杂志,2006,47(5):329-332.DOI:10.13288/j.11-2166/r.2006.05.003.WANG Q.Discussion on three key issues on constitution study of traditional Chinese medicine:part two[J].Journal of Traditional Chinese Medicine,2006,47(5):329-332.DOI:10.13288/j.11-2166/r.2006.05.003.
[8]沈月,王益平,冯莉,等.三豆苡苓药膳结合有氧运动治疗超重肥胖痰湿体质疗效观察[J].亚太传统医药,2016,12(20):87-90.DOI:10.11954/ytctyy.201620039.SHEN Y,WANG Y P,FENG L,et al.Observation on effect of Sandouyiling cuisine combined with aerobic exercise in overweight and obesity with phlegm-dampness constitution[J].AsiaPacific Traditional Medicine,2016,12(20):87-90.DOI:10.11954/ytctyy.201620039.
[9]索艳风.不同年龄睡眠质量对健康相关生命质量影响的差异研究[D].北京:北京中医药大学,2017.
[10]中国肥胖问题工作组.中国成人超重与肥胖症预防与控制指南:节录[J].营养学报,2004,26(1):1-4.DOI:10.13325/j.cnki.acta.nutr.sin.2004.01.001.Working Group on Obesity in China.Guidelines for the prevention and control of overweight and obesity in Chinese adults:excerpt[J].Acta Nutrimenta Sinica,2004,26(1):1-4.DOI:10.13325/j.cnki.acta.nutr.sin.2004.01.001.
[11]王琦,朱燕波,薛禾生,等.中医体质量表得初步编制[J].中国临床康复,2006,10(3):12-14.WANG Q,ZHU Y B,XUE H S,et al.Primary compiling of Constitution in Chinese Medicine Questionnaire[J].Chinese Journal of Clinical Rehabilitation,2006,10(3):12-14.
[12]朱燕波,王琦,薛禾生,等.中医体质量表性能的初步评价[J].中国临床康复,2006,10(3):15-17.ZHU Y B,WANG Q,XUE H S,et al.Preliminary assessment on performance of Constitution in Chinese Medicine Questionnaire[J].Chinese Journal of Clinical Rehabilitation,2006,10(3):15-17.
[13]朱燕波,王琦,折笠秀树.中医体质量表的信度和效度评价[J].中国行为医学科学,2007,16(7):651-654.DOI:10.3760/cma.j.issn.1674-6554.2007.07.032.ZHU Y B,WANG Q,ORIGASA H,et al.Evaluation on reliability and validity of the Constitution in Chinese Medicine Questionnaire(CCMQ)[J].Chinese Journal of Behavioral Medicine and Brain Science,2007,16(7):651-654.DOI:10.3760/cma.j.issn.1674-6554.2007.07.032.
[14]ROTHMAN K J,GREENLAND S.Modern epidemiology[M].United States:Lippincott Williams&Wilkins,2008.
[15]ANDERSSON T,ALFREDSSON L,K?LLBERG H,et al.Calculating measures of biologic interaction[J].2005,20(7):575-579.
[16]姚海强,李玲孺,张曾亮,等.基于中医痰湿体质探讨代谢紊乱相关疾病危险人群的健康管理[J].中华中医药学刊,2015,33(6):1327-1330.DOI:10.13193/j.issn.1673-7717.2015.06.014.YAO H Q,LI L R,ZHANG Z L,et al.Based on the Chinese medicine phlegm-dampness constitution theory to discuss the health management of metabolic disorders related disease high-risk groups[J].Chinese Archives of Traditional Chinese Medicine,2015,33(6):1327-1330.DOI:10.13193/j.issn.1673-7717.2015.06.014.
[17]梁伟,张小卫,于亨,等.甘肃省居民肥胖现状调查及其与高血压的相关性研究[J].中国全科医学,2017,20(8):969-973.DOI:10.3969/j.issn.1007-9572.2017.08.016.LIANG W,ZHANG X W,YU H,et al.Investigation on current status of obesity and its correlation with hypertension among residents in Gansu Province[J].Chinese General Practice,2017,20(8):969-973.DOI:10.3969/j.issn.1007-9572.2017.08.016.
[18]王亚莉,朱明宇,崔玲玲,等.某高校教职工体质指数及腰臀比与血压关系[J].中国公共卫生,2010,26(10):1246-1247.WANG Y L,ZHU M Y,CUI L L,et al.Relationship between BMI,WHR and hypertension among staff in university[J].Chinese Public Health,2010,26(10):1246-1247.
