Mukuddem-Petersen Janine, Snijder Marieke B, van Dam Rob M, Dekker Jacqueline M, Bouter Lex M, Stehouwer Coen D A, Heine Robert J, Nijpels Giel, Seidell Jacob C
Institute of Health Sciences, Faculty of Earth and Life Sciences, Vrije University Amsterdam, Amsterdam, The Netherlands.
Am J Clin Nutr. 2006 Nov;84(5):995-1002. doi: 10.1093/ajcn/84.5.995.
The sagittal abdominal diameter has been proposed as a useful measure by which to estimate abdominal obesity and as being more strongly related to components of the metabolic syndrome than are other anthropometric measures.
The objective was to study which anthropometric measure (ie, sagittal abdominal diameter, waist circumference, waist-to-hip ratio, waist-to-height ratio, or body mass index) is the strongest correlate of components of the metabolic syndrome (ie, glucose and lipid concentrations and blood pressure) in the elderly.
The Hoorn Study is a population-based cohort study in older Dutch men and women. Cross-sectional data were analyzed. Age-adjusted Pearson correlations of anthropometric measures with components of the metabolic syndrome were calculated in 826 subjects (389 men, 437 women) aged 56-83 y. Analyses were performed with adjustment for age and stratification for sex and age (<65 or >/=65 y).
No single anthropometric measure was consistently correlated more strongly with components of the metabolic syndrome than were the other measures in either men or women. The associations were generally stronger in younger subjects than in older subjects and in women than in men. For example, the correlation between sagittal abdominal diameter and postload glucose was 0.35 (P < 0.001) in younger and 0.14 (P = 0.051) in older men, and the correlation between waist circumference and postload glucose was 0.33 (P < 0.001) in older women and 0.14 (P = 0.062) in older men.
The use of sagittal abdominal diameter has no advantages over simpler and more commonly used anthropometric measures such as the waist circumference in older men and women.
有人提出腹矢状径是评估腹部肥胖的一项有用指标，而且与代谢综合征各组分的相关性比其他人体测量指标更强。
研究在老年人中，哪种人体测量指标（即腹矢状径、腰围、腰臀比、腰高比或体重指数）与代谢综合征各组分（即血糖和血脂浓度以及血压）的相关性最强。
霍恩研究是一项针对荷兰老年男性和女性的基于人群的队列研究。对横断面数据进行了分析。计算了826名年龄在56 - 83岁的受试者（389名男性，437名女性）中人体测量指标与代谢综合征各组分之间的年龄校正皮尔逊相关性。分析时对年龄进行了校正，并按性别和年龄（<65岁或≥65岁）进行了分层。
在男性或女性中，没有单一的人体测量指标与代谢综合征各组分的相关性始终比其他指标更强。一般来说，年轻受试者中的相关性比老年受试者更强，女性中的相关性比男性更强。例如，年轻男性腹矢状径与负荷后血糖之间的相关性为0.35（P < 0.001），老年男性为0.14（P = 0.051）；老年女性腰围与负荷后血糖之间的相关性为0.33（P < 0.001），老年男性为0.14（P = 0.062）。
在老年男性和女性中，使用腹矢状径相对于更简单且常用的人体测量指标（如腰围）并无优势。
