不同肥胖指标下深圳市坪山区老年人高血压患病风险识别能力比较

Comparison of Hypertension Risk Recognition Ability of the Elderly in Pingshan District of Shenzhen City Under Different Obesity Indicators

目的:比较不同肥胖指标下深圳市坪山区老年人高血压患病风险识别能力,为及时识别高血压患者和高危人群提供依据,进而为老年高血压人群的早期干预提供参考。方法:选取2021年1-12月在深圳市坪山区28家社区健康服务中心进行健康体检的老年人5562例,获取腰围、体质指数等肥胖指标,通过ROC曲线的曲线下面积(AUC)分析和比较不同肥胖指标下高血压患病风险识别能力。结果:在全部研究对象中腰围、体质指数、腰围身高比、体脂百分数、相对脂肪质量指数、脂质蓄积指数、内脏脂肪指数识别高血压患病风险的AUC分别为0.566、0.562、0.556、0.559、0.540、0.678、0.612,其中脂质蓄积指数和内脏脂肪指数识别高血压患病风险的AUC较其他指标大。不同肥胖指标下高血压患病风险识别能力的AUC差异比较显示,脂质蓄积指数和内脏脂肪指数识别高血压风险的AUC差异均具有统计学意义(P<0.001)。结论:腰围、体质指数、腰围身高比、体脂百分数、相对脂肪质量指数、脂质蓄积指数、内脏脂肪指数均是能够识别老年人高血压患病风险的肥胖指标,脂质蓄积指数识别老年人高血压患病风险的能力优于其他指标,社区健康服务中心可以在老年人日常诊疗及体检过程中对该指标加以推广应用以便提升老年人高血压防治效果。

Objective:The ability to identify the risk of hypertension in the elderly in Pingshan district of Shenzhen city under different obesity indicators was compared,which provided a basis for timely identification of hypertensive patients and high-risk groups,and then provided a reference for early intervention in elderly hypertensive population.Methods:From January to December 2021,5562 elderly people who underwent health examinations in 28 community health service centers in Pingshan district of Shenzhen city were selected,and obesity indicators such as waist circumference and body mass index were obtained,and the area under the curve(AUC)of the ROC curve was used to analyze and compare the risk recognition ability of hypertension under different obesity indicators.Results:Among all the study subjects,the AUC of waist circumference,body mass index,waist circumference-to-height ratio,body fat percentage,relative fat mass index,lipid accumulation index and visceral fat index to identify the risk of hypertension were 0.566,0.562,0.556,0.559,0.540,0.678 and 0.612,respectively,and the AUC of lipid accumulation index and visceral fat index to identify the risk of hypertension was larger than that of other indexes.The AUC differences in hypertension risk recognition ability under different obesity indexes showed that the AUC differences in lipid accumulation index and visceral fat index to identify hypertension risk were statistically significant(P<0.001).Conclusion:Waist circumference,body mass index,waist-to-height ratio,body fat percentage,relative fat mass index,lipid accumulation index,visceral fat index are all obesity indicators that can identify the risk of hypertension in the elderly,the ability of lipid accumulation index to identify the risk of hypertension in the elderly is better than other indicators,and the community health service center can promote and apply the indicator in the daily diagnosis and treatment and physical examination of the elderly to improve the prevention and treatment of hypertension in the elderly.