Dobbelsteyn C J, Joffres M R, MacLean D R, Flowerdew G
Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Int J Obes Relat Metab Disord. 2001 May;25(5):652-61. doi: 10.1038/sj.ijo.0801582.
To comparatively evaluate cut-off points of waist circumference, body mass index and waist to hip ratio with respect to their ability to predict other individual and multiple cardiovascular disease risk factors.
Population-based, cross-sectional surveys.
A total of 9913 men and women aged 18-74, selected using health insurance registries from five Canadian provinces.
Anthropometric measures, other cardiovascular risk factors, receiver operating characteristic curves, sensitivity, specificity, positive and negative predictive values.
: Waist circumference may be the best single indicator of other individual and multiple cardiovascular risk factors. Optimal cut-off points of all anthropometric measures are dependent on age, sex and the prevalence of the risk factor(s) being considered. For waist circumference, cut-off points of > or =90 cm in men and > or =80 cm in women may be most appropriate for prediction of individual and multiple risk factors in Caucasian populations.
Health professionals should incorporate the use of waist circumference measurements in their routine clinical examination of adult patients.
比较评估腰围、体重指数和腰臀比在预测其他个体及多种心血管疾病危险因素方面的能力时的切点。
基于人群的横断面调查。
从加拿大五个省份的健康保险登记处选取的总共9913名年龄在18 - 74岁之间的男性和女性。
人体测量指标、其他心血管危险因素、受试者工作特征曲线、敏感性、特异性、阳性和阴性预测值。
腰围可能是其他个体及多种心血管危险因素的最佳单一指标。所有人体测量指标的最佳切点取决于年龄、性别以及所考虑的危险因素的患病率。对于腰围，男性≥90厘米、女性≥80厘米的切点可能最适合预测白种人群中的个体及多种危险因素。
健康专业人员应在对成年患者的常规临床检查中纳入腰围测量。
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