颈围对四川省保健对象代谢综合征的预测价值  

The predictive value of neck circumference for metabolic syndrome in health care subjects in Sichuan Province

作　　者：杨玉梅 刘玉萍[1] 马孝湘[1] 郭姝瑾 帅平[1] 王林[1] YANG Yu-mei;LIU Yu-ping;MA Xiao-xiang;GUO Shu-jin;SHUAI Ping;WANG Lin(Health Management Center/Institute of Health Management,Sichuan Academy of Medical Sciences&Sichuan Provincial People’s Hospital,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院健康管理中心/健康管理研究所,四川成都610072

出　　处：《实用医院临床杂志》2024年第1期128-132,共5页Practical Journal of Clinical Medicine

基　　金：四川省干部保健科研课题(编号:2014-206号);四川省干部保健科研课题(编号:2020-216)。

摘　　要：目的探讨四川省保健对象颈围预测代谢综合征最佳分界值及预测风险。方法对2015年1月至2019年12月年在我院行健康体检的3345例四川省保健对象的资料进行分析。代谢综合征根据2004年中国糖尿病协会的标准诊断。结果四川省保健对象的颈围与体重指数及腰围显著相关(P<0.01)。ROC曲线分析提示颈围预测代谢综合征的最佳临界值,男性为37 cm,女性为33 cm。在调整了年龄、吸烟、饮酒、运动、民族因素后,Logistic回归分析提示,颈围分界值以上比颈围分界值以下,MetS风险男性增加5.107倍,女性增加6.102倍。结论颈围是代谢综合征的独立危险因素,可以作为辅助筛查四川省保健对象MetS的人体测量指标,尤其是位于颈围最佳分界值以上的人群,其代谢综合征的风险成倍增加。Objective To explore the optimal cut-off value of neck circumference(NC)to predict the risk of metabolic syndrome(MetS)among health care subjects in Sichuan Province.Methods A total of 3,345 health care subjects who underwent a health examination from January 2015 to December 2019 at our Health Management Center were included.MetS was identified according to the 2004 Chinese Diabetes Society criteria.Results NC was significantly correlated with BMI and waist circumference(P<0.01).The results of ROC analysis showed that the optimal NC cut-off points for predicting the risk of MetS were 37 cm in males and 33 cm in females.In the upper NC cut-off point compared to the lower NC cut-off point,NC was associated with an increased risk of MetS by 5.107-fold in males and 6.102-fold in females after adjustments for age,smoking status,drinking status,sports activities and minorities.Conclusions NC is an independent risk factor for MetS.It serves as an effective anthropometric indicator for predicting the risk of MetS in health care subjects in Sichuan Province.Particularly,individuals with NC above the optimal cut-off value would face a significantly multiplied risk of developing MetS.

关 键 词：颈围 保健对象 受试者工作特征曲线 代谢综合征 

分 类 号：R589[医药卫生—内分泌]