青少年腰围与代谢综合征相关性分析

The relationship between waist circumference and metabolic syndrome in adolescents

目的探讨青少年腰围与代谢综合征(MS)之间的关系。方法选取2006年河北省秦皇岛市流行病学调查中检出的18岁腹型肥胖青少年49例,随机选取同期18岁腹围正常青少年49名,测量所有入选者的身高、体重、腰围、血压、空腹血糖(FPG)、三酰甘油(TG)、胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)及低密度脂蛋白胆固醇(LDL-C),比较两组MS检出率,分析腰围与MS的关系。结果腹型肥胖组中MS检出6例(12.2%)。腹型肥胖组95.9%存在至少1种MS组分。男女腹型肥胖组青少年体重、体重指数(BMI)、收缩压(SBP)、舒张压(DBP)、TG明显升高,HDL-C明显下降。超重肥胖、高血压、高SBP、高DBP、高TG和低HDL-C检出率均明显高于对照组。腰围与BMI(r=0.694)、体重(r=0.878)、SBP(r=0.508)、DBP(r=0.391)、LDL-C(r=0.398)呈显著正相关(P<0.05)。结论腹型肥胖与MS密切相关,腰围测量有助于青少年MS筛查。

Objective To investigate the relationship between waist circumference（WC） and metabolic syndrome（MC） in adolescents, Methods The levels of height, weight, WC, blood pressure, FPG,TG,TC, HDL-C and LDL-C were measured in 98 school adolescents. Results Metabolic syndrome was observed in 6 of 49 cases （ 12.2% ） in abdominal obesity group, Approximately 95.9% of abdominal obesity group had at least one metabolic abnormality. Significantly higher weight, BMI, SBP, DBP and TG levels were found among the abdominal obesity group compared with control group. The level of HDL-C was declined. The prevalence rates of high BMI, SBP, DBP,TG and low HDL-C in abdominal obesity group were higher than those in control group, There was significantly association between WC and BMI （ r = 0. 694 ） , weight（ r =0. 878）,SBP（r=0.508）,DBP（r=0.391） and LDL-C（r=0.398）（P〈0.05）,Conclusion A significant correlation between WC and the metabolic syndrome is found in our study, The measure of waist circumference may be helpful for the detection of metabolic syndrome