腰围和 BMI 对糖尿病患者死亡风险的重要性。
The importance of waist circumference and BMI for mortality risk in diabetic adults.
机构信息
Corresponding author: Peter T. Katzmarzyk,
出版信息
Diabetes Care. 2013 Oct;36(10):3128-30. doi: 10.2337/dc13-0219. Epub 2013 Jun 11.
OBJECTIVE
We aimed to determine the associations of waist circumference (WC) and BMI with all-cause mortality among patients with diabetes.
RESEARCH DESIGN AND METHODS
The sample included 847 white and 553 African American patients (18-69 years of age) with diabetes. Height, weight, and WC were measured, and the BMI (kg/m2) was calculated. Cox regression was used to analyze the associations of BMI and WC with mortality, adjusting for age, sex, race, examination year, smoking status, alcohol consumption, and physical activity. Hazard ratios (HRs) are expressed per standard deviation of each independent variable.
RESULTS
A total of 86 deaths occurred during 6.7 years of follow-up. After adjustment for covariates, WC (HR 1.40 [95% CI 1.14-1.72]) and BMI (1.29 [1.04-1.61]) demonstrated significant relationships with mortality.
CONCLUSIONS
The results indicate that maintaining a healthy WC and BMI are both important for individuals living with diabetes.
目的
我们旨在确定腰围（WC）和 BMI 与糖尿病患者全因死亡率之间的关联。
研究设计和方法
该样本包括 847 名白人患者和 553 名非裔美国患者（年龄 18-69 岁），均患有糖尿病。测量了身高、体重和 WC，并计算了 BMI（kg/m2）。Cox 回归用于分析 BMI 和 WC 与死亡率之间的关联，调整了年龄、性别、种族、检查年份、吸烟状况、饮酒和身体活动。风险比（HR）表示为每个独立变量的标准差。
结果
在 6.7 年的随访期间共发生 86 例死亡。在调整了协变量后，WC（HR 1.40 [95%CI 1.14-1.72]）和 BMI（1.29 [1.04-1.61]）与死亡率呈显著相关。
结论
结果表明，保持健康的 WC 和 BMI 对于患有糖尿病的个体都很重要。
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