预测男性胰岛素抵抗的最佳临床指标探讨  

Study of the optimal clinical parameters in predicting insulin resistance in men

作　　者：陆泽元[1] 林怿昊[1] 邵豪[1] 王湘郴[1] 邹钢[1] 姚壮鑫[1] 曾惠琼[1] 赖丽萍[1] 

机构地区：[1]广东医学院附属福田人民医院内分泌科,深圳518033

出　　处：《中华内分泌代谢杂志》2006年第1期59-61,共3页Chinese Journal of Endocrinology and Metabolism

基　　金：深圳市科技和信息局资助课题(JH200505260243A)

摘　　要：受试者工作特征曲线下面积显示男性腰围诊断胰岛素抵抗的敏感性和特异性优于体重指数和腰臀比,甘油三酯优于高密度脂蛋白胆固醇倒数、总胆固醇和低密度脂蛋白胆固醇。提示高甘油三酯血症腰是预测胰岛素抵抗的可靠指标。Area under receiver operating characteristic（ROC） curves showed that the sensitivity and the specificity for diagnosis of insulin resistance （IR） by measuring waist circumference were significantly higher in men than by body mass index or waist hip ratio. The sensitivity and the specificity of diagnosing IR by determination of triglyceride were also significantly higher than by reciprocal of high density lipoprotein-cholesterol, total choleste-rol, or low density lipoprotein-cholesterol. The results suggested hypertriglyceridemic waist was a reliable parameter in predicting IR.

关 键 词：甘油三酯类 腰围 胰岛素抵抗 高甘油三酯血症腰 受试者工作特征曲线 

分 类 号：R587.1[医药卫生—内分泌] R161.7[医药卫生—内科学]