应用受试者工作特征曲线分析人体测量学指标对新疆维吾尔族人群代谢综合征的诊断价值  

The diagnostic value of different anthropometric indexes in the metabolic syndrome of Xinjiang Uygur population by ROC curve

作　　者：李变[1] 姚晓光[1] 李南方[1] 周玲[1] 常建航[1] 罗文利[1] 林娜[1] 

机构地区：[1]新疆维吾尔自治区人民医院高血压诊疗研究中心、新疆维吾尔自治区高血压研究所,乌鲁木齐830001

出　　处：《中华内分泌代谢杂志》2013年第1期55-57,共3页Chinese Journal of Endocrinology and Metabolism

基　　金：新疆自治区高技术研究发展计划项目（201010107）

摘　　要：利用2008年新疆和田地区流行病学调查资料，共2228人被纳入分析，计算腰围身高比（WHtR）、体重指数（BMI）、腰臀比，Kappa检验判断不同指标与腰围的一致性程度。结果显示，根据国际糖尿病联盟2005年代谢综合征（MS）诊断标准，WHtR使用受试者工作特征（ROC）曲线预测新疆维吾尔族和田地区人群代谢综合征的效力高于BMI、腹围和腰臀比，WHtR的临界值取0．53时其灵敏度和特异性为91．2％和71．8％，其曲线下面积达0．878。Kappa检验判断WHtR与腰围结果之间的一致性程度好。WHtR与腰围两者结合可显著提高MS风险预测的特异性和敏感性。Data were gathered from epidemiologieal survey of Xinjiang Hetian area in 2008 and 2 228 subjects were included. Waist-height ratio （ WHtR ）, body mass index （ BMI ）, Waist-hip ratio （WHpR） were calculated. Kappa test was applied to determine the concordance among different methods. The results showed that according to International Diabetes Federation 2005 diagnostic criteria for metabolic syndrome, it was better to apply WHtR in predicting metabolic syndrome by the receiver operating characteristic （ ROC ） curve than BMI, abdominal circumference, and WHpR. When the cutoff of WHtR was 0.53, the sensitivity and specificity in diagnosing MS were 91.2% and 71.8 % , with its area under ROC curve 0. 878. Kappa test showed an intensive concordance between WHtR and waist circumference （WC）. The specificity and sensitivity of diagnosing MS would be significantly raised by using both WHtR and WC.

关 键 词：代谢综合征 腰围身高比 受试者工作特征曲线 

分 类 号：R589[医药卫生—内分泌]