七种人体测量指标对青少年心血管风险标志物和代谢综合征的预测能力。
Predictive Ability of Seven Anthropometric Indices for Cardiovascular Risk Markers and Metabolic Syndrome in Adolescents.
机构信息
Curso de Nutrição, Universidade Federal do Tocantins, Palmas, Brazil; Universidade Federal de Viçosa, Viçosa, Brazil.
Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
J Adolesc Health. 2020 Apr;66(4):491-498. doi: 10.1016/j.jadohealth.2019.10.021. Epub 2020 Jan 21.
PURPOSE
The aim of the study was to evaluate the reliability of 7 anthropometric indices in predicting cardiovascular risk markers (CRMs) and metabolic syndrome (MetS) in Brazilian adolescents.
METHODS
A cross-sectional study conducted with 1,069 participants of the Cardiovascular Risk in Adolescents Study aged 12-17 years. Receiver operating characteristics curves were plotted, and area under curve (AUC) was calculated for body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHR), conicity index (CoI), body shape index (BSI), adjusted BSI for adolescents (adjusted BSI), and body roundness index (BRI).
RESULTS
In girls, reliability of BMI, WC, WHR, and BRI was sufficient (≥.6 AUC <.7) only to predict high blood pressure. Among boys, reliability of BMI, WC, WHR, BRI, and adjusted BSI ranged from good to sufficient (≥6 AUC <.8) to predict insulin resistance and high blood pressure, but poor to sufficient (≥.5 AUC <.7) for high total cholesterol, triglycerides, and low-density lipoprotein. For both sexes, CoI and BSI presented AUC ≤.5 for all CRM. A majority of the anthropometric indices showed AUC ≥.9 for MetS.
CONCLUSION
Reliability of CoI, BSI, adjusted BSI, and BRI is not superior to BMI, WC, and WHR in predicting CRM and MetS. All the anthropometric indices had excellent predictive capacity for MetS, but limited accuracy for CRM. Among the evaluated indices, we recommend the use of cutoff point WHR ≥.55 to screening MetS in girls and boys because of its easy to measure and interpretation.
目的
本研究旨在评估 7 个体型指标预测巴西青少年心血管风险标志物（CRMs）和代谢综合征（MetS）的可靠性。
方法
横断面研究纳入了心血管风险青少年研究中的 1069 名 12-17 岁的参与者。绘制了受试者工作特征曲线，并计算了体质指数（BMI）、腰围（WC）、腰高比（WHR）、锥度指数（CoI）、体型指数（BSI）、青少年调整 BSI（adjusted BSI）和身体圆润度指数（BRI）的曲线下面积（AUC）。
结果
在女孩中，BMI、WC、WHR 和 BRI 预测高血压的可靠性仅为充足（≥.6 AUC <.7）。在男孩中，BMI、WC、WHR、BRI 和 adjusted BSI 预测胰岛素抵抗和高血压的可靠性从良好到充足（≥6 AUC <.8），但预测总胆固醇、甘油三酯和低密度脂蛋白高的可靠性为较差到充足（≥.5 AUC <.7）。对于两性，CoI 和 BSI 对所有 CRM 的 AUC 均≤.5。大多数体型指标对 MetS 的 AUC 均≥.9。
结论
CoI、BSI、adjusted BSI 和 BRI 的可靠性在预测 CRM 和 MetS 方面并不优于 BMI、WC 和 WHR。所有体型指标对 MetS 均具有极好的预测能力，但对 CRM 的准确性有限。在评估的指标中，我们建议使用 WHR≥.55 作为筛查女孩和男孩 MetS 的切点，因为它易于测量和解释。
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