腰围身高比结合体质指数预测心血管病危险因素效果评价  

Cardiovascular disease risk assessment with waist-to-height ratio and body mass index

作　　者：韩延柏[1] 

机构地区：[1]沈阳体育学院运动人体科学学院运动康复教研室,辽宁沈阳110102

出　　处：《中国公共卫生》2015年第10期1342-1346,共5页Chinese Journal of Public Health

摘　　要：目的 评价腰围身高比（WHtR）结合体质指数（BMI）预测心血管病危险因素的效果,为心血管病的防治提供参考依据。方法 收集辽宁省沈阳市东北大学1 327名职工2010年的体检资料,将WHtR（非中心性肥胖〈0.5、中心性肥胖≥0.5）按BMI（正常体重〈24.0 kg/m^2、超重24.0-27.9 kg/m^2、肥胖≥28.0 kg/m^2）分层,比较不同组别人群高血压、高血糖、血脂异常、代谢综合征（MS）等心血管病危险因素的患病率。结果 单独采用BMI指标,BMI〈24.0 kg/m^2者中有22.8%的中心性肥胖者被漏诊;单独采用WHtR指标,WHtR〈0.5者中有15.0%的超重/肥胖者被错误分类;logistic回归分析结果显示,WHtR预测高血压、高血糖、血脂异常和MS的OR值分别为1.63、1.43、1.45和3.27,均大于BMI预测OR值的1.31、1.19、1.28和1.74;与BMI〈24.0 kg/m^2且WHtR〈0.5的人群比较,BMI〈24.0 kg/m^2且WHtR≥0.5的人群患高血压、血脂异常和MS的风险分别为1.68、2.08和20.10倍,BMI24.0-27.9 kg/m^2且WHtR〈0.5的人群患高血糖和MS的风险分别为2.88和9.25倍,BMI24.0-27.9 kg/m^2且WHtR≥0.5的人群患高血压、高血糖、血脂异常和MS的风险分别为2.57、3.09、2.94和61.70倍,BMI≥28.0 kg/m^2且WHtR≥0.5的人群患高血压、高血糖、血脂异常和MS的风险分别为5.94、3.33、4.91和183.33倍。结论 WHtR与心血管病危险因素的关联强度大于BMI,WHtR结合BMI能够高效识别心血管病高危人群。Objective To examine the efficacy of waist-to-height ratio （WHtR） combined with body mass index （BMI） in prediction of cardiovascular diseases risk and to provide a reference for the prevention and treatment of cardiovascular diseases. Methods Medical physical examination records of 1 327 staff in a university in 2010 were collected. WHtR categories（ 〈 0. 5 and ≥0. 5 for non-central obesity and central obesity） were further stratified by BMI categories （ 〈24.0 kg/m^2 ,24. 0 -27.9 kg/m^2 ,and ≥28.0 kg/m^2for normal,overweight,and obesity）. Prevalences of cardiovascular risk factors such as hypertension, hyperglycemia, dyslipidemia, and metabolic syndrome （ MS ） were compared among the participants of different subgroups. Results Of the participants with normal BMI,22. 8% could be classified as central obesity based on WHtR,while of those with the WHtR for non-central obesity, 15.0% could be classified as overweight or obesity according to categories of BMI. The results of logistic regression analyses showed that the odds ratios（ORs） for hypertension, hyperglycemia, dyslipidemia, and MS （ 1.63,1.43,1.45, and 3.27 ） estimated based on WHtR score were greater than those（ 1.31,1.19,1.28, and 1.74） according to BMI score. Among the participants having normal BMI, those with the WHtR of ≥0. 5 had increased risks of hypertension, dyslipidemia, and MS, with the ORs of 1.68,2. 08, and 20. 10, compared to the participants with the WHtR of 〈 0. 5. Among the overweight participants categorized based on BMI, the ORs of hyperglycemia and MS were 2. 88 and 9.25 for those with the WHtR of 〈 0. 5 and the ORs of hypertension, hyperglycemia, dyslipidemia, and MS were 2. 57,3.09,2. 94 and 61.70 for those with the WHtR of ≥0. 5 ;among the obesity participants categorized based on BMI,the ORs of hypertension,hyperglycemia, dyslipidemia, and MS were 5.94,3.33,4.91, and 183.33 for those with the WHtR of ≥0. 5. Conclusion WHtR is more strongly associated with cardiovascular disease risks t

关 键 词：腰围身高比(WHtR) 体质指数(BMI) 心血管病 危险因素 评价效果 

分 类 号：R544.1[医药卫生—心血管疾病]