IF 27 CTGC :; 1 (waist to heightratio,whtr) 7,+I MS 7 :;+c #$I 7), WHtR MS 789, MS ' 7 1 ' HBC !&'#$& FG7#$ 7 IJ,

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1 / :; 蒋建家张雅萍林振忠牟伦盼孙炳庆苏劲波 :; , < 89 =>?@ABCDE, !&'#$& FG7 343HIJ,FGKLMN1 FO GC (MNPQ R STUVRW X 2h R Y Z[\]^) CT _Q`( aab +c X6 (ROC)) <89 343HFG G , 56 8%, 70 2% (127/181), 42 0% (68/162) ROC), Ab 0 664, 0 673, <89 ) ( 88 2%, 44 4%) ( 86 8%, 46 8%) #$I < , ;23456;89 R446 1!"#$ A %& X(2015) Optimalcut ofpointofwaist to heightratioforpredictingmetabolicsyndrome JiangJianjia,Zhang Yaping,LinZhenzhong,MouLunpan,SunBingqing,SuJinbo.DepartmentofEndocrinology,Quanzhou FirstHospitalAfiliatedtoFujianMedicalUniversity,Quanzhou,Fujian362000,China Corespondingauthor:JiangJianjia,E mail: j279@163.com Abstract Objective Toinvestigatetherelationshipbetweenwaist to heightratioandmetabolicsyn drome,inordertoidentifytheoptimalcut ofpointofwaist to heightratioforpredictingmetabolicsyndrome. Methods Inthiscros sectionalstudy,werecruited343peoplewhoreceivedphysicalexaminationinfirst HospitalofQuanzhoubetweenJanuary2012andJune2014,andcolectedtheinformationoftheirwaistcircum ference,height,weight,bloodpresure,laboratorytestresults(includingfastingbloodglucose,2 hourglucose afteroralglucosetolerancetest,triglyceride,high densitylipoproteincholesterol)andvisceralfatareaasesed bycomputedtomography.thenareceiveroperatingcharacteristic(roc)curveanalysiswasusedtoestimate theoptimalcut ofpointsofwaist to heightratioforthepredictionofmetabolicsyndrome.results Amongthe 343people,therewere195metabolicsyndromepatients,theprevalenceratewas56 8%,whichwas70 2% inmen(127/181)and42 0% inwomen(68/162).inroccurveanalysis,theareaunderthecurveof waist to heightratioforthepredictionofmetabolicsyndromewas0 664formen,and0 673forwomen.The optimalcut ofpointofwaist to heightratioforpredictingmetabolicsyndromewas0 5430(sensitivity88 2%, specificity44 4%)formen,and0 5683(sensitivity86 8%,specificity46 8%).Conclusion Theopti malcut ofpointofwaist to heightratioforpredictingmetabolicsyndromeinquanzhoupopulationis formenand0 5683forwomen. Keywords Waist to heightratio;metabolicsyndrome;cut ofpoint (metabolicsyndrome,ms) R DOI: /cma.j.isn X :362000!"#$%,!&'#$ & ()*' +,:-!.,E mail: j279@163.com 7F7 (( ), L CTG, _ Q ` ( a A b 100cm 7IF1 1_7,,

