Objective Obesity is a major risk factor for type 2 diabetes, many indexes can be used to describes obesity and predict diabetes. This research attempts to identify the best indicator of obesity to screening diabetes ...Objective Obesity is a major risk factor for type 2 diabetes, many indexes can be used to describes obesity and predict diabetes. This research attempts to identify the best indicator of obesity to screening diabetes in Chinese population. Methods A cross-sectional data of 8121 subjects aged 35-60 years were included in this research belongs to the Diabetes Appropriate Technology Intervention Study. Anthropometric indicators including body weight, height, waist circumferences （WC）, body fat index （BFI） and visceral fat index （VFI） and blood biochemical indicators after an overnight fast [fasting blood glucose, total cholesterol, high-density lipoprotein （HDL） cholesterol, and triacylglycerol] were measured. BMI （body mass index） and Weight to Height Ratio was calculated. Results Subjects with obesity had a higher risk of physician diagnosed diabetes （0R=2.50, 95% CI 1.83-3.43）, new diagnosed diabetes （0R=4.23, 95% Cl 2.91-6.15） and pre-diabetes （0R=1.75, 95% CI 1.31-2.34） compared to those with normal Body mass index （BMI）. There was a significant trend of increased risk of all diabetes status with increased waist circumference （WC）. The waist-to-height ratio （WHtR） yielded the most significant association with new diagnosed diabetes and physician diagnosed diabetes than other indices. Conclusion Central obesity is significantly correlated with diabetes. VFI was most correlated with pre-diabetes while WHtR is an efficient screening index than BMI and WC in Chinese community diabetes screening.展开更多
背景军人作为一个特殊的群体,往往处于特殊的军事环境和压力因素中,其高血压患病率及危险因素尚不清楚。目的分析基层某部官兵高血压流行病学特点与危险因素。方法2019年9月对某部1634名官兵进行流行病学调查,了解部队官兵高血压患病率...背景军人作为一个特殊的群体,往往处于特殊的军事环境和压力因素中,其高血压患病率及危险因素尚不清楚。目的分析基层某部官兵高血压流行病学特点与危险因素。方法2019年9月对某部1634名官兵进行流行病学调查,了解部队官兵高血压患病率。对诊断为高血压的官兵进行危险因素分析,并探究体质量指数(body mass index,BMI)、腰高比(waist-to-height ratio,WHtR)、腰臀比(waist hip ratio,WHR)与血压的关系。结果纳入的1634名官兵,平均年龄(25.11±4.90)岁,多数为男性(1618例,99.02%)。高血压患病率为3.12%(51/1634),1级高血压50例,2级高血压1例。统计分析发现高血压组的年龄偏大,WHtR超标比例高于非高血压组(P<0.05)。运用Pearson相关分析发现WHtR、WHR与收缩压(r=0.19,r=0.18)、舒张压(r=0.17,r=0.22)升高相关(P均<0.01)。校正了年龄、性别、吸烟、饮酒、心率等混杂因素的影响后,线性回归分析发现WHtR、WHR与收缩压(β=0.18,β=0.13)、舒张压(β=0.20,β=0.21)均有相关性(P均<0.01),而BMI仅与舒张压有关(β=0.07,P<0.05)。结论本组基层部队官兵高血压患病率为3.12%,绝大多数为1级高血压;与BMI相比,WHtR、WHR与高血压关系更为密切。展开更多
基金supported by the Research Fund from Ministry of Health of the People’s Republic of ChinaProject of MOST 11th Five Year Plan 2008BAI56B04
文摘Objective Obesity is a major risk factor for type 2 diabetes, many indexes can be used to describes obesity and predict diabetes. This research attempts to identify the best indicator of obesity to screening diabetes in Chinese population. Methods A cross-sectional data of 8121 subjects aged 35-60 years were included in this research belongs to the Diabetes Appropriate Technology Intervention Study. Anthropometric indicators including body weight, height, waist circumferences （WC）, body fat index （BFI） and visceral fat index （VFI） and blood biochemical indicators after an overnight fast [fasting blood glucose, total cholesterol, high-density lipoprotein （HDL） cholesterol, and triacylglycerol] were measured. BMI （body mass index） and Weight to Height Ratio was calculated. Results Subjects with obesity had a higher risk of physician diagnosed diabetes （0R=2.50, 95% CI 1.83-3.43）, new diagnosed diabetes （0R=4.23, 95% Cl 2.91-6.15） and pre-diabetes （0R=1.75, 95% CI 1.31-2.34） compared to those with normal Body mass index （BMI）. There was a significant trend of increased risk of all diabetes status with increased waist circumference （WC）. The waist-to-height ratio （WHtR） yielded the most significant association with new diagnosed diabetes and physician diagnosed diabetes than other indices. Conclusion Central obesity is significantly correlated with diabetes. VFI was most correlated with pre-diabetes while WHtR is an efficient screening index than BMI and WC in Chinese community diabetes screening.
文摘背景军人作为一个特殊的群体,往往处于特殊的军事环境和压力因素中,其高血压患病率及危险因素尚不清楚。目的分析基层某部官兵高血压流行病学特点与危险因素。方法2019年9月对某部1634名官兵进行流行病学调查,了解部队官兵高血压患病率。对诊断为高血压的官兵进行危险因素分析,并探究体质量指数(body mass index,BMI)、腰高比(waist-to-height ratio,WHtR)、腰臀比(waist hip ratio,WHR)与血压的关系。结果纳入的1634名官兵,平均年龄(25.11±4.90)岁,多数为男性(1618例,99.02%)。高血压患病率为3.12%(51/1634),1级高血压50例,2级高血压1例。统计分析发现高血压组的年龄偏大,WHtR超标比例高于非高血压组(P<0.05)。运用Pearson相关分析发现WHtR、WHR与收缩压(r=0.19,r=0.18)、舒张压(r=0.17,r=0.22)升高相关(P均<0.01)。校正了年龄、性别、吸烟、饮酒、心率等混杂因素的影响后,线性回归分析发现WHtR、WHR与收缩压(β=0.18,β=0.13)、舒张压(β=0.20,β=0.21)均有相关性(P均<0.01),而BMI仅与舒张压有关(β=0.07,P<0.05)。结论本组基层部队官兵高血压患病率为3.12%,绝大多数为1级高血压;与BMI相比,WHtR、WHR与高血压关系更为密切。
