Ho Sai-Yin, Lam Tai-Hing, Janus Edward D
Department of Community Medicine, Clinical Biochemistry Unit, University of Hong Kong Medical Centre, Pokfulam, Hong Kong.
Ann Epidemiol. 2003 Nov;13(10):683-91. doi: 10.1016/s1047-2797(03)00067-x.
To determine which is the best anthropometric index among body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR) and waist to stature ratio (WSR) in relation to cardiovascular risk factors.
A representative sample of 2895 Hong Kong Chinese aged 25 to 74 years received medical examinations in 1995 and 1996. Anthropometric indices and cardiovascular risk factors in blood were measured, and partial correlation and Receiver Operator Characteristic (ROC) curves were used in analysis.
Among 11 cardiovascular risk factors in partial correlation analysis, including ties WSR had the highest r in 6 in men, and 5 in women; followed by WC with 4 in men and 6 in women. In ROC analyses of 21 risk factors and health conditions, the area under curve (AUC) of WSR was the largest for most (13 of 21) factors in men and 10 in women; followed by WHR with 14 in women but only 5 in men. The optimal WSR cutoff value was 0.48 for both men and women.
WSR is the best simple anthropometric index in predicting a wide range of cardiovascular risk factors and related health conditions. A simple message that one's waist circumference should not exceed half the stature is recommended for the public.
确定体重指数（BMI）、腰围（WC）、腰臀比（WHR）和腰高比（WSR）中哪一个是与心血管危险因素相关的最佳人体测量指标。
1995年和1996年，对2895名年龄在25至74岁之间的香港华裔进行了具有代表性的医学检查。测量了人体测量指标和血液中的心血管危险因素，并采用偏相关分析和受试者工作特征（ROC）曲线进行分析。
在偏相关分析的11种心血管危险因素中，包括WSR在内，男性有6种、女性有5种的r值最高；其次是WC，男性有4种、女性有6种。在对21种危险因素和健康状况的ROC分析中，WSR的曲线下面积（AUC）在男性中大多数（21种中的13种）因素以及女性中的10种因素中是最大的；其次是WHR，女性中有14种，男性中只有5种。男性和女性的最佳WSR临界值均为0.48。
WSR是预测多种心血管危险因素及相关健康状况的最佳简单人体测量指标。建议向公众传达一个简单的信息，即一个人的腰围不应超过身高的一半。
