不同体质指标在不同MS诊断标准中应用比较

Comparison of body mass index,waist circumference and waist hip ratio in different diagnostic criteria for metabolic syndrom

目的探讨体质指数(BM I)、腰围(WC)、腰臀比(WHR)与代谢综合征(MS)的关系,比较它们在2004年中华医学会糖尿病学会分会(CDS)、2005年国际糖尿病联盟(IDF)和2005年美国国家胆固醇教育计划成人治疗组第3次报告修订版(NCEP-ATPⅢ)的MS诊断标准中的应用。方法对研究资料分别采用CDS(2004)、IDF(2005)、ATPⅢ(2005)的诊断标准计算MS以及肥胖的患病率,比较不同MS标准下的BM I、WC和WHR以及它们的相关性。结果CDS(2004),IDF(2005)、ATPⅢ(2005)的诊断标准下的MS患病率分别为15.2%,15.8%和22.6%;肥胖率分别为42%,30.5%和30.5%。3个诊断标准中MS的BM I平均值分别为27.8,28.0和27.1;男/女WC的平均值分别为93.7/87.4,96.8/89.4和93.7/851;男/女WHR的平均值分别为0.92/0.86,0.94/0.88和0.93/0.86。BM I、WC和WHR的相关系数分别为r1(BM I/WC)=0.785,r2(BM I/WHR)=0.580和r3(WC/WHR)=0.878;3个诊断标准的BM I/WC相关系数分别为0.128,0.566和0.682,BM I和WC均呈正相关(P<0.01)。结论BM I,WC和WHR与MS关系密切,并存在高度相关性:BM I和WC均可用于肥胖的判断以及作为MS诊断标准的组分;对中国人而言,肥胖在MS中的地位与其他组分地位应相同。

Objective To explore the relationship between body mass index （ BMI）, waist circumference （ WC）, waist hip ratio （WHR） and metabolic syndrome（ MS）, and compare the significance of the indices＇ application in three diagnostic criteria for MS： Chinese Diabetes Society （CDS） in 2000, International Diabetes Federation （IDF） in 2005 and the modification of the National Cholesterol Education Program Adult Treatment Panel Ⅲ（ NCEP - ATPⅢ ） in 2005. Methods Based on the population survey data in Xuzhou, MS was diagnosed according to the three definitions respectively. BMI, WC, WHR and their coefficient correlation were computed and compared with SPSS13.0. Results The prevalence of MS were 15.2%. 15,8% and 22. 6% according to the three diagnostic criteria,respectively. Average value of BMI was 27. 8, 28.0 and 27. 1 ; WC（male/fema/e） was 93. 7/87,4, 96. 8/89. 4 and 93. 7/85. 1 （cm） ; and WHR （male/female） was 0. 92/0. 86, 0. 94/0. 88 and 0. 93/0. 86 according to the three criteria,respectively. The correlation coefficients of BMI, WC and WHR were r1 （BMI/WC） = 0. 785, r2 （BMI/WHR） = 0. 580 and r3 （WC/WHR） = 0. 878 ; and correlations coefficients of BMI/WC were 0. 128, 0. 566 and 0. 682 according to CDS（2000）, IDF（2005）, ATPⅢ （2005） ,respectively （ all of the P 〈 0. 01 ）. Conclusion There is a close relation between BMI, WC and WHR. BMI and WC were component of MS and a criterion for judging obesity. For Chinese people, obesity may be a component of MS.