常熟市某镇65岁及以上体检人群代谢综合征现状及相关体脂指标的预测价值研究  

Prevalence of metabolic syndrome,and predictive value of relevant body fat indicators to support health check-ups,in the population 65 years or older in a town in Changshu City

作　　者：李绮文 LI Qiwen(Public Health Office of Meili People’s Hospital,Changshu 215500,Jiangsu,China)

机构地区：[1]常熟市梅李人民医院公共卫生工作办公室,江苏常熟215500

出　　处：《中国校医》2024年第10期737-740,751,共5页Chinese Journal of School Doctor

摘　　要：目的了解常熟市梅李镇65岁及以上体检人群代谢综合征检出情况,探讨体脂指标对代谢综合征的预测价值。方法以2022—2023年在常熟市梅李镇参与老年人健康体检的居民作为研究对象。研究内容包括问卷调查、身体测量和实验室指标检测,采用ROC曲线分析体脂指标预测代谢综合征的切点。结果梅李镇老年人代谢综合征检出率为33.60%,在5个体脂指标(腰围、体重指数、腰高比、脂质蓄积指数、内脏脂肪指数)中,脂质蓄积指数对社区老年人代谢综合征的预测效能最好,脂质蓄积指数的截断值男性为26.235(AUC:0.896),女性为38.425(AUC:0.894)。结论常熟市梅李镇老年居民代谢综合征及各组分检出率高,脂质蓄积指数对社区老年人代谢综合征的预测效能最好。利用该指标可及早采取针对性的措施,减少和控制代谢综合征的发生发展。Objective This study investigated the prevalence of metabolic syndrome(MetS)among the population 65 years of age and above in Meili Town,Changshu City,to explore the predictive value of body fat indicators for MetS.Methods The study examined residents participating in health check-ups for older people in Meili Town,Changshu City,from 2022 to 2023.Questionnaire surveys,physical measurements,and laboratory indicator tests were conducted.ROC curve analysis was used to determine the cut-off points for body fat indicators in predicting MetS.Results The prevalence of MetS among older people in Meili Town was 33.60%.Among the five body fat indicators(WC,BMI,WHtR,LAP,and VAI),LAP had the best predictive performance for MetS among community-dwelling older people.The cut-off value for LAP was 26.235 for men(AUC:0.896)and 38.425 for women(AUC:0.894).Conclusions The prevalence of MetS and its components was high among older residents of Meili Town,Changshu City.LAP had the best predictive performance for MetS among community-dwelling older people.Early targeted interventions using this indicator might help decrease and control the occurrence and progression of MetS.

关 键 词：代谢综合征 身体脂肪分布 风险评估 ROC曲线 

分 类 号：R181.38[医药卫生—流行病学]