多种肥胖指标对老年人高血压预测价值的研究  

Predictive Value of Multiple Obesity Indicators for Hypertension in the Eelderly

作　　者：汪慧 饶菲菲 牛浩然 杜思娴 杨莉 姜峰 WANG Hui;RAO Feifei;NIU Haoran(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science and Technology,Hubei 430030,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《医学研究杂志》2025年第2期117-122,共6页Journal of Medical Research

基　　金：中华人民共和国教育部人文社会科学研究规划基金资助项目(21YJA630062)。

摘　　要：目的评估多种肥胖指标对≥65岁老年人群高血压预测的价值,为及时识别高血压患者和高危人群提供科学依据,并为老年人高血压的早期干预提供策略参考。方法选取2022年3月~2023年12月在武汉市某社区卫生服务中心接受健康体检的6873例老年人作为研究对象。计算中国内脏脂肪指数(Chinese visceral adipose index,CVAI)、身体形态指数(a body shape index,ABSI)、锥度指数(conicity index,CI)和心脏代谢指数(cardiometabolic index,CMI)等肥胖相关指标,并通过受试者工作特征(receiver operating characteristic,ROC)曲线的曲线下面积(area under the curve,AUC),分析和比较上述肥胖指标对不同性别老年人高血压患病风险的识别能力。结果所有肥胖指标在不同性别中差异均有统计学意义(P<0.05)。男性ABSI、CI以及CMI,女性CVAI、ABSI以及CI识别高血压患病风险的AUC差异均有统计学意义(P<0.05),AUC分别为0.524、0.575、0.611、0.635、0.530、0.565,其中男性CMI和女性CVAI识别高血压患病风险的AUC较其他指标大。结论不同性别间识别高血压患病风险的肥胖指标存在差异。CMI和CVAI分别是预测老年男性和女性高血压患病风险的最佳指标;社区可针对不同性别老年高血压患者,应用并推广相应肥胖指标,以提升高血压的早期干预和防治效果。Objective To evaluate the value of multiple obesity indicators in predicting hypertension of the elderly population aged 65 years and above,to provide a scientific basis for the timely identification of hypertensive patients and high-risk groups,and to provide a strategic reference for the early intervention of hypertension in the elderly.Methods A total of 6873 elderly people who received health checkups at a community health service centre in Wuhan from March 2022 to December 2023 were selected as the study subjects.The Chinese visceral adipose index(CVAI),a body shape index(ABSI),conicity index(CI)and cardiometabolic index(CMI)were calculated,the area under the curve(AUC)of the receiver operating characteristic(ROC)curve was used to analyze and compare the ability of the above obesity indicators for identifying the risk of hypertension in elderly people of different genders.Results There were significant differences in all obesity indexes between different gender(P<0.05).The differences in AUC for identifying the risk of hypertension among ABSI,CI and CMI in males,and CVAI,ABSI and CI in females were statistically significant(P<0.05),and the AUC were 0.524,0.575,0.611,0.635,0.530,0.565,respectively.The AUC of CMI in males and CVAI in females for identifying the risk of hypertension was larger than other indicators.Conclusion Obesity indicators for identifying the risk of hypertension differ between genders;CMI and CVAI are the best indicators for predicting the risk of hypertension in elderly males and females,respectively;the community can apply and promote the corresponding obesity indicators for elderly hypertensive patients of different genders to improve the early intervention and prevention of hypertension.

关 键 词：高血压 肥胖指标 老年人 风险识别 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]