不同肥胖指标对中老年人群糖尿病的筛检效果研究  

Screening effect of different obesity indexes on diabetes in middle-aged and elderly people

作　　者：朱慧云 王亚楠 陈晓倩 王江 田峰 Zhu Huiyun;Wang Yanan;Chen Xiaoqian;Wang Jiang;Tian Feng(Linyi Central Hospital,Linyi 276400,China;Linyi People′s Hospital,Linyi 276000,China)

机构地区：[1]临沂市中心医院,山东临沂276400 [2]临沂市人民医院,山东临沂276000

出　　处：《中国医院统计》2024年第2期140-144,共5页Chinese Journal of Hospital Statistics

基　　金：临沂市科协调研课题(2024kxy226)。

摘　　要：目的探讨中老年人群不同肥胖指标对糖尿病的筛检效果,并确定不同肥胖指标的最优切点值及最适指标,为糖尿病的早期筛检及防控提供数据支撑和科学依据。方法对12630名45~79岁某医院体检人群进行问卷调查和体格检查,采用ROC曲线确定最适指标及最优切点值,Delong检验比较不同肥胖指标对糖尿病的筛检效果,logistic回归评估不同切点下不同肥胖指标的预测效果。结果(1)糖尿病患病率男性高于女性;(2)不同性别腰围身高比指标的ROC曲线下面积均最大,且腰围、腰围身高比的ROC曲线下面积与身体质量指数、腰臀比的ROC曲线下面积均有显著差异;(3)不同切点下,腰围和腰围身高比有更高的OR值和ROC曲线下面积。结论对于中老年人群而言,腰围和腰围身高比相比于其他指标对糖尿病有更好的筛检能力和预测效果。Objective To explore the screening effect of different obesity indicators on diabetes in middle-aged and elderly people,and determine the optimal cutting point values and optimal indicators of different obesity indicators,so as to provide data support and scientific basis for early screening,prevention and control of diabetes.Methods A total of 12630 people aged 45-79 years old with physical examination in a hospital were investigated by questionnaire.Receiver operating characteristic curve(ROC)was used to determine the optimal index and the optimal cutting point.Delong test was used to compare the screening effect of different obesity indicators on diabetes,and the logistic regression was used to evaluate the predictive effect of different obesity indicators at different cutting points.Results(1)The prevalence of diabetes in males was higher than that in females;(2)the area under the receiver operating characteristic curve(AUROC)of waist-to-height ratio(WHtR)index of different genders was the largest,and the AUROC of WC and WHtR was significantly different from that of body mass index(BMI)and waist-to-hip ratio(WHR);(3)at different cutting points,WC and WHtR had higher OR values and AUROC values.Conclusion For middle-aged and elderly people,WC and WHtR have better screening ability and prediction effect for diabetes than other indicators.

关 键 词：肥胖 切点 糖尿病 筛检 

分 类 号：R587.1[医药卫生—内分泌]