诊断泰国高血压患者代谢综合征的最佳标准。

The best criteria to diagnose metabolic syndrome in hypertensive Thai patients.

作者信息

Limpawattana Panita, Sawanyawisuth Kittisak, Busaracome Ploysyne, Foocharoen Chingching, Phitsanuwong Chalongchai, Chumjan Somchit, Chotmongkol Ratchanee, Chaisuksant Seksan

机构信息

Department of Medicine, Faculty of Medicine, Khon Kaen University, Srinagarind Hospital, Khon Kaen, Thailand.

出版信息

J Med Assoc Thai. 2008 Apr;91(4):485-90.

PMID:18556856

Abstract

The metabolic syndrome (MS) is commonly found in clinical practice. There are many criteria to diagnose MS. The authors did a cross-sectional study to study the difference among the WHO criteria, the National Cholesterol Educational Program (NCEP) Adult Treatment Panel (ATP III), and the International Diabetes Foundation (IDF) in hypertensive patients. Between July and September 2005, 100 patients (62 women) treated at the hypertension clinic, Srinagarind Hospital were included. The WHO, NCEP A TP III and IDF criteria gave the diagnosis of MS in 37, 33, 60 cases, respectively. The IDF criteria had the significantly highest yield among those three criteria (p < 0.0001). Body mass index (BMI) was the only significant correlated with the diagnosis of MS by the IDF criteria (p-value = 0.04). It also had moderately positive correlated with waist circumference, WC (p < 0.0001, Pearson Correlation 0.58). At the cut point of BMI 23 kg/m2, we suggested the appropriate WC cut-point for Thai hypertensive men and women was 82.5 cm (32.5") and 79.5 cm (31.3"), respectively.

摘要

代谢综合征（MS）在临床实践中很常见。诊断MS有许多标准。作者进行了一项横断面研究，以探讨世界卫生组织（WHO）标准、美国国家胆固醇教育计划（NCEP）成人治疗小组（ATP III）和国际糖尿病联盟（IDF）在高血压患者中的差异。2005年7月至9月，纳入了100例在诗里拉吉医院高血压门诊接受治疗的患者（62名女性）。WHO、NCEP ATP III和IDF标准分别诊断出37例、33例和60例MS。在这三个标准中，IDF标准的诊断率显著最高（p < 0.0001）。体重指数（BMI）是唯一与IDF标准诊断MS显著相关的因素（p值 = 0.04）。它与腰围（WC）也呈中度正相关（p < 0.0001，Pearson相关系数为0.58）。在BMI为23 kg/m²的切点处，我们建议泰国高血压男性和女性合适的WC切点分别为82.5 cm（32.5英寸）和79.5 cm（31.3英寸）。