2 IF 27 CTGC :; 1 (waist to heightratio,whtr) 7,+I MS 7 :;+c #$I 7), WHtR MS 789, MS ' 7 1 ' HBC !&'#$& FG7#$ 7 IJ,!" CT _Q`( aab,#$% R&.',$% () *+,-./, $%01, " R, T> 23 45FO 723 :;D67 & 89:J; 1 2 DE =>?@ABC,FGKLMN FO 1 (MN ) FO (bodymasindex,bmi) PQ 8h,< =>?@AB_PQ R Y Z[\]^ STUVRW X 2h R (2hPG) +c GECD 64$ CT _Q`( aab,fg PQE# c FG,HI1 J 4 1 J 57 K L M A, >NO)_ PQ7Ra Ab Q`( astab (cm 2 ) U@:23456U@ [1] :(1) Q V:1, >90cm, >85cm;(2) Y 1 7mmol/L(150mg/dl); (3) Z [ \ ] ^ <1 04mmol/L (40mg/dl); (4) 130/85mmHg(1mmHg=0 133kPa); (5)PQ R 6 1mmol/L(110mg/dl) RWX 2YR 7 8mmol/L(140mg/dl)R& Q 3K 3K QU@ MS => SPSSl7 09 ) > x±s,z) > M (Q R ) SK [.> tg ) ;D \],.>Z^ G _` X6 (ROC), a Ab<U@9; 7 [= > χ 2 G P<0 05!b c 343HFGIJ, 39 (18~85 ) 181H, 52 8%, 40 (18~70 ); 162H, 47 2%, 37 (18~85 ) 343HFGG 195 MS, 56 8%, 70 2% (127/181), 42 0% (68/162) [ 343HFG) MS) MSS Z MSS,SK [, MSS BMI 1 WHtR Y P Q R 2hPG Z MSS, HDL CZ MSS ( P<0 05)( 1) 2 3 WHtR MS <897 ROC) )7 WHtRG, MS ROC), Ab (AUC) 0 664(95% CI: 0 569~0 758), 0 673(95% CI:0 592~ 0 755)( P<0 05).> YoudenE + -1, , %, 44 4%; , %, 46 8% 2 4 G [ 1 WHtR CT Q`( aab 7G G 89:1 >90cm, >85cm;WHtR , ;CTQ`( aab 100cm 2, /,1 CT Q` ( aab7g!b ( P<0 05), WHtR CT Q`( aab 7G!b ( P> 0 05)( 2 3) 2 5 WHtR CT Q`( aab 7), WHtR 0 59±0 07,CT Q`( aab (133 69±54 16) cm 2 ; WHtR 0 59±0 08,CT Q`( aab

3 \ MSS Z MSS7 [ Table1 ComparisonofbiochemicalindexesbetweentheMSgroupandthenon MSgroup inmalesandfemales S (x±s, ) FO (x±s,kg/m 2 ) 1 (x±s,cm) 1 (x±s) Y Z MSS (n=54) 37± ± ± ± (0 5) MSS (n=127) 41±12 a 29 40±3 94 a 103±11 b 0 599±0 058 b 2 1(1 9) b Z MSS (n=94) 34± ± ± ± (0 7) MSS (n=68) 45±17 b 29 97±4 42 a 98±8 b 0 619±0 056 b 2 1(1 3) b S Z[\]^ PQ R 2h R [M (Q R ),mmhg] [M (Q R ),mmhg] Z MSS (n=54) 1 2(0 4) 5 5(0 8) 6 2(1 0) 120(20) 70(14) MSS (n=127) 1 0(0 4) b 6 7(2 7) b 10 4(4 0) b 135(19) b 85(10) b Z MSS (n=94) 1 3(0 4) 5 3(0 8) 5 8(0 9) 120(15) 70(13) MSS (n=68) 1 0(0 4) b 6 7(2 2) b 9 4(1 9) b 138(20) b 83(17) b :MS:23456;1mmHg=0 133kPa;(, Z MSS [, a P<0 05, b P< DEG 7 Table2 Agreementofcentralobesitydetectedbythethreemeasurementmethodsinmales CT Q`( aabu@ Z 1 U@ 5 Z 1U@ 5 Z DEG 7 Table3 Agreementofcentralobesitydetectedbythethreemeasurementmethodsinfemales CT Q`( aabu@ Z 1 U@ 5 Z 1U@ 5 Z (133 85±68 79) cm 2 > I D WHtR CT Q`( aab7), S7 F 33 42,P< 0 001,I,> WHtR CT Q ` ( a A b, F C y= x-58 23;S7,F 38 23,P<0 001, FC y=397 96x