[19]张琪,庞书勤,李绵利,等.超重及肥胖成人中医体质与生命质量的相关性研究[J].护理学报,2013,20(6):60-62.ZHANG Q,PANG S Q,LI M L,et al.Study on the correlation between the physical constitution and life quality of overweight and obese adults[J].Journal of Nursing,2013,20(6):60-62.
[20]王琦,朱燕波,折笠秀树,等.中医痰湿体质相关影响因素的研究[J].北京中医药大学学报,2008,31(1):10-13.WANG Q,ZHU Y B,ORIGASA H,et al.Study on related influencing factors of phlegm-dampness constitution in Chinese medicine[J].Journal of Beijing University of Traditional Chinese Medicine,2008,31(1):10-13.
[21]李萍.慢性非传染性疾病流行现状与控制策略[J].中国实用医药,2012,7(14):239-240.LI P.Chronic non infectious disease epidemic situation and the control strategy[J].China Prac Med,2012,7(14):239-240.
[22]宋咏梅.痰湿体质形成的影响因素[J].山东中医药大学学报,2002,26(2):100-101.SONG Y M.Factors influencing the formation of phlegm-dampness constitution[J].Journal of Shandong University of TCM,2002,26(2):100-101.
[23]朱震亭.丹溪治法心要[M].济南:山东科学技术出版社,1985.
[24]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.WANG Q.Classification of 9 basic TCM constitution types and their diagnostic expression basis[J].Journal of Beijing University of Traditional Chinese Medicine,2005,28(4):1-8.
[25]郭昕,张国英.健康干预对痰湿质高血压人群的疗效评价[J].世界中西医结合杂志,2016,11(4):537-539.DOI:10.13935/j.cnki.Sjzx.160428.GUO X,ZHANG G Y.Effect evaluation of health intervention on hypertension patients of phlegm damp body constitution[J].World Journal of Integrated Traditional and Western Medicine,2016,11(4):537-539.DOI:10.13935/j.cnki.Sjzx.160428.
[26]张春燕.青少年健康幸福感研究:有氧运动对女大学生体质健康的影响分析[J].中国青年政治学院学报,2011,30(3):33-37.DOI:10.16034/j.cnki.10-1318/c.2011.03.047.ZHANG C Y.Influence of aerobic exercise on physical health of female college students[J].Journal of China Youth University for Political Sciences,2011,30(3):33-37.DOI:10.16034/j.cnki.10-1318/c.2011.03.047.
[27]邸洁,海纳尔,朱燕波.不同运动习惯对大学生中医体质的影响[J].天津中医药,2017,34(10):655-658.DOI:10.11656/j.issn.1672-1519.2017.10.03.DI J,HAI N E,ZHU Y B.Relationship of exercise and traditional Chinese medicine constitution of university students[J].Tianjin Journal of Traditional Chinese Medicine,2017,34(10):655-658.DOI:10.11656/j.issn.1672-1519.2017.10.03.
[28]ROTHMAN K J.Epidemiology:an introduction[M].2nd ed.New York:Ny Oxford University Press,2012.
[29]曾慧妍,周钦云,赵玲,等.痰湿体质超重肥胖人群CD4+T细胞亚群变化及其与脂代谢相关指标的相关性研究[J].中国中西医结合杂志,2018,38(1):46-49.ZENG H Y,ZHOU Q Y,ZHAO L,et al.Changes of CD4+Tcell subsets in overweight or obesity patients with phlegm-dampness constitution and its correlation with related indicators of lipid metabolism[J].Chinese Journal of Integrated Traditional and Western Medicine,2018,38(1):46-49.
[30]王东坡,叶超,陈婧,等.论痰湿体质的发病趋势及其综合调理[J].北京中医药大学学报,2011,34(8):517-519.WANG D P,YE C,CHEN J,et al.Occurrence trend and general recuperation of phlegm-damp constitution[J].Journal of Beijing University of Traditional Chinese Medicine,2011,34(8):517-519.
[31]张雪芳,陆源源,韩强,等.有氧运动干预对痰湿体质者血糖、血脂、血尿酸及体质量的影响[J].河北中医,2012,34(12):1774-1776.ZHANG X F,LU Y Y,HAN Q,et al.Effect of aerobics exercise on levels of blood glucose,serum lipids,blood uric acid and body mass in patients with phlegm dampness[J].Hebei Journal of Traditional Chinese Medicine,2012,34(12):1774-1776.2018081620181026