[1]薛建强 刘玉萍 倪国华 孙颖 孙平.60岁以上人群身体测量指标对代谢综合征的预测价值[J].心血管病学进展,2022,(10):947.[doi:10.16806/j.cnki.issn.1004-3934.2022.10.019]
　XUE Jianqiang,LIU Yuping,NI Guohua,et al.Predictive Value of Body Measurements for Metabolic Syndrome in People Over 60 Years of Age[J].Advances in Cardiovascular Diseases,2022,(10):947.[doi:10.16806/j.cnki.issn.1004-3934.2022.10.019]
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60岁以上人群身体测量指标对代谢综合征的预测价值()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2022年10期
页码:
947
栏目:
论著
出版日期:
2022-10-25

文章信息/Info

Title:
Predictive Value of Body Measurements for Metabolic Syndrome in People Over 60 Years of Age
作者:
薛建强1 刘玉萍1 倪国华1 孙颖2 孙平 1
(1.电子科技大学附属医院 四川省人民医院健康管理中心,四川 成都 610072;2.四川省人民医院老年心血管内科,四川 成都 610072)
Author(s):
XUE Jianqiang1; LIU Yuping1; NI Guohua1; SUN Ying2; SUN Ping1
1.Health Management Center, Sichuan Provincial People ’s Hospital, University of Electronic Science and Technology of China, Chengdu 610072,Sichuan,China2.Geriatric Cardiovascular Unit, Sichuan Provincial People ’s Hospital, Chengdu 610072,Sichuan,China)
关键词:
60岁以上; 身体测量指标; 代谢综合征; 预测价值
Keywords:
Over 60 years old;  Body measurements;  Metabolic syndrome;  Predictive value
DOI:
10.16806/j.cnki.issn.1004-3934.2022.10.019
摘要:
目的 研究身体测量指标对60岁以上人群代谢综合征（MetS）的预测价值，为MetS筛查提供证据。 方法 通过回顾2018 —2020年度在四川省人民医院健康管理中心北区参加健康体检的60岁以上人群资料，分析身体测量指标对60岁以上人群MetS的预测价值。结果 共获取了10 582例有效的健康体检资料，在MetS与非MetS的两组比较中，腰围（WC）、身体形态指数（ABSI）、身体圆度指数（BRI）、身体脂肪指数（BAI）、相对脂肪质量指数（RFM）、 体重指数（BMI）水平差异有统计学意义（ P<0.05）。单因素logistic回归分析显示，BMI（OR=1.438，95%CI 1.406~1.471），ABSI（OR=2.138，95%CI 1.651~2.769），BRI（OR=3.659，95%CI 3.345~4.002），BAI（OR=1.195，95%CI 1.175~1.216），RFM（OR=1.446，95%CI 1.415~1.477），WC（OR=1.189，95%CI 1.178~1.200）与MetS相关（P<0.05）。矫正性别、年龄、饮酒、收缩压、舒张压、空腹血浆葡萄糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇的多因素logstic回归分析显示，BMI（OR=1.427，95%CI 1.398~1.456），ABSI（OR=2.024，95%CI 6.583~6.224），BRI（OR=3.587，95%CI 3.311~3.886），BAI（OR=1.185，95%CI 1.167~1.203），RFM（OR=1.421，95%CI 1.395~1.448），WC（OR=1.178，95%CI 1.168~1.188），与MetS有关（P<0.05）。60岁以上人群不同性别人群WC的受试者工作特征曲线下面积最大，高于RFM、BMI、BRI、ABSI和BAI。结论 WC在预测不同性别60岁以上人群中的价值均优于RFM、BMI、BRI、ABS I和BAI。
Abstract:
Objective To investigate the predictive value of body measurements for metabolic syndrome (MetS) in people over 60 years of age and to provide evidence for MetS screening . Methods To analyze the predictive value of body measurements for metabolic syndrome in people over 60 years of age by reviewing the data of people over 60 years of age who attended health check-ups at the Health Management Center North of Sichuan Provincial People’s Hospital from 2018 to 2020. Results A total of 10582 validated health check-ups were obtained. In the comparison between the MetS and non-MetS groups,waist circumference (WC),body shape index (ABSI),body roundness index (BRI),body adiposity index (BAI),relative fat mass index (RFM),body mass index (BMI) levels were statistically significant (P<0.05).One-way logistic regression analysis showed that BMI(OR=1.438,95%CI 1.406~1.471)，ABSI ( OR=2.138,95%CI 1.651~2.769)，BRI(OR=3.659,95%CI 3.345~4.002)，BAI(OR=1.195,95%CI 1.175~1.216)，RFM(OR=1.446,95%CI 1.415~1.477)，WC(OR=1.189,95%CI 1.178~1.200) were associated with MetS (P<0.05). Multifactorial logstic regression analysis corrected for sex,age,alcohol consumption,systolic blood pressure,diastolic blood pressure,fasting plasma glucose,triglycerides,total cholesterol,high-density lipoprotein cholesterol,BMI(OR=1.427,95%CI 1.398~1.456),ABSI ( OR=2.024,95%CI 6.583~6.224),BRI(OR=3.587,95%CI 3.311~3.886),BAI(OR=1.185,95%CI 1.167~1.203),RFM(OR=1.421,95%CI 1.395~1.448),and WC(OR=1.178,95%CI 1.168~1.188) were associated with MetS(P<0.05). The area under the ROC curve was greatest for WC across gender groups in the 60+ age group and was higher than RFM,BMI,BRI,ABSI and BAI. Conclusions WC has better value than RFM,BMI,BRI,ABSI,and BAI in predicting people over 60 years of age by gender

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更新日期/Last Update: 2022-12-26