Mannucci E, Alegiani S Spila, Monami M, Sarli E, Avogaro A
Department of Critical Care, University of Florence, Florence, Italy.
J Endocrinol Invest. 2004 Jun;27(6):535-40. doi: 10.1007/BF03347475.
To assess the relationship of waist circumference and weight/height ratio with height, and their association with components of the metabolic syndrome, in Type 2 diabetic patients.
multicenter cross-sectional survey on a cohort enrolled in a prospective observational study.
13,232 patients (6816 women and 6416 men) with Type 2 diabetes, not currently affected by macrovascular complications.
height, weight, waist and hip circumference, waist/hip and waist/height ratios.
waist circumference was significantly correlated with height after adjustment for potential confounders (adjusted r=0.19 and 0.23 in women and men, respectively), while waist/height ratio showed an inverse correlation with height (r=-0.14 and -0.15, respectively). Elevated waist/height ratio was more predictive of hypertension and hypertriglyceridemia, than waist circumference or waist/hip ratio.
Waist circumference is correlated with height; thresholds for waist circumference could need adjustment for height. Waist/height ratio, although inversely correlated with height, could be a better predictor of abnormalities associated with abdominal adiposity than waist circumference alone.
评估2型糖尿病患者中腰围及体重/身高比与身高的关系，以及它们与代谢综合征各组分的关联。
对一项前瞻性观察性研究中纳入的队列进行多中心横断面调查。
13232例2型糖尿病患者（6816例女性和6416例男性），目前未受大血管并发症影响。
身高、体重、腰围和臀围、腰臀比和腰高比。
在对潜在混杂因素进行校正后，腰围与身高显著相关（女性和男性的校正r分别为0.19和0.23），而腰高比与身高呈负相关（分别为r = -0.14和-0.15）。与腰围或腰臀比相比，腰高比升高对高血压和高甘油三酯血症的预测性更强。
腰围与身高相关；腰围阈值可能需要根据身高进行调整。腰高比虽然与身高呈负相关，但与单独的腰围相比，可能是腹部肥胖相关异常的更好预测指标。
