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韩延柏. 腰围身高比结合体质指数预测心血管病危险因素效果评价[J]. 中国公共卫生, 2015, 31(10): 1342-1346. DOI: 10.11847/zgggws2015-31-10-30
引用本文: 韩延柏. 腰围身高比结合体质指数预测心血管病危险因素效果评价[J]. 中国公共卫生, 2015, 31(10): 1342-1346. DOI: 10.11847/zgggws2015-31-10-30
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HAN Yan-bai. Cardiovascular disease risk assessment with waist-to-height ratio and body mass index[J]. Chinese Journal of Public Health, 2015, 31(10): 1342-1346. DOI: 10.11847/zgggws2015-31-10-30
Citation: HAN Yan-bai. Cardiovascular disease risk assessment with waist-to-height ratio and body mass index[J]. Chinese Journal of Public Health, 2015, 31(10): 1342-1346. DOI: 10.11847/zgggws2015-31-10-30
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腰围身高比结合体质指数预测心血管病危险因素效果评价

Cardiovascular disease risk assessment with waist-to-height ratio and body mass index

    摘要
  • 摘要: 目的评价腰围身高比(WHtR)结合体质指数(BMI)预测心血管病危险因素的效果, 为心血管病的防治提供参考依据。方法收集辽宁省沈阳市东北大学1 327名职工2010年的体检资料, 将WHtR(非中心性肥胖<0.5、中心性肥胖≥0.5)按BMI(正常体重<24.0 kg/m2、超重24.0~27.9 kg/m2、肥胖≥28.0 kg/m2)分层, 比较不同组别人群高血压、高血糖、血脂异常、代谢综合征(MS)等心血管病危险因素的患病率。结果单独采用BMI指标, BMI<24.0 kg/m2者中有22.8%的中心性肥胖者被漏诊;单独采用WHtR指标, WHtR<0.5者中有15.0%的超重/肥胖者被错误分类;logistic回归分析结果显示, WHtR预测高血压、高血糖、血脂异常和MS的OR值分别为1.63、1.43、1.45和3.27, 均大于BMI预测OR值的1.31、1.19、1.28和1.74;与BMI<24.0 kg/m2且WHtR<0.5的人群比较, BMI<24.0 kg/m2且WHtR≥0.5的人群患高血压、血脂异常和MS的风险分别为1.68、2.08和20.10倍, BMI 24.0~27.9 kg/m2且WHtR<0.5的人群患高血糖和MS的风险分别为2.88和9.25倍, BMI24.0~27.9 kg/m2且WHtR≥0.5的人群患高血压、高血糖、血脂异常和MS的风险分别为2.57、3.09、2.94和61.70倍, BMI≥28.0 kg/m2且WHtR≥0.5的人群患高血压、高血糖、血脂异常和MS的风险分别为5.94、3.33、4.91和183.33倍。结论WHtR与心血管病危险因素的关联强度大于BMI, WHtR结合BMI能够高效识别心血管病高危人群。

     

    Abstract: ObjectiveTo examine the efficacy of waist-to-height ratio(WHtR) combined with body mass index(BMI) in prediction of cardiovascular diseases risk and to provide a reference for the prevention and treatment of cardiovascular diseases.MethodsMedical physical examination records of 1 327 staff in a university in 2010 were collected.WHtR categories(<0.5 and ≥0.5 for non-central obesity and central obesity) were further stratified by BMI categories(<24.0 kg/m2,24.0-27.9 kg/m2,and ≥28.0 kg/m2 for normal,overweight,and obesity).Prevalences of cardiovascular risk factors such as hypertension,hyperglycemia,dyslipidemia,and metabolic syndrome(MS) were compared among the participants of different subgroups.ResultsOf the participants with normal BMI,22.8% could be classified as central obesity based on WHtR,while of those with the WHtR for non-central obesity,15.0% could be classified as overweight or obesity according to categories of BMI.The results of logistic regression analyses showed that the odds ratios(ORs) for hypertension,hyperglycemia,dyslipidemia,and MS(1.63,1.43,1.45,and 3.27) estimated based on WHtR score were greater than those(1.31,1.19,1.28,and 1.74) according to BMI score.Among the participants having normal BMI,those with the WHtR of ≥0.5 had increased risks of hypertension,dyslipidemia,and MS,with the ORs of 1.68,2.08,and 20.10,compared to the participants with the WHtR of <0.5.Among the overweight participants categorized based on BMI,the ORs of hyperglycemia and MS were 2.88 and 9.25 for those with the WHtR of <0.5 and the ORs of hypertension,hyperglycemia,dyslipidemia,and MS were 2.57,3.09,2.94 and 61.70 for those with the WHtR of ≥0.5;among the obesity participants categorized based on BMI,the ORs of hypertension,hyperglycemia,dyslipidemia,and MS were 5.94,3.33,4.91,and 183.33 for those with the WHtR of ≥0.5.ConclusionWHtR is more strongly associated with cardiovascular disease risks than BMI,and the combined application of WHtR and BMI can indentify populations at high-risk of cardiovascular disease efficiently.

     

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