目的验证儿童人体测量指标、体成份与心血管代谢指标间的关联性。方法对174名7-16岁超重肥胖儿童,进行体格检查（包括身高、体重、腰围、臀围）,并计算腰围臀围比值（WHR）、腰围身高比值（WHtR）;使用生物电阻抗体成份测定装置测定体...目的验证儿童人体测量指标、体成份与心血管代谢指标间的关联性。方法对174名7-16岁超重肥胖儿童,进行体格检查（包括身高、体重、腰围、臀围）,并计算腰围臀围比值（WHR）、腰围身高比值（WHtR）;使用生物电阻抗体成份测定装置测定体脂率（fat%）;测定血压、清晨空腹血糖、血脂等指标。采用调整性别年龄后的偏相关系数＂r＂表示肥胖指标与心血管代谢指标的关联性。结果 1）各组平均fat%均在30%以上,女生fat%随年龄增加而增加（P〉0.05）。3）身体测量指标、fat%、体质指数（body mass index,BMI）与收缩压和高密度脂蛋白胆固醇（HDL-C）呈现中等程度的相关性（r介于0.30-0.50之间,P〈0.05）;腰围与多数代谢综合征（metabolic syndrome,MS）组份均呈显著相关（P〈0.05）,其次为fat%、BMI和WHtR。结论腰围、体脂率（fat%）MS组份的相关性优于BMI和WHtR,在干预研究中应作为BMI的必要补充。展开更多
AIM: To determine the cut-off values of body mass index(BMI) and waist circumference to predict hypertension in adults in north India.METHODS: A community based cross-sectional study was conducted in 801 subjects in K...AIM: To determine the cut-off values of body mass index(BMI) and waist circumference to predict hypertension in adults in north India.METHODS: A community based cross-sectional study was conducted in 801 subjects in Kanpur, aged 20 years and above, using multistage stratified random sampling technique. A pre-tested structured question-naire was used to elicit the required information from the study participants and the diagnostic criteria for hypertension were taken according to the Seventh Joint National Committee Report on Hypertension(JNC-7). Receiver operating characteristic(ROC) analysis was used to estimate the cut-off values of BMI and waist circumference to predict hypertension.RESULTS: The ROC analysis revealed that BMI is a good predictor of hypertension for both men(area under the ROC curve 0.714) and women(area under the ROC curve 0.821). The cut-off values of BMI for predicting hypertension were identified as ≥ 24.5 kg/m2 in men and ≥ 24.9 kg/m2 in women. Similarly, the ROC analysis for waist circumference showed that it is a good predictor of hypertension both for men(area under the ROC curve 0.784) and women(area under the ROC curve 0.815). The cut-offs for waist circumference for predicting hypertension were estimated as ≥ 83 cm for men and ≥ 78 cm for women. Adults with high BMI or high waist circumference had a higher prevalence of hypertension, respectively.CONCLUSION: Simple anthropometric measurements such as BMI and waist circumference can be used for screening people at increased risk of hypertension in order to refer them for more careful and early diagnostic evaluation. Policies and programs are required for primary and secondary prevention of hypertension.展开更多
目的探讨各项人体测量学指标在基层地区成人糖尿病筛查中的应用价值。方法这项横断面研究以2017年10月—2018年10月在新疆吉木萨尔县泉子街镇卫生院常规体检的成人作为研究对象,测量并计算腰围、身体质量指数(body mass index,BMI)、腰...目的探讨各项人体测量学指标在基层地区成人糖尿病筛查中的应用价值。方法这项横断面研究以2017年10月—2018年10月在新疆吉木萨尔县泉子街镇卫生院常规体检的成人作为研究对象,测量并计算腰围、身体质量指数(body mass index,BMI)、腰高比(waist-to-height ratio,WHtR)、A型形态指数(A body shape index,ABSI)、身体圆度指数(body roundness index,BRI)、锥削度指数(conicity index,CI)、BMI√腰围和WHt.5R等一系列人体测量学指标。采用Logistic回归模型和受试者工作特征曲线(receiver operating characteristic,ROC)对比分析各项人体测量学指标对于糖尿病筛查的应用价值。结果总共纳入4215例(男性1653例,女性2562例)研究对象,其中糖尿病患者为452例(占比10.2%)。Logistic回归模型显示,糖尿病患病风险增加与WHtR和BRI水平升高的相关性最强,而与ABSI的相关性最弱。ROC曲线分析显示,WHtR和BRI的AUC最大;WHtR的诊断切点分别为0.48(男)和0.49(女),BRI的诊断切点分别为3.02(男)和3.05(女)。结论各项人体测量学指标对基层地区成人糖尿病患病均有一定的预测价值,其中以WHtR和BRI的效能最高。展开更多
文摘目的验证儿童人体测量指标、体成份与心血管代谢指标间的关联性。方法对174名7-16岁超重肥胖儿童,进行体格检查（包括身高、体重、腰围、臀围）,并计算腰围臀围比值（WHR）、腰围身高比值（WHtR）;使用生物电阻抗体成份测定装置测定体脂率（fat%）;测定血压、清晨空腹血糖、血脂等指标。采用调整性别年龄后的偏相关系数＂r＂表示肥胖指标与心血管代谢指标的关联性。结果 1）各组平均fat%均在30%以上,女生fat%随年龄增加而增加（P〉0.05）。3）身体测量指标、fat%、体质指数（body mass index,BMI）与收缩压和高密度脂蛋白胆固醇（HDL-C）呈现中等程度的相关性（r介于0.30-0.50之间,P〈0.05）;腰围与多数代谢综合征（metabolic syndrome,MS）组份均呈显著相关（P〈0.05）,其次为fat%、BMI和WHtR。结论腰围、体脂率（fat%）MS组份的相关性优于BMI和WHtR,在干预研究中应作为BMI的必要补充。
文摘AIM: To determine the cut-off values of body mass index(BMI) and waist circumference to predict hypertension in adults in north India.METHODS: A community based cross-sectional study was conducted in 801 subjects in Kanpur, aged 20 years and above, using multistage stratified random sampling technique. A pre-tested structured question-naire was used to elicit the required information from the study participants and the diagnostic criteria for hypertension were taken according to the Seventh Joint National Committee Report on Hypertension(JNC-7). Receiver operating characteristic(ROC) analysis was used to estimate the cut-off values of BMI and waist circumference to predict hypertension.RESULTS: The ROC analysis revealed that BMI is a good predictor of hypertension for both men(area under the ROC curve 0.714) and women(area under the ROC curve 0.821). The cut-off values of BMI for predicting hypertension were identified as ≥ 24.5 kg/m2 in men and ≥ 24.9 kg/m2 in women. Similarly, the ROC analysis for waist circumference showed that it is a good predictor of hypertension both for men(area under the ROC curve 0.784) and women(area under the ROC curve 0.815). The cut-offs for waist circumference for predicting hypertension were estimated as ≥ 83 cm for men and ≥ 78 cm for women. Adults with high BMI or high waist circumference had a higher prevalence of hypertension, respectively.CONCLUSION: Simple anthropometric measurements such as BMI and waist circumference can be used for screening people at increased risk of hypertension in order to refer them for more careful and early diagnostic evaluation. Policies and programs are required for primary and secondary prevention of hypertension.