4 ,.R 237 1, 9E 7 MS, 572 MS CT MRI N * G Q`( a, 7 9,1 1 BMI WHtR IF [ F7, MS S)1_7,, > I 7 C, L [ 7DE,K:;,WHtR 237 >.> X I"7F _ [2] BMI.>, _,\) astst;1q V a b, ', 45;17 7I, 1, WHtR F ) 745, MS1 [3 4],, :;1 [5], :;,F, >\]^ ZZ[\]^ W,# BMI 1, ( :; WHtR MS S )71 BMI [6 8],WHtR$% 745, F as TST IFF )7, IF 23WA457 c 7 ast : ;1ST F723 > [9], BMI FO,\ )IF F ), BMI7 BMI7 145, \ F6,:; 1 7 _45, [, [10] [11] +c 2<?@ABC:;, 1 WHtR,,[[ 7I,WHtR71, WHtR I L CTGC _7Q`( aab 100cm [12 13], Q79, ` Q7.> :; 1 WHtR CT Q`( aa b 3 * G7 [, /,1 CT Q`( aabg, WHtR CT Q`( aab G [ ;7I D ), WHtR CT Q`( aabi,> WHtR CT Q`( aab, WHtRIF 2 CT Q`( aab7 :;7,?@A: ; [14] +c :; WHtR I 1 MS1 7, 1, WHtR MS7'!7 L( WHtR MS789", L #$Q ( 7, 89_/, %+c 7& :;89, ' WHtR.> MS7 C! [1] I`_ 5:J;.I [J].,2007,35(5): [2] LeeK,SongYM,SungJ.Whichobesityindicationsarebeter predictorsofmetabolicrisk?:healthytwinstudy[j].obesity (SilverSpring),2008,16(4): [3] AshwelM,GunnP,GibsonS.Waist to heightratioisabeter screeningtoolthanwaistcircumferenceandbmiforadultcardio metabolicriskfactors:systematicreviewandmeta analysis[j]. ObesRev,2012,13(3): [4] ShaoJ,YuL,ShenX,LiD,etal.Waist to heightratio,an optimalpredictorforobesityandmetabolicsyndromeinchinese adults[j].jnutrhealthaging,2010,14(9): [5] PaajanenTA,OksalaNK,Kuukasj rvip,etal.shortstatureis asociatedwithcoronaryheartdisease:asystematicreviewofthe literatureandameta analysis[j].eurheartj,2010,31 (14): [6] ZhangZQ,DengJ,HeLP,etal.Comparisonofvariousanthro pometricandbodyfatindicesinidentifyingcardiometabolicdis turbancesinchinesemenandwomen[j].plosone,2013,8 (8):e [7],(),*),.IF R23

5 : ; [J]. +, -: &., 2012,50(9): [8] JayawardanaR,RanasingheP,SherifMH,etal.Waistto heightratio:abeteranthropometricmarkerofdiabetesandcar dio metabolicrisksinsouthasianadults[j].diabetesresclin Pract,2013,99(3): [9] OkuraT,NakataY,YamabukiK,etal.Regionalbodycompo sitionchangesexhibitopposingefectsoncoronaryheartdisease riskfactors[j].arteriosclerthrombvascbiol,2004,24(5): [10] SchneiderHJ,KlotscheJ,SilberS,etal.Measuringabdomi nalobesity:efectsofheightondistributionofcardiometabolic riskfactorsriskusingwaistcircumferenceandwaist to heightra tio[j].diabetescare,2011,34(1):e7. [11],/0,1,.11 7[J].,2013,34 (2): [12] OkaR,KobayashiJ,YagiK,etal.Reasesmentofthecutof valuesofwaistcircumferenceandvisceralfatareaforidentifying Japanesesubjectsatriskforthemetabolicsyndrome[J].Diabe tesresclinpract,2008,79(3): [13],,*2,.QV afb 23456S ) 3 4 [J].,2009,17 (3): [14],567,89:,.1 / : ; [J]. ;,2010,25 (3): (= : )

大连源康体检中心

大连源康体检中心团体健康检查统计报告 [ 东北财经大学 ] 体检团体 : 东北财经大学团体编号 : 000288 体检日期 : 2014.12.6-2014.12.30 编制日期 : 2015.1.6 打印日期 : 2015.1.6 大连源康体检中心编制地址 : 大连市中山区华乐街澳景园 19 号热