Fan Dandan, Su Chang, Du Wenwen, Wang Huijun, Wang Zhihong, Zhang Bing
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Wei Sheng Yan Jiu. 2018 Mar;47(2):228-231.
To determine the optimal cut-off values of body fat percentage(BF%)in Chinese adults.
A total of 1022 adults aged 18-69 years in Liaoning, Henan and Hunan Province was enrolled in this study. Analyzed the changes of BF%in different percentiles of body mass index(BMI), waist circumference(WC), waist-to-height ratio(WHtR), waist-to-hip ratio(WHR). BF%cut-off values were determined by receiver operating characteristic(ROC)curve.
In Chinese adults, the average of BF%was 22. 1%in males and 33. 2%in females. The obesity prevalence determined by BF%cut-off points(recommended by WHO)was 31. 4%in men and 39. 3%in women. Taking hypertension as a dependent variable, ROC curve analysis showed that the optimal BF%cut-off value was 23. 2%(sensitivity:0. 61, specificity:0. 61)in men and 36. 4%(sensitivity:0. 48, specificity:0. 76)in women.
In China, the optimal cut-off value of BF%in adult men is lower than the international standard, whereas the optimal cut-off value of BF%in adult women is higher than the international standard. It is of higher significance to make optimal BF%cut-off values for our own country.
确定中国成年人身体脂肪百分比(BF%)的最佳截断值。
本研究纳入了来自辽宁、河南和湖南的1022名18 - 69岁的成年人。分析了身体质量指数(BMI)、腰围(WC)、腰高比(WHtR)、腰臀比(WHR)不同百分位数下BF%的变化情况。通过受试者工作特征(ROC)曲线确定BF%的截断值。
中国成年人中,男性BF%的平均值为22.1%,女性为33.2%。根据BF%截断点(世界卫生组织推荐)确定的肥胖患病率,男性为31.4%,女性为39.3%。以高血压作为因变量,ROC曲线分析显示,男性的最佳BF%截断值为23.2%(灵敏度:0.61,特异度:0.61),女性为36.4%(灵敏度:0.48,特异度:0.76)。
在中国,成年男性BF%的最佳截断值低于国际标准,而成年女性BF%的最佳截断值高于国际标准。制定适合我国的最佳BF%截断值具有较高的意义。