老年人腰身指数、体质量指数对代谢综合征的预测价值  

Waist - to - height ratio and body mass index for the prediction of metabolic syndrome in the elderly

作　　者：徐丽华 颜应琳 于凯 杨红娜 李芳 何艳 殷小芳 

机构地区：[1]任丘康济医院神经内科,河北省任丘062550 [2]任丘康济医院内分泌科,河北省任丘062550

出　　处：《中国基层医药》2016年第11期1619-1623,I0002,共6页Chinese Journal of Primary Medicine and Pharmacy

基　　金：河北省科技支撑计划项目（12276104D-90）

摘　　要：目的探讨老年人群中腰身指数／腰围身高比（WHtR）、体质量指数（BMI）对预测代谢综合征（MS）的筛查和预测作用并探索最佳的预测指标。方法该研究采用整群随机抽样的方法，对任丘地区60～70岁老年常住居民共计5010例，进行现场问卷调查、体格检查和实验室检测。应用ROC曲线进行分析并计算曲线下面积。结果WHtR预测MS的最佳切点男女分别为0．54、0．55，BMI预测MS的最佳切点男女分别为25．25kg／m2、25．05ks／m2；同一性别中，WHtR、BMI预测MS的曲线下面积对比，WHtR的曲线下面积较大，WHtR预测MS的价值高于BMI，WHtR是预测MS更好的指标。结论WHtR和BMI对MS的预测和筛查有重要意义，特别是WHtR，具有明显预测价值。Objective To investigate waist -to -height ratio （WHtR） and body mass index（BMI） for the screening and prediction of metabolic syndrome and explore the best indicator for predicting metabolic syndrome（MS） in the elderly. Methods A cluster random sampling method was used. 5 010 cases aged 60 -70 years old of Renqiu permanent residents were selected as a screening subjects. The face to face health questionnaires, anthropometric measurements,and laboratory testing were conducted. Receiver operating characteristic （ROC） was used to analyze and calculate the area under the curve （AUC）. Results WHtR predict the best point of tangency of MS were 0.54 （ men ） , 0.55 （ women ） , BMI predict the best point of tangency of MS were 25.25kg/m2 （ men ） , 25.05 kg/m2 （women）. In the same gender,the contrast of WHtR and BMI in predicts MS area under the curve, WHtR area under the curve of the larger, WHtR was higher than BMI, WHtR was a better indicator in predicted of MS. Conclusion WHtR and BMI have important roles in the screening and prediction of MS, and WHtR seems to be the best parameter in the screening and prediction of MS in the elderly.

关 键 词：代谢综合征 腰身指数 体质量指数 

分 类 号：R589[医药卫生—内分泌]