Correlation between Waist Circumference and Carotid Intima-Media Thickness in Women from Shanghai, China  

作　　者：SHEN Yun ZHANG Lei ZONG Wen Hong WANG Zheng ZHANG Yin YANG Man Jing MA Xiao Jing ZHU Jia An BAO YuQian JIA Wei Ping 

机构地区：[1]Department of Endocrinology and Metabolism, Affiliated Sixth People's Hospital of Shanghai Jiaotong University [2]Shanghai Clinical Center for Diabetes [3]Shanghai Diabetes Institute [4]Shanghai Key Laboratory of Diabetes Mellitus [5]Public Health Bureau of Shanghai Zhabei District [6]Gonghexin Road Community Health Service Center, of Shanghai Zhabei District [7]Tianmuxi Road Community Health Service Center of Shanghai Zhabei District [8]Daning Road Community Health Service Center of Shanghai Zhabei District [9]Department of Ultrasound, Affiliated Sixth People's Hospital of Shanghai Jiaotong University [10]Shanghai Institute of Ultrasonic Medicine

出　　处：《Biomedical and Environmental Sciences》2013年第7期531-538,共8页生物医学与环境科学（英文版）

基　　金：supported by National Key Technology R&D Program of China(2009BAI80B01);National Natural Science Foundation of China(81170788);Special Scientific Research Fund of Medical Sanitary(201002002)

摘　　要：Objective To evaluate whether waist circumference （WC） 〉85 cm is related to asymptomatic preclinical atherosclerosis in women from Shanghai, China. Methods A total of 2365 females aged 〉20 years recruited from 4 communities underwent physical examination and carotid artery scanning. Their carotid intima-media thickness （C-iMT） was measured. Results The C-IMT was significantly higher in overweight or obese women with their BMI 〉25.0 kg/m2 {P〈O.01） and in those with their WC _〉85 cm than in those with their WC 〈85 cm （P〈O.01）. Spearman and partial correlation analysis showed that the C-IMT was significantly correlated with WC which was independent of menopausal status. The C-IMT significantly increased with the increasing WC and reached to a platform in about 85 cm. An increment tendency was found in the subgroup with its WC 〈 85 cm （P〈O.01） while no significant tendency was found in the subgroup with its WC_〉85 cm （P=0.07）. Multiple stepwise regression analysis showed that the WC was an independent risk factor for C-IMT. In logistic regression model, the odd ratio of WC _〉80 cm, _〉80 cm and 〈85 cm and 〉85 cm for evaluating the risk of C-IMT elevation was 2.632, 2.501, and 1.878, respectively. Conclusion WC is significantly correlated with C-IMT in women from Shanghai, China, and WC_〉85 cm may be used in identifying the risk of subclinical carotid atherosclerosis.Objective To evaluate whether waist circumference （WC） 〉85 cm is related to asymptomatic preclinical atherosclerosis in women from Shanghai, China. Methods A total of 2365 females aged 〉20 years recruited from 4 communities underwent physical examination and carotid artery scanning. Their carotid intima-media thickness （C-iMT） was measured. Results The C-IMT was significantly higher in overweight or obese women with their BMI 〉25.0 kg/m2 {P〈O.01） and in those with their WC _〉85 cm than in those with their WC 〈85 cm （P〈O.01）. Spearman and partial correlation analysis showed that the C-IMT was significantly correlated with WC which was independent of menopausal status. The C-IMT significantly increased with the increasing WC and reached to a platform in about 85 cm. An increment tendency was found in the subgroup with its WC 〈 85 cm （P〈O.01） while no significant tendency was found in the subgroup with its WC_〉85 cm （P=0.07）. Multiple stepwise regression analysis showed that the WC was an independent risk factor for C-IMT. In logistic regression model, the odd ratio of WC _〉80 cm, _〉80 cm and 〈85 cm and 〉85 cm for evaluating the risk of C-IMT elevation was 2.632, 2.501, and 1.878, respectively. Conclusion WC is significantly correlated with C-IMT in women from Shanghai, China, and WC_〉85 cm may be used in identifying the risk of subclinical carotid atherosclerosis.

关 键 词：Visceral obesity Waist circumference Carotid intima-media thickness 

分 类 号：R543.4[医药卫生—心血管疾病]