不同肥胖指标对糖尿病风险预测的效果观察

Effects of different obesity indexes on risk prediction of diabetes mellitus

目的:探讨不同肥胖指标对糖尿病风险预测的效果观察。方法:回顾性分析2016年5月-2017年11月在我院治疗的300例糖尿病患者的临床资料,分析血脂指标,研究其体质指数(BMI)、腰臀比(WHR)、腰围(WC)和腰围与身高的比值(WHt R)。结果:男性TC、TG、HDL-C、LDL-C与女性相比无明显差异(P>0.05);男性BMI、WHR、WC、WHt R水平均明显高于女性,差异有统计学意义(P<0.05);Logistics回归分析显示,男性中,BMI无预测价值,WC、WHR、WHt R为预测指标;女性中,纳入WC后,BMI无预测价值,而分别纳入WHR和WHt R后,BMI仍有预测价值。结论:BMI、WHR、WC、WHt R四个指标预测糖尿病风险率较高,男性以WHR最佳,女性以WC、WHt R最佳,临床可根据风险评估增强对糖尿病的防治。

Objective： To explore the effect of different obesity indexes on risk prediction of diabetes mellitus. Methods： The clinical data of 300 patients with diabetes mellitus treated in our hospital from May 2016 to November 2017 were analyzed retrospectively. The indexes of blood lipids were analyzed. The body mass index（BMI）, waist to hip ratio（WHR）, waist circumference（WCC） and the ratio of waist circumference to height（WHt R） were studied. Results： The TC, TG, HDL-C, LDL-C in male showed no significant difference compared with those in the female（P〉0.05）. BMI, WHR, WC, WHt R in male were significantly higher than that in the female, the difference was statistically significant（P〈0.05）; Logistics regression analysis showed that the BMI of the male had no predictive value, WC, WHR, WHt R forecast index had predictive value; BMI included WC in the female had no predictive value, and when it was included in the WHR and WHt R, BMI had a predictive value. Conclusion： The risk rate of diabetes was higher than that of WHR in male and WCC WHt R in female. The prevention and treatment of diabetes could be enhanced according to the risk assessment.