福建省成年人不同肥胖指标与高血压的关系  

Relationship between different obesity indicators and hypertension in adults in Fujian Province

作　　者：黄雅丽 潘忞 林黛茜 韩英 王叶舟[2,3] 陈纯娴 谢良地[2,3,4,5] HUANG Yali;PAN Min;LIN Daixi;HAN Ying;WANG Yezhou;CHEN Chunxian;XIE Liangdi(School of Public Health,Fujian Medical University,Fuzhou,Fujian 350122,China;Fujian Hypertension Research Institute;Department of Comprehensive Wards, the First Affiliated Hospital of Fujian Medical University;Department of Geriatrics and Hypertension, the First Affiliated Hospital of Fujian Medical University;Branch of National Clinical Research Center for Aging and Medicine,Fujian Province,Fujian Provincial Clinical Research Center for Geriatric Hypertension Disease National Clinical Research Center for Aging and Medicine,Huashan Hospital,Fudan University)

机构地区：[1]福建医科大学公共卫生学院,福建福州350122 [2]福建省高血压研究所 [3]福建医科大学附属第一医院综合病房 [4]福建医科大学附属第一医院老年医学及高血压科 [5]国家老年疾病临床医学研究中心福建省分中心,福建省老年高血压疾病临床医学研究中心和国家老年疾病临床医学研究中心(华山)

出　　处：《中华高血压杂志（中英文）》2024年第2期171-179,共9页Chinese Journal of Hypertension

摘　　要：目的 分析福建省成人不同肥胖指标与高血压的关系,探讨不同肥胖指标对高血压的预测价值。方法 使用2014年8月至2016年7月“十二五”国家科技支撑计划项目“中国重要心血管病患病率调查及关键技术研究”福建省数据库资料。该研究为分层多阶段随机抽样横断面调查,抽取年龄18周岁以上,肥胖指标数据完整者共14 152人,采用二元logistic回归分析体重指数、体脂率、腰围、腰高比(腰围与身高的比值)、内脏脂肪指数(VFI)与高血压的关系,应用受试者工作特征(ROC)曲线分析单个、一般性(体重指数、体脂率)和中心性(腰围、腰高比、VFI)肥胖指标联合对高血压的预测效力。结果 本研究中高血压患者4 482例,患病率31.67%。高血压组体重指数、体脂率、腰围、腰高比、VFI高于非高血压组(均P<0.001)。随着肥胖指标(体重指数、体脂率、腰围、腰高比、VFI)数据的升高,高血压患病率增加(均P<0.001)。多因素logistic回归分析发现,体重指数、体脂率、腰围、腰高比、VFI与高血压患病风险相关(均P<0.05),ROC曲线结果显示,各指标在总人群、男性及女性中的曲线下面积(AUC)均>0.6,总人群、男性、女性中预测效力最好的分别是腰高比、体脂率、腰高比,AUC分别为0.720(95%CI 0.711~0.729)、0.694(95%CI 0.681~0.707)、0.754(95%CI 0.742~0.766)。指标联合后,总人群、男性中预测效果最好的分别是体重指数联合腰高比(AUC=0.725,95%CI 0.717~0.734)、体脂率联合腰高比(AUC=0.703,95%CI 0.690~0.715),女性中AUC均<0.6。结论 体脂率、腰围、腰高比、VFI与高血压患病相关,单个肥胖指标预测效力最佳的是腰高比,两类肥胖评价指标联合预测效力最佳的是体重指数联合腰高比。与单一肥胖指标相比,联合一般性肥胖指标和中心性肥胖指标预测高血压没有更高的效力。Objective To analyze the relationship between different obesity indicators and hypertension in Fujian Province,and to explore the predictive value of different obesity indicators for hypertension.Methods Using data from the National 12th Five-Year Plan's Prevalence Survey and Key Technology Study of Important Cardiovascular Diseases in China database from August 2014 to July 2016.This research was a cross-sectional survey with stratified multi-stage random sampling.A total of 14 152 people over 18 years old with complete data related to obesity indicators were selected.Binary logistic regression was used to analyze the relationship between body mass index,body fat rate,waist circumference,waist-to-height ratio,visceral fat index(VFI),and hypertension.Receiver operating characteristic(ROC) was used to analyze the predictive efficacy of a single obesity evaluation indicator and the combination of general and central obesity evaluation indicators for hypertension.Results There were 4 482 cases of hypertension in this study,with a prevalence rate of 31.67%.Body mass index,body fat rate,waist circumference,waist-to-height ratio and VFI in hypertension group were higher than non-hypertension group(all P<0.001).With the increase of body mass index,body fat rate,waist circumference,waist-to-height ratio,and VFI,the prevalence of hypertension increased(all P<0.001).Logistic regression analysis showed that body mass index,body fat rate,waist circumference,waist-to-height ratio,and VFI were correlated with hypertension(P<0.05).ROC curve showed that the area under the curve(AUC) of all indicators in the whole population,male and female were over 0.6,and the best predictive power in the whole population,male and female was waist-to-height ratio(AUC=0.720,95%CI 0.711-0.729),body fat rate(AUC=0.694,95%CI 0.681-0.707) and waist-to-height ratio(AUC=0.754,95%CI 0.742-0.766),respectively.For the combination of indicators,body mass index combined with waist-to-height ratio(AUC=0.725,95%CI 0.717-0.734),body fat rate combined with wai

关 键 词：肥胖指标 高血压 福建省 体重指数 体脂率 腰围 腰高比 内脏脂肪指数 

分 类 号：R544.1[医药卫生—心血管疾病] R589.2[医药卫生—内科学]