Lin J D, Chiou W K, Weng H F, Fang J T, Liu T H
Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Kweishan, Taoyuan Hsien, Taiwan, ROC.
Clin Nutr. 2004 Dec;23(6):1313-23. doi: 10.1016/j.clnu.2004.04.005.
This retrospective cross-sectional study correlates blood pressure, blood glucose, lipid and uric acid levels with anthropometric measurements.
A total of 3975 visitors to the Department of Health Management were randomly selected to participate in this cross-sectional study. Whole body three-dimensional (3-D) laser scans were used to obtain anthropometric measurements. A health index (HI) was also designed based on anthropometric parameters. Subjects were defined as having metabolic syndrome when three of the following criteria were met: obesity (BMI of at least 30 kg/m(2); or a WHR of over 0.9 for males and 0.85 for females); triglyceride of at least 150 mg/dl; high-density lipoprotein (HDL)-cholesterol below 35 mg/dl for males and 39 mg/dl for females; fasting sugar levels of at least 110 mg/dl and hypertension.
Of 3975 subjects, 341 (8.6%) met the criteria for diabetes mellitus (DM); of these, 32.8% were diagnosed with hypertension. This proportion exceeded 18% of the subjects had normal glucose levels. Of the 3975 subjects, 658 (16.6%) met the criteria for metabolic syndrome. Proportionally, more male subjects than female subjects were diagnosed with metabolic syndrome (18.5% vs 14.7%). Of these, central obesity, elevated triglyceride and low HDL-cholesterol were the main factors in men, while fasting glucose, hypertension and central obesity were the main factors in women. This investigation found that larger proportions of subjects with impaired glucose tolerance (41.1%) and DM (64.2%) than of subjects with normal glucose subjects, suffered from metabolic syndrome (9.5%).
3-D body scanning is useful in correlating pertinent factors with metabolic syndrome, these factors include central obesity, hyperglycemia, dyslipidemia, hyperuricemia and hypertension.
这项回顾性横断面研究将血压、血糖、血脂和尿酸水平与人体测量数据相关联。
随机选取3975名健康管理部门的访客参与这项横断面研究。使用全身三维(3-D)激光扫描获取人体测量数据。还基于人体测量参数设计了一个健康指数(HI)。当满足以下三项标准时,受试者被定义为患有代谢综合征:肥胖(体重指数至少为30 kg/m²;男性腰臀比超过0.9,女性超过0.85);甘油三酯至少为150 mg/dl;男性高密度脂蛋白(HDL)胆固醇低于35 mg/dl,女性低于39 mg/dl;空腹血糖水平至少为110 mg/dl以及高血压。
在3975名受试者中,341名(8.6%)符合糖尿病(DM)标准;其中,32.8%被诊断患有高血压。这一比例超过了血糖水平正常的受试者的18%。在3975名受试者中,658名(16.6%)符合代谢综合征标准。按比例计算,被诊断患有代谢综合征的男性受试者多于女性受试者(18.5%对14.7%)。其中,中心性肥胖、甘油三酯升高和HDL胆固醇降低是男性的主要因素,而空腹血糖、高血压和中心性肥胖是女性的主要因素。这项调查发现,糖耐量受损的受试者(41.1%)和糖尿病受试者(64.2%)中患有代谢综合征的比例高于血糖正常的受试者(9.5%)。
三维人体扫描有助于将相关因素与代谢综合征相关联,这些因素包括中心性肥胖、高血糖、血脂异常、高尿酸血症和高血压。