Fan DANDan, Su Chang, Du Wenwen, Wang Huijun, Wang Zhihong, Chen Yang, Zhang Bing
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Wei Sheng Yan Jiu. 2018 Nov;47(6):875-882.
To explore the association of obesity indicators with hypertension and dyslipidemia in adults.
The study used anthropometric data of 1022 adults aged 18-69 years in Liaoning, Henan and Hunan Provinces in 2012 to describe the overweight and obesity rate of body mass index( BMI), waist circumference( WC), waist to height ratio( WHtR), waist hip ratio( WHR) and body fat percentage( BF%). The ability of indicators to predict the risk of hypertension and dyslipidemia was evaluated by receiver operating characteristic( ROC) curve analysis.
In comparison of anthropometric measurements, male WC was significantly higher than female, thigh circumference( ThC) was no gender differences and thigh height ratio( THtR) lower in men than in women. The obesity index was used to determine the overweight and obesity rate of Chinese adults: WHtR > WHR > BMI > BF% > WC was58. 7%, 50. 4%, 49. 1%, 35. 7% and 35. 3%, respectively. The obesity rate of BMI was13. 2%, significantly lower than other indicators. The ROC curve illustrated area under curve( AUC) of WHtR was the largest in predicting the risk of hypertension, and the cutoff values were 0. 53 and 0. 56 in male and female. AUC of WHR were the largest with hypercholesterolemia as dependent variables in male and female and as the only significant indicator in men. The value of BMI, WC, WHtR, WHR and BF% to predict the risk of hypertriglyceridemia was similar. ThC and THtR had a better prognosis value than BMI, WC, WHtR and other common indicators in low high-density lipoprotein cholesterolemia, especially in male residents. The cut-off values of ThC were 52. 50 and 55. 40, and the cut-off values of THtR were 0. 31 and 0. 35 in male and female.
Men are more likely to hoard fat in the abdomen, female fat easily in the thigh accumulation. WHtR is the best index in predicting the risk of hypertension. The association between obesity indexes and different clinical classification of dyslipidemia are not the same: WHR shows the best effect in predicting the risk of hypercholesterolemia, BMI, WC, WHtR, WHR and BF% have the same value in predicting the risk of hypertriglyceridemia, ThC and THtR are better than BMI, WC, WHtR and other common indicators in predicting the risk of low high-density lipoprotein cholesterolemia, especially in male residents.
探讨成人肥胖指标与高血压及血脂异常之间的关联。
本研究采用2012年辽宁、河南和湖南三省1022名18 - 69岁成年人的人体测量数据，描述体重指数（BMI）、腰围（WC）、腰高比（WHtR）、腰臀比（WHR）和体脂百分比（BF%）的超重和肥胖率。通过受试者工作特征（ROC）曲线分析评估各指标预测高血压和血脂异常风险的能力。
在人体测量指标比较中，男性腰围显著高于女性，大腿围（ThC）无性别差异，男性大腿高比（THtR）低于女性。采用肥胖指数确定中国成年人的超重和肥胖率：WHtR＞WHR＞BMI＞BF%＞WC，分别为58.7%、50.4%、49.1%、35.7%和35.3%。BMI的肥胖率为13.2%，显著低于其他指标。ROC曲线显示，WHtR预测高血压风险时曲线下面积（AUC）最大，男性和女性的临界值分别为0.53和0.56。以高胆固醇血症为因变量时，WHR在男性和女性中的AUC最大，且在男性中是唯一显著指标。BMI、WC、WHtR、WHR和BF%预测高甘油三酯血症风险的价值相似。在低高密度脂蛋白胆固醇血症中，ThC和THtR的预后价值优于BMI、WC、WHtR等常见指标，尤其是男性居民。男性和女性ThC的临界值分别为52.50和55.40，THtR的临界值分别为0.31和0.35。
男性更容易在腹部囤积脂肪，女性脂肪易在大腿堆积。WHtR是预测高血压风险的最佳指标。肥胖指标与血脂异常不同临床分类之间的关联不尽相同：WHR在预测高胆固醇血症风险方面效果最佳，BMI、WC、WHtR、WHR和BF%在预测高甘油三酯血症风险方面价值相同，ThC和THtR在预测低高密度脂蛋白胆固醇血症风险方面优于BMI、WC、WHtR等常见指标，尤其是男性居民。
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