Kamila Kholmatova, Alexandra Krettek, Irina V Dvoryashina, Sofia Malyutina, Alexander V Kudryavtsev
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引用次数: 0
摘要
最能预测心脏代谢风险的人体测量指数仍无定论。因此,本研究采用六种指数评估肥胖患病率,并比较它们与肥胖相关的心脏代谢疾病的关系。我们利用 "了解你的心脏 "研究的数据(n = 4495,35-69 岁),根据体重指数、腰围、腰臀比、腰高比(WHtR)、体脂百分比和脂肪质量指数(FMI)确定了肥胖患病率。接收器工作特征曲线下的面积(AUC)提供了每种指数在检测是否存在高血压、高胆固醇血症和糖尿病方面的预测值。根据人体测量指数的不同,年龄标准化肥胖患病率有显著差异:男性从17.2%(FMI)到75.8%(WHtR)不等,女性从23.6%(FMI)到65.0%(WHtR)不等。WHtR 与高血压的关系最为密切(AUC = 0.784; p p
Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia.
The anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio (WHtR), body fat percentage and fat mass index (FMI) using data from the Know Your Heart study (n = 4495, 35-69 years). The areas under the receiver operating characteristic curves (AUCs) provided predictive values of each index for detecting the presence of hypertension, hypercholesterolaemia and diabetes. Age-standardised obesity prevalence significantly varied according to anthropometric index: from 17.2% (FMI) to 75.8% (WHtR) among men and from 23.6% (FMI) to 65.0% (WHtR) among women. WHtR had the strongest association with hypertension (AUC = 0.784; p < 0.001) and with a combination of disorders (AUC = 0.779; p < 0.001) in women. In women, WHtR also had the largest AUCs for hypercholesterolaemia, in men - for hypertension, diabetes and a combination of disorders, although not all the differences from other obesity indices were significant. WHtR exhibited the closest association between hypertension and a combination of disorders in women and was non-inferior compared to other indices in men.
期刊介绍:
The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve.
International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.