青少年代谢综合征腰围身高比切点的初步探讨  

The waist-to-height ratio cut-point for identifying metabolic syndrome among adolescents

作　　者：尹福在[1] 陆强[1] 马春明[1] 刘博伟[1] 娄东辉[1] 王锐[1] 韩改玲[1] 吴广飞[1] 玄续敏[1] 陈泓[1] 曹晓斌[1] 王敏[1] 

机构地区：[1]秦皇岛市第一医院内分泌科,066000

出　　处：《中华内分泌代谢杂志》2009年第2期156-158,共3页Chinese Journal of Endocrinology and Metabolism

基　　金：基金项目：河北省科技厅科技支撑项目编号：072761528

摘　　要：目的探讨预测青少年代谢综合征的最佳腰围身高比（WHtR）切点。方法在秦皇岛地区进行一项4507名13—18岁青少年的横断面调查。采用受试者工作特征（ROC）曲线分析确定代谢综合征的最佳WHtR切点。结果无论男性还是女性，代谢综合征的百分比均随着WHtR的增加而增加。WHtR≥0．45后发生代谢综合征的OR值显著增加，分别为13．85（4．08～46．97）和12．42（2．62～58．96，P〈0．01）。ROC曲线分析显示以上相应WHtR切点具有最佳的敏感性和特异性。结论WHtR与青少年代谢综合征密切相关。预测青少年代谢综合征的WHtR切点为0．45。Objective To explore the best cut-point of waist-to-height ratio （WHtR） for identifying metabolic syndrome （MS） in adolescents. Methods A cross-sectional study was conducted in 4 507 adolescents aged 13-18 years in Qinhuangdao. Receiver operating characteristic （ROC） curve analysis was employed to determine the optimal WHtR cut-point for detecting MS. Results The prevalences of MS were higher among higher WHtR in both boys and girls. Odds ratios for MS significantly increased from the WHtR≥0. 45 in boys （OR = 13.85, 95% CI 4.08-46.97 ） and in girls （ OR = 12.42, 95% CI 2.62-58.96, P〈0.01 ）. The ROC curve analysis showed that the optimal WHtR cut-point was 0.45 in boys with the sensitivity of 89.4% and specificity of 81.4%, and in girls with sensitivity of 90.3% and specificity of 86.5%. Conclusion There is a significant correlation between WHtR and MS. Optimal WHtR cut-point for predicting MS is 0.45.

关 键 词：腰围身高比 代谢综合征 青少年 

分 类 号：R589[医药卫生—内分泌] R589.2[医药卫生—内科学]