2016年六安市老年人腰围、腰臀比、腰高比与高甘油三酯血症的关联性

Relationship between waist circumference,waist-to-hip ratio,waist-to-height ratio and hypertriglyceridemia in elderly in Lu'an City in 2016

目的了解六安市老年人腰围(WC)、腰臀比(WHR)、腰高比(WHtR)与高甘油三酯血症(HTG)的关系。方法采用分层整群抽样,于2016年6—9月,在安徽省六安市金安区和裕安区各选一个社区,选取1029名60岁以上老人。采用自制问卷调查一般人口特征、个人病史、生活习惯等,并进行体格检查(测量身高、腰围、臀围),检测血脂水平。采用二元Logistic回归分析WC、WHR、WHtR与甘油三酯(TG)水平的相关关系,进而采用受试者工作特征曲线(ROC)法了解WC、WHR、WHtR对HTG的区分效果。结果 HTG检出率19.7%,其中男性14.0%,女性24.5%,男女间差异有统计学意义(χ~2=17.71,P<0.001)。二元Logistic逐步回归分析显示,在调整城乡、性别、年龄、家族史、教育程度、静坐时间、体育锻炼、吸烟、饮酒、饮食习惯混杂因素后,高WC、高WHR、高WHtR患HTG风险较高,OR值分别为5.18(95%CI 2.81~9.57)、3.69(95%CI 1.95~6.95)和4.93(95%CI 2.72~8.91)。WC、WHR、WHtR的ROC曲线下面积分别为0.67、0.67和0.69。结论WC、WHR、WHtR与HTG患病率有关,其中男性WC和女性WHR关联更大。

Objective To explore the relationship between waist circumference WC）, waist hip ratio （WHR）, waist-to-height （WHtR） and hypertriglyceridemia HTG） in older adults in Lu＇an City. Methods In total, 1029 participants aged ≥ 60 ears using cluster sampling method from two communities in Jin＇an District and Yu＇an District of Lu＇an City were invited to participate in this community-based study from June to September 2016. A questionnaire was used to collect the information of demographic characteristics, disease history, lifestyles, etc. Height, waist circumference, hip circumference, and blood triglyceride levels were measured. Binary logistic regression analysis was conducted to analysis the association between WC, WHR, WHtR and hypertriglyceridemia. The receiver operating characteristic （ROC） curve was used to evaluated the distinguishable effect of three indices on HTG. Results Prevalence of HTG was 19.7% （14.0% in male, 24.5% in female, X2 = 17.71, P 〈 0.001）. After controlling the confounding factors, including area, gender, age, family history, educational level, sedentary time, physical exercise, smoking, alcohol consumption, diet habits, binary Logistics regression analysis showed that the risk of HTG was higher in the elderly with high WC, high WHR, high WHtR, the ORs were 5. 18 （95% CI 2.81 - 9.57）, 3.69 （95% CI1.95-6.95） and 4.93 （95% CI2.72-8.91）, respectively. The area under ROC curves of WC, WHR and WHtR were 0.67, 0.67 and 0.69, respectively. Conclusion WC, WHR and WHtR are closely related with the prevalence of HTG. WC and WHR were significant than others for male HTG and female HTG.