人体肥胖指数(BAI)作为中国人肥胖新指标的可行性探讨  

Body adiposity index(BAI)could be a new marker of obesity in the Chinese population

作　　者：何双涛[1] 刘军[1] 

机构地区：[1]复旦大学附属第五人民医院内分泌代谢科,上海200240

出　　处：《复旦学报（医学版）》2014年第6期760-764,共5页Fudan University Journal of Medical Sciences

摘　　要：目的探讨人体肥胖指数(body adiposity index,BAI)作为评价中国人肥胖新指标的可行性,及其与体质指数(body mass index,BMI)、腰围(waist circumference,WC)等其他肥胖指标相比较的优势。方法选取居住在上海市金山区金山新城及附近小区的居民志愿者作为研究对象,纳入5 030例,其中男性2 004例,女性3026例。年龄分层后,做BAI与BMI、WC、腰臀比(waist-hip ratio,WHR)及代谢性指标空腹血糖、血脂、血尿酸、血压的线性相关分析;采用受试者工作特征曲线(receiver operating characteristic curve,ROC)分析比较BAI、BMI、WC等在预测肥胖中的价值。结果相关性分析显示,BAI与BMI、WC、WHR及代谢性指标均有显著正相关,其中BAI与BMI、WC相关性良好;ROC分析显示,在预测肥胖时BAI的价值低于BMI及WC。结论BAI可以作为评价中国人肥胖的新指标,但与BMI及WC相比并无优势。Objective To explore whether body adiposity index （BAI） could be a new marker of obesity in the Chinese population, and furthermore to evaluated the advantages of BAI in obesity assessment compared with other indicators such as body mass index （BMI）, waist circumference （WC） and so on. Methods Five thousand and thirty residents as the participants from Jinshan New Area and nearby neighborhoods of Shanghai were enrolled, inculding 2 004 males and 3 026 females. After stratified by age, the correlation analysis of BAI was calculated with BMI, waist-hip ratio（WHR）, fasting blood glucose, blood lipid, blood uric acid and blood pressure in each group. In addition, the comparison of BAI, BMI and WC et al in the prediction of obesity were calculated by the receiver operating characteristic curve （ROC） analysis. Results The results from the correlation analysis showed that there was a significantly positive correlation between BAI, BMI, WC, WHR and metabolic indicators, especailly with BMI and WC. Additionally, ROC analysis revealed that there was less advantageous of BAI in obesity prediction than BMI and WC. Conclusions BAI could be a new marker of obesity in the Chinese population,but it seems that BAI was not a more sensitive method in obesity assessment than BMI and WC.

关 键 词：人体肥胖指数(BAI) 体质指数(BMI) 腰围(WC) 腰臀比(WHR) 肥胖 

分 类 号：R589.2[医药卫生—内分泌]