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颈围:一种有价值的人体测量学指标,可用于检测中国不同年龄段人群中的代谢综合征。

Neck circumference: A valuable anthropometric measurement to detect metabolic syndrome among different age groups in China.

机构信息

Nutrition and Food Hygiene, School of Public Health, Hebei Medical University, Shijiazhuang, China.

TCM Physiotherapy, Hebei Chest Hospital, Shijiazhuang, China.

出版信息

Diabetes Metab Res Rev. 2018 Mar;34(3). doi: 10.1002/dmrr.2966. Epub 2017 Dec 12.

DOI:10.1002/dmrr.2966
PMID:29144029
Abstract

OBJECTIVES

The aim of this study was to investigate the correlation between neck circumference and metabolic syndrome in Chinese residents and to explore the cut-off points of neck circumference for metabolic syndrome in different age groups.

METHODS

In all, 4227 Chinese adults (18-90 y) were enrolled in the study and divided into 3 subgroups (young, middle-aged, and elderly) according to their ages. The compared data for the subjects included anthropometric indicators and biochemical detection indices. Neck circumference was compared with other simple anthropometric indices using receiver operating characteristic curves.

RESULTS

(1) In all, 362 of the subjects who were diagnosed with metabolic syndrome were young (16.8%), 428 were middle-aged (36.9%), and 485 were elderly people (53.1%). (2) The areas under the curve of neck circumference for metabolic syndrome for the 3 subgroups, young, middle-aged, and elderly, for males were 0.853, 0.792, and 0.828, respectively, and these values were 0.859, 0.780, and 0.725 for females, respectively. (3) Neck circumference cut-offs were 39.05, 39.45, and 38.90 cm in men and 34.15, 33.55, and 33.95 cm in women.

CONCLUSIONS

Neck circumference contributed to determining metabolic syndrome risk beyond the classical anthropometric indices among different age groups in China.

摘要

目的

本研究旨在探讨颈围与中国居民代谢综合征的相关性,并探讨不同年龄组颈围与代谢综合征的切点。

方法

共纳入 4227 名中国成年人(18-90 岁),根据年龄分为 3 个亚组(青年、中年和老年)。比较了受试者的人体测量指标和生化检测指标。使用受试者工作特征曲线比较颈围与其他简单人体测量指标。

结果

(1)共 362 例诊断为代谢综合征的患者为青年(16.8%),428 例为中年(36.9%),485 例为老年(53.1%)。(2)颈围对 3 个亚组(青年、中年和老年)男性代谢综合征的曲线下面积分别为 0.853、0.792 和 0.828,女性分别为 0.859、0.780 和 0.725。(3)男性颈围切点为 39.05、39.45 和 38.90 cm,女性颈围切点为 34.15、33.55 和 33.95 cm。

结论

颈围有助于确定中国不同年龄组经典人体测量指标以外的代谢综合征风险。

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Diabetes Metab Res Rev. 2018 Mar;34(3). doi: 10.1002/dmrr.2966. Epub 2017 Dec 12.
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