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周艾婧, 潘庆, 李爱玲, 且亚玲, 王启兴, 龚熠, 贾红. 肥胖及代谢相关指标对凉山彝族农村居民高尿酸血症预测价值[J]. 中国公共卫生, 2015, 31(12): 1646-1650. DOI: 10.11847/zgggws2015-31-12-36
引用本文: 周艾婧, 潘庆, 李爱玲, 且亚玲, 王启兴, 龚熠, 贾红. 肥胖及代谢相关指标对凉山彝族农村居民高尿酸血症预测价值[J]. 中国公共卫生, 2015, 31(12): 1646-1650. DOI: 10.11847/zgggws2015-31-12-36
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ZHOU Ai-jing, PAN Qing, LI Ai-ling.et al, . Predictive value of obesity and metabolism indexes for hyperuricemia among rural adult Yi residents in Liangshan region[J]. Chinese Journal of Public Health, 2015, 31(12): 1646-1650. DOI: 10.11847/zgggws2015-31-12-36
Citation: ZHOU Ai-jing, PAN Qing, LI Ai-ling.et al, . Predictive value of obesity and metabolism indexes for hyperuricemia among rural adult Yi residents in Liangshan region[J]. Chinese Journal of Public Health, 2015, 31(12): 1646-1650. DOI: 10.11847/zgggws2015-31-12-36
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肥胖及代谢相关指标对凉山彝族农村居民高尿酸血症预测价值

Predictive value of obesity and metabolism indexes for hyperuricemia among rural adult Yi residents in Liangshan region

    摘要
  • 摘要: 目的 分析四川省凉山彝族农民肥胖及代谢相关指标对高尿酸血症(HUA)的预测价值,为HUA的防治提供参考依据。方法 2014年6-8日采用分层整群随机抽样方法对在凉山彝族自治州农村地区进行分层整群随机抽样,抽取的972名 ≥18周岁以上常住居民972人,调查内容包括进行问卷调查、体格检查和血实验室检测;采用Spearman相关分析法分析肥胖及代谢相关指标与HUA之间的关系,并采用ROC曲线确定HUA的最佳预测值。结果 凉山彝族自治州农村居民HUA患病率为18.7%,标化患病率为22.0%,男性和女性HUA患病率分别为27.2%和11.3%,标化患病率分别为30.4%和12.3%;不同性别彝族农村居民HUA患病率比较,差异有统计学意义(χ2=105.429,P=0.001);Spearman相关分析结果显示,男性体质指数(BMI)、腰围、臀围、腰臀比、腰高比、甘油三酯(TG)与血尿酸(SUA)均呈正相关(均P<0.01),高密度脂蛋白胆固醇(HDL-C)与SUA呈负相关(r=-0.132,P=0.005);女性BMI、腰围、臀围、腰臀比、腰高比、总胆固醇(TC)、TG、低密度脂蛋白胆固醇(LDL-C)与SUA均呈正相关(均P<0.01),HDL-C与SUA呈负相关(r=-0.115,P=0.009);HUA诊断ROC曲线显示,男性BMI的AUCROC最大为0.635(切点为23.0 kg/m2),女性臀围的AUCROC最大为0.605(切点为87.50 cm)。结论 凉山彝族农村居民的HUA患病率较高, BMI、腰围、臀围、腰臀比、腰高比、TC、TG、LDL-C、HDL-C等肥胖及代谢相关指标对HUA有一定预测价值。

     

    Abstract: Objective To explore predictive value of obesity and relevant metabolism indexes for hyperuricemia(HUA)among rural Yi residents in Liangshan Yi Autonomous Prefecture(Liangshan)of Sichuan province.Methods Stratified random cluster samp1ing was adopted to select 972 permanent residents aged ≥18 years in Liangshan for a cross-sectional study with questionnaire survey,physical examination,and laboratory detection.Spearman correlation was used to analyze the relationship between HUA and obesity indexes and receiver operating characteristic(ROC)curve was used to determine the best predictable value of HUA with maximum Gordon's index as the best cut-off point.Results Among the 972 participants(452 males and 520 females),the HUA prevalence rate was 18.7%(27.2%for the males and 11.3%for the females)and the standardized prevalence rate was 22.0%(30.4%for the males and 12.31%for the females);there was a significant gender difference in HUA prevalence rate among the participants(χ2=105.429,P=0.001).There were significant age-differences in body mass index(BMI),waist circumference(WC),hip circumference(HC),waist-to-hip ratio(WHR),waist-to-height ratio(WHTR),total cholesterol(TC),and low density lipoprotein cholesterol(LDL-C)in both the male and female participants(all P<0.05) and a significant age-difference in serum uric acid(SUA)in the male participants (P<0.05).Spearman correlation analyses showed that SUA was positively correlated with BMI,WC,HC,WHR,WHTR,and triglyceride(TG)(all P<0.01)but reversely correlated with high density lipoprotein cholesterol(HDL-C)(r=-0.132,P=0.005)among the male participants;whereas among the female participants,SUA was positively correlated with BMI,WC,HC,WHR,WHTR,TC,triglyceride(TG),and LDL-C(all P<0.01)but reversely correlated with HDL-C (r=-0.115,P=0.009).The highest area under the ROC curve of BMI for HUA diagnosis was 0.635,with a cut-point of 23.0 kg/m2,for the male participants and that of HC for HUA diagnosis was 0.605,with a cut-point of 87.50 cm for the female participants.Conclusion The prevalences of HUA and obesity are high and obesity and relevant metabolic indexes are of predicative significance for HUA among rural adult Yi residents in Liangshan region.

     

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