Role of waist circumference-to-height ratio in assessing adiposity,predicting type 2 diabetes mellitus and other cardiometabolic diseases  

腰围身高比在评估肥胖及预测2型糖尿病和其他心血管代谢性疾病中的作用

作　　者：ZHANG Xinyi LU Xi PAN Xiaohui SHEN Sumin TONG Nanwei 张心怡;陆茜;潘晓晖;沈苏敏;童南伟(四川大学华西医院内分泌代谢科,成都610041;四川大学华西医院糖尿病与代谢研究室,成都610213)

机构地区：[1]Department of Endocrinology and Metabolism,West China Hospital,Sichuan University,Chengdu 610041 [2]Center for Diabetes and Metabolism Research,West China Hospital,Sichuan University,Chengdu 610213,China

出　　处：《中南大学学报（医学版）》2024年第7期1062-1072,共11页Journal of Central South University ：Medical Science

基　　金：supported by the“1·3·5 Project”for Disciplines of Excellence,West China Hospital,Sichuan University,China(ZYGD18017)。

摘　　要：Although body mass index(BMI)is widely used as a simple tool to assess obesity,it has certain limitations and inaccuracies.It is known that visceral adipose tissue is closely related to cardiometabolic risks and all-cause mortality;however,precise measurement methods for visceral fat(magnetic resonance imaging and computed tomography)cannot be widely used.Thus,simple but accurate alternatives are valuable.Studies have shown that waist circumference-to-height ratio(WHtR)might be a superior and more accurate variable in assessing central or visceral adiposity as well as predicting risks of diabetes and other cardiometabolic diseases.Furthermore,WHtR cutoff values can be consistent across different races,age,and genders,making it a universal metric worth promoting and applying.尽管体重指数(body mass index,BMI)作为评估肥胖的简便工具被广泛应用,但其也存在一些缺点和不准确之处。据研究报道,内脏脂肪含量与心血管代谢性疾病风险和全因死亡率的关系更为密切;然而,精准测量内脏脂肪含量的方法(磁共振成像和计算机断层扫描)却无法得到广泛应用。因此,寻找测量内脏脂肪含量的简便替代方法很有必要。研究表明,腰围身高比(waist circumference-to-height ratio,WHtR)可能是评估中心型或内脏脂肪型肥胖以及预测糖尿病和其他心血管代谢性疾病发生风险的一个更准确、更简便的指标。此外,不同种族、年龄和性别群体的WHtR临界值可以相同。因此,WHtR值得推广和应用。

关 键 词：waist circumference-to-height ratio body mass index DIABETES cardiometabolic diseases central adiposity 

分 类 号：R589.2[医药卫生—内分泌] R587.1[医药卫生—内科学] R54[医药卫生—临床医学]