School of Public Health, Shanghai Jiao Tong University, 227 Chong Qing Nan Road, 200025 Shanghai, China.
Eur J Nutr. 2012 Feb;51(1):81-7. doi: 10.1007/s00394-011-0195-2. Epub 2011 Apr 11.
The prevalence of metabolic syndrome (MetS) is increasing worldwide with a marked impact in cardiovascular disease (CVD) and diabetes risk.
To evaluate the anthropometric indices for metabolic syndrome (MetS) and determine the optimal cut-off values of waist circumference (WC), body mass index (BMI), and waist height ratio (WHtR) for MetS in Chinese adults aged 40 years and over.
A sample of Chinese adults aged 40 years and over including 430 men and 638 women was investigated. Blood pressure, weight, height, and WC were measured; HDL-cholesterol (HDL-C), Triglyceride (TG), and plasma glucose were examined. Receiver operating characteristics (ROC) curve analyses were used to evaluate the optimal cut-off point of WC, BMI, and WHtR for MetS.
According to the ROC curve analysis, the optimal cut-off point for WC was found to be 84.0 cm in men and 80.0 cm in women; for BMI, it was 26.0 in men and 25.0 in women; and for WHtR, it was 0.5 in both men and women. WHtR has the highest predictive value for fast plasma glucose in women, while BMI has the better prediction of dyslipidemia in men.
Anthropometric indices (WC, BMI, and WHtR) are useful screening tools for obesity, MetS, and CVD risk factors. BMI may be a better indicator than the others for screening obesity, dyslipidemia, and other risk components in Chinese men aged 40 years and over, while WHtR may be better for Chinese women, especially among those aged 70 years and over.
代谢综合征（MetS）的患病率在全球范围内呈上升趋势，对心血管疾病（CVD）和糖尿病风险有显著影响。
评估代谢综合征（MetS）的人体测量学指标，并确定腰围（WC）、体重指数（BMI）和腰高比（WHtR）在 40 岁及以上中国成年人中用于 MetS 的最佳截断值。
对 40 岁及以上的中国成年人进行抽样调查，包括 430 名男性和 638 名女性。测量血压、体重、身高和 WC；检查高密度脂蛋白胆固醇（HDL-C）、甘油三酯（TG）和血浆葡萄糖。使用受试者工作特征（ROC）曲线分析评估 WC、BMI 和 WHtR 用于 MetS 的最佳截断点。
根据 ROC 曲线分析，男性 WC 的最佳截断点为 84.0cm，女性为 80.0cm；BMI 的最佳截断点为男性 26.0，女性 25.0；WHtR 的最佳截断点为男性和女性均为 0.5。WHtR 对女性快速血浆葡萄糖具有最高的预测价值，而 BMI 对男性血脂异常具有更好的预测价值。
人体测量学指标（WC、BMI 和 WHtR）是肥胖、MetS 和 CVD 危险因素的有用筛查工具。BMI 可能是筛查 40 岁及以上中国男性肥胖、血脂异常和其他危险因素的更好指标，而 WHtR 可能更适合中国女性，尤其是 70 岁及以上的女性。
