腰臀比值和体质指数在风险预测代谢综合征的应用研究  

Risk Prediction of Metabolic Syndrome by Waist to Hip Ratio and Body Mass Index

作　　者：朱翠凤[1] 卞苏环[2] 刘颜[3] 叶敏[2] 陈恒娇[1] 韩巍[4] 吴远[2] 张献共[2] 

机构地区：[1]北京大学深圳医院营养科,广东省深圳市518036 [2]北京大学深圳医院特诊科,广东省深圳市518036 [3]北京大学深圳医院统计室,广东省深圳市518036 [4]北京大学深圳医院超声科,广东省深圳市518036

出　　处：《中国全科医学》2006年第17期1411-1413,共3页Chinese General Practice

摘　　要：目的探讨深圳市中高层职业人群腰臀比值、体质指数与代谢综合征等危险因素的相关性及流行病学特征。方法选择2004年9月～2005年8月深圳市企事业单位中高层职业人群1515例进行健康体检，测量身高、体重、腰围、臀围、血压、血脂、血糖等指标，并按腰臀比值、体质指数进行分组，分析各组与肥胖、高脂血症、高血压、高血糖等代谢综合征危险因素的相关性及流行病学特征。结果受检者肥胖、超重、中心型肥胖、高脂血症、高血压、高血糖、代谢综合征的患病率分别为27，9％、21．6％、24．8％、55．2％、10．7％、7，9％、13，1％。中心型肥胖组（按WHR分型）和外周型肥胖组（按BMI分型）的代谢综合征的患病率明显高于正常体型和正常体重组。中心型肥胖组代谢综合征的患病率明显高于外周型肥胖组。中心型肥胖与外周型肥胖都与代谢综合征的患病率呈正相关。结论深圳市中高层职业人群以肥胖、高血脂、高血压、高血糖等表现为特征的代谢综合征的患病率明显增高，尤其是高脂血症值得关注。肥胖、高脂血症是诱发高血压、高血糖导致代谢综合征的独立危险因素，中心型肥胖比外周型肥胖危险性更大。腰臀比值与体质指数都可作为代谢综合征的危险预测因素，腰臀比值比体质指数特异性更高，两者结合可明显提高代谢综合征风险预测的特异性和敏感性。Objective To discuss the relationship and the epidemiological characteristic between Waist to hip ratio （WHR） , Body mass index （BMI） and Metabolic syndrome （MS） in occupational population at the middle and high level in Shenzhen. Methods Totally 1515 occupational persons at the middle and high level in Shenzhen enterprise from September 2004 to August 2005 were divided into different groups by WHR and BMI, then with the indexes of height, weight, waist circumference, hip circumference, blood lipid, blood glucose and blood pressure were checked up, The correlation of WHR and BMI with obesity, hyperliponia, hyperglycemia, hypertension and the epidemiological characteristics of MS were analyzed. Results The prevalence for obesity was 27. 6%, for overweight 21.4% , and for abdominal adiposity 24, 8% ; for hyperliponia 55.2%, for hypertension 10. 7%, for hyperglycemia 7, 9% , and for MS 13, 1%. The prevalence of MS in abdominal adiposity group （divided by WHR） and visceral adiposity group （divided by BMI） was obviously higher than that in normal weight group, and the prevalence of MS in abdominal adiposity group was significantly higher than that in visceral adiposity. Both abdominal adiposity and visceral adiposity were found positively related with the prevalence of MS. Conclusion The prevalence of MS, especially hyperliponia, in occupational population at the middle and high level in Shenzhen has shown a significant increment. Obesity and hyperliponia are the risk factors to induce MS, Abdominal adiposity is a stronger risk factor compare with visceral adiposity. The specificity and sensitivity of diagnosing MS would be significantly higher by using both WHR and BMI.

关 键 词：腰臀比值 体质指数 代谢综合征 风险预测 

分 类 号：R589[医药卫生—内分泌]