日本男性和女性的代谢综合征，特别提及评估肥胖的人体测量学标准：建议使用腰高比

Metabolic syndrome in Japanese men and women with special reference to the anthropometric criteria for the assessment of obesity: Proposal to use the waist-to-height ratio.

作者信息

Hsieh Shiun Dong, Muto Takashi

机构信息

Medical Center of Health Science, Toranomon Hospital, Minato-ku, Tokyo, Japan.

出版信息

Prev Med. 2006 Feb;42(2):135-9. doi: 10.1016/j.ypmed.2005.08.007. Epub 2005 Dec 27.

DOI:10.1016/j.ypmed.2005.08.007

PMID:16376978

Abstract

BACKGROUND

Obesity is one of the criteria for defining metabolic syndrome. However, overt obesity in Asians is relatively low despite high prevalence of metabolic risks.

METHODS

We investigated the effectiveness of various anthropometric indices {body mass index (BMI), waist circumference, waist-to-height ratio (W/Ht)} for the evaluation of coronary risk factors (hypertension, hyperglycemia, hypertriglyceridemia, and low HDL cholesterol) and as one of the criteria for metabolic syndrome (clustering of three or more from one obesity and four coronary risk factors) in Japanese on 6141 men and 2137 women.

RESULTS

(1) The areas under the receiver operating characteristic curves for the different anthropometric indices to identify any one and two or more coronary risk factors were highest for W/Ht. (2) The sensitivities for the identification of any one and two or more coronary risk factors were greater for W/Ht > or =0.5 than BMI > or =25, > or =23, and indices of waist circumference (Adult Treatment Panel III and Japan Society for the Study of Obesity). (3) The prevalence of metabolic syndrome varied greatly by different anthropometric indices, and the percentages of obesity risk factors in metabolic syndrome were highest for W/Ht > or =0.5 in both genders (approximate 95%).

CONCLUSIONS

W/Ht >/=0.5 may be the most effective anthropometric index for screening Japanese people for metabolic syndrome.

摘要

背景

肥胖是定义代谢综合征的标准之一。然而，尽管代谢风险普遍存在，但亚洲人的明显肥胖率相对较低。

方法

我们调查了各种人体测量指标{体重指数（BMI）、腰围、腰高比（W/Ht）}在评估日本6141名男性和2137名女性的冠心病危险因素（高血压、高血糖、高甘油三酯血症和低高密度脂蛋白胆固醇）方面的有效性，以及作为代谢综合征（一种肥胖和四种冠心病危险因素中三种或更多种的聚集）标准之一的有效性。

结果

（1）对于识别任何一种以及两种或更多种冠心病危险因素，不同人体测量指标的受试者工作特征曲线下面积以W/Ht最高。（2）对于识别任何一种以及两种或更多种冠心病危险因素，W/Ht≥0.5的敏感性高于BMI≥25、≥23以及腰围指标（成人治疗小组III和日本肥胖研究学会）。（3）代谢综合征的患病率因不同人体测量指标而有很大差异，并且在代谢综合征中肥胖危险因素的百分比在男女中以W/Ht≥0.5时最高（约95%）。