男性不同肥胖指标与代谢综合征的相关性

The Association between Different Anthropometric Indexes and Other Cardiovascular Risk Factors in Females

目的评估男性中腰围(WC)、腰臀比(WHR)、体质量指数(BMI)与代谢综合征的相关性并探讨其对不同危险因素的筛选切点。方法选择在我院男性体检者共1874名,通过计算ROC曲线下面积评估WC、WHR、BMI与代谢综合征的关系及其筛选切点,并通过Logistic回归分析矫正年龄因素影响。结果 WC、WHR、BMI均与代谢综合征及亚组危险因素关系密切,三者对于代谢综合征的预测价值相似,男性人群中代谢综合征筛选切点分别为89.0 cm、0.91、24.9 kg/m2。结论在男性中WC、WHR、BMI是预测代谢综合征的重要指标,其中预测敏感性的优劣依次为WC>BMI>WHR。

Objective To assess the ability of the three measurements,body mass index（BMI）,waist circumference（WC）and waist-to-hip ratio（WHR）to identify individuals with metabolic syndrome and its subgroups at the population level and to assess the critical thresthold for increased in metabolism in males.Methods 1 874 consecutive males aged 21 to 83 were enrolled in this study,the predictability of WC,WHR and BMI for metabolic syndrome and its subgroups and the critical thresholds were assessed by ROC analysis.Intervention effect of age was adjusted by Logistic regression.Results WC,WHR and BMI were valuable predictive indexs for metabolism and the critical threshold of WC,WHR and BMI were 89.0 cm,0.91,and 24.9 kg/m2 respectively,beyond any the above thresholds there at the incidence of metabolic syndrome.Conclusion WC,BMI and WHR all have the predictability for metabolic syndrome and its subgroups.Among them,the obesity index for the metabolic syndrome predict the merits of the priority order of WCBMIWHR in males.