贵阳市减重门诊患者腰围、腰身比与高甘油三酯血症的相关性研究

发布时间：2018-04-01 23:11

本文选题：体脂肪率　切入点：高甘油三酯血症　出处：《中华疾病控制杂志》2017年05期

【摘要】：目的评价体质指数(body mass index,BMI)、腰围、腰身比和体脂肪率与高甘油三酯血症的关系及其筛检价值。方法收集2015年2月~12月贵州医科大学附属医院体重管理门诊患者119例。检测身高、体重、腰围、体成分及血脂水平。采用受试者工作特征曲线(receiver operating characteristic curve,ROC)法分析BMI、腰围、腰身比、体脂肪率对甘油三酯超标的筛检率,用曲线下面积(area under curve,AUC)表示。采用多重线性回归分析探讨BMI、腰围、腰身比和体脂率在不同人群中与甘油三酯超标的关系。结果在女性患者中,腰围和腰身比的AUC高于BMI和体脂肪率(均有P0.05);男性患者中,腰身比的AUC最大。在女性和男性中,腰身比和腰围高的患者发生甘油三酯超标的风险均高于腰身比和腰围低的患者(均有P0.05)。结论腰围和腰身比对高甘油三酯血症的筛检价值优于体脂肪率和BMI。
[Abstract]:Objective to evaluate the relationship between body mass index (BMI), waist circumference, waistline ratio, body fat rate and hypertriglyceridemia and their screening value.Methods from February to December 2015, 119 outpatients with body weight management in affiliated Hospital of Guizhou Medical University were collected.Height, weight, waist circumference, body composition and blood lipid level were measured.The method of receiver operating characteristic curverose was used to analyze the screening rate of triglycerides in the presence of body fat, waist circumference, waistline ratio and body fat ratio, as indicated by area under curveAUC under the curve.Multiple linear regression analysis was used to study the relationship between BMI, waist circumference, waistline ratio and body fat rate in different population groups.Results the AUC of waist circumference and waistline ratio was higher in female patients than that of BMI and body fat rate (both P0.05%). In male patients, the ratio of waist to body mass ratio (AUC) was the largest.In both women and men, patients with high waistline ratios and waistlines were more likely to develop triglycerides than those with lower waistlines and waistlines (P 0.05).Conclusion the screening value of waist circumference and waist body ratio for hypertriglyceridemia is better than body fat rate and BMI.
【作者单位】：贵州医科大学营养与食品卫生学教研室;贵州医科大学附属医院临床营养科;
【基金】：贵州省卫生厅科技基金(WT2014-17)
【分类号】：R589.2

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