哈萨克族代谢综合征适宜腰围切点的研究

Study on the optimal waist circumference cut-off points of metabolic syndrome in Kazakh

采用分层整群随机抽样的方法,对新疆部分地区常住哈萨克族居民进行问卷调查、体格检查和血生化检测,共收集完整资料2 760例,分析其不同腰围水平和代谢综合征（MS）组分聚集的关系.按照国际糖尿病联盟（IDF）标准,随着腰围升高,哈萨克族≥1和≥2个MS组分检出率呈增加趋势,比值比（OR）明显增高.当男性腰围≥91 cm,女性≥88 cm,受试者工作特征（ROC）曲线距离最短.以此标准哈萨克族MS粗患病率为22.1%,男性为22.4%,女性为21.9%.

Questionnaire-based survey, physical examination, and blood testing were conducted according to cluster random samplings in Kazakh residents in Xinjiang.2 760 samples were collected to analyze the association of different strata of waist circumference and clustering of metabolic syndrome （MS） components.Accoding to International Diabetes Federation standard, the prevalence of ≥1and ≥2 components of MS showed increasing trend with the increase of waist circunference, and odds ratio of clustering of MS components also increased significantly.The distance of receiver operating characteristic curve was the shortest and the prevalence of MS was 22.1% ;22.4% in men, and 21.9% in women;when the waist circumference was ≥91 cm for men, and ≥88 cm for women.