[2016年六安市老年人腰围、腰臀比、腰高比与高甘油三酯血症的关系]

[Relationship between waist circumference, waist-to-hip ratio, waist-to-height ratio and hypertriglyceridemia in elderly in Lu'an City in 2016].

作者信息

Fan Yong, Wang Sufang, Sheng Jie, Wang Jun, Xie Shaoyu, Li Kaichun, Ma Ying, Chen Guimei, Yang Linsheng, Tao Fangbiao

机构信息

School of Public Health, Anhui Medical University, Hefei 230032, China.

出版信息

Wei Sheng Yan Jiu. 2018 Sep;47(5):770-775.

PMID:30593304

Abstract

OBJECTIVE

To explore the relationship between waist circumference( WC), waist hip ratio( WHR), waist-to-height( WHtR) and hypertriglyceridemia( HTG) in older adults in Lu'an City.

METHODS

In total, 1029 participants aged ≥ 60 years using cluster sampling method from two communities in Jin' an District and Yu' anDistrict of Lu'an City were invited to participate in this community-based study from June to September 2016. A questionnaire was used to collect the information of demographic characteristics, disease history, lifestyles, etc. Height, waist circumference, hip circumference, and blood triglyceride levels were measured. Binary logistic regression analysis was conducted to analysis the association between WC, WHR, WHtR and hypertriglyceridemia. The receiver operating characteristic( ROC) curve was used to evaluated the distinguishable effect of three indices on HTG.

RESULTS

Prevalence of HTG was 19. 7%( 14. 0% in male, 24. 5% in female, χ~2= 17. 71, P < 0. 001). After controlling the confounding factors, including area, gender, age, family history, educational level, sedentary time, physical exercise, smoking, alcohol consumption, diet habits, binary Logistics regression analysis showed that the risk of HTG was higher in the elderly with high WC, high WHR, high WHtR, the ORs were 5. 18( 95% CI 2. 81-9. 57), 3. 69( 95% CI 1. 95-6. 95) and 4. 93( 95% CI 2. 72-8. 91), respectively. The area under ROC curves of WC, WHR and WHtR were 0. 67, 0. 67 and 0. 69, respectively.

CONCLUSION

WC, WHR and WHtR are closely related with the prevalence of HTG. WC and WHR were significant than others for male HTG and female HTG.

摘要

目的

探讨六安市老年人腰围（WC）、腰臀比（WHR）、腰高比（WHtR）与高甘油三酯血症（HTG）之间的关系。

方法

2016年6月至9月，采用整群抽样方法，从六安市金安区和裕安区的两个社区邀请了1029名年龄≥60岁的参与者参加这项基于社区的研究。使用问卷收集人口统计学特征、疾病史、生活方式等信息。测量身高、腰围、臀围和血液甘油三酯水平。进行二元逻辑回归分析，以分析WC、WHR、WHtR与高甘油三酯血症之间的关联。采用受试者工作特征（ROC）曲线评估三个指标对HTG的鉴别效果。

结果

HTG患病率为19.7%（男性为14.0%，女性为24.5%，χ²=17.71，P<0.001）。在控制了包括地区、性别、年龄、家族史、教育水平、久坐时间、体育锻炼、吸烟、饮酒、饮食习惯等混杂因素后，二元逻辑回归分析显示，WC高、WHR高、WHtR高的老年人患HTG的风险更高，OR分别为5.18（95%CI 2.81-9.57）、3.69（95%CI 1.95-6.95）和4.93（95%CI 2.72-8.91）。WC、WHR和WHtR的ROC曲线下面积分别为0.67、0.67和0.69。