摘要
目的:探讨不同肥胖类型在人群多代谢异常的关系以及不同指标对多代谢异常的预测情况。方法:采用随机整群抽样的方法抽取河南某农村18岁以上常住居民进行横断面调查。对多代谢异常进行聚集性分析,用ROC曲线对各个指标及BMI、WC进行评价。结果:研究对象中除高低密度脂蛋白外,患病率整体呈现升高趋势(P<0.05)。不同指标比较说明WC比BMI作用大;合并高血压和血脂异常的两种代谢异常比例呈升高趋势(P<0.05)。多代谢异常指标的ROC曲线,甘油三酯曲线下面积最高。结论该地区人群多代谢异常个体聚集现象严重;人群多代谢异常与肥胖类型相关,与腹型肥胖关系尤为密切。
Objective To discuss the relationship between the different obese type and multiple metabolic disorders and to predicte the multiple metabolic disorders by different index. Methods Using random cluster sampling, a cross-sectional survey in Henan had been done by extracting some villages and permanent residents above the age of 18. Multiple metabolic disorders had been analysed by Clustering analysis , and ROC curves had been used to evaluate every index, BMI and WC. Results The prev- alance rate presented rising trend as a whole except the high and low density lipoproteins in the study （ P 〈 0.05 ）. Comparing dif- ferent index ,we found WC was higher than BMI;the proportion of combining with high blood pressure and dyslipidemia of two kinds of multiple metabolic disorders presented rising trend （ P 〈 0.05 ）. The ROC curve of multiple metabolic disorders, in which ,the area under concentration-time curve（AUC） of triglyeerides was the highest. Conclusions The individual gathered phe- nomenon of multiple metabolic disorders in this area was serious;the multiple metabolic disorders was correlated with obese type, and that was closely with the abdominal obesity.
出处
《中国卫生事业管理》
北大核心
2013年第2期157-159,共3页
Chinese Health Service Management
基金
河南省医学科技攻关项目(编号:201004042)
关键词
肥胖
腹型肥胖
多代谢异常
ROC曲线
obesity
abdominal obesity
multiple metabolic disorders
ROC curve
