健康相关体适能与大学教职工血脂异常风险的相关性：一项横断面研究和 ROC 曲线分析。
Association between Health-Related Physical Fitness and Risk of Dyslipidemia in University Staff: A Cross-Sectional Study and a ROC Curve Analysis.
机构信息
School of Physical Education, Shaanxi Normal University, Xi'an 710119, China.
School of Physical Education and Sports, Beijing Normal University, Beijing 100875, China.
出版信息
Nutrients. 2021 Dec 23;14(1):50. doi: 10.3390/nu14010050.
BACKGROUND
This study aimed to assess the relationship between dyslipidemia (DL) risk and health-related physical fitness (HPF) and evaluated the prognostic value of HPF for risk of DL.
METHODS
A total of 776 university staff members were recruited, of which 407 were females, and 369 males. Blood samples and HPF tests were collected from all participants after 12 h fasting.
RESULTS
The prevalence of DL was 41.77% and 51.49% in female and male university staff members, respectively, and there was no significant difference between genders (χ = 2.687, = 0.101). According to the logistic regression analysis, age, male sex, GLU, hypertension, BMI, BF, WHtR, and LAP were significant risk factors for DL ( < 0.05), VCI and, SAR were significant protective factors for DL ( < 0.05), and SMI, GS, and VG were not significantly associated with the risk of DL. The area under the receiver-operating characteristic (ROC) curve (AUC) analysis indicated that, LAP (AUC: 0.730, 95CI%: 0.697-0.762), WHtR (AUC: 0.626, 95CI%: 0.590-0.660), and BMI (AUC: 0.599, 95CI%: 0.563-0.634) are valid predictors of DL, and LAP and WHtR perform better than BMI (Z = 8.074, < 0.001) in predicting DL in male and female university staff members.
CONCLUSION
The risk of DL is significantly related to body composition, cardiorespiratory fitness, and flexibility. LAP and WHtR perform better than BMI in predicting risk of DL in male and female university staff members.
背景
本研究旨在评估血脂异常 (DL) 风险与健康相关体适能 (HPF) 的关系，并评估 HPF 对 DL 风险的预后价值。
方法
共招募了 776 名大学教职工，其中女性 407 人，男性 369 人。所有参与者在禁食 12 小时后采集血样和 HPF 测试。
结果
女性和男性大学教职工的 DL 患病率分别为 41.77%和 51.49%，性别间无显著性差异（χ=2.687，=0.101）。根据逻辑回归分析，年龄、男性、GLU、高血压、BMI、BF、WHtR 和 LAP 是 DL 的显著危险因素（<0.05），VCI 和 SAR 是 DL 的显著保护因素（<0.05），而 SMI、GS 和 VG 与 DL 的风险无显著相关性。受试者工作特征（ROC）曲线下面积（AUC）分析表明，LAP（AUC：0.730，95%CI%：0.697-0.762）、WHtR（AUC：0.626，95%CI%：0.590-0.660）和 BMI（AUC：0.599，95%CI%：0.563-0.634）是 DL 的有效预测因子，且 LAP 和 WHtR 在预测男、女大学教职工 DL 方面优于 BMI（Z=8.074，<0.001）。
结论
DL 的风险与身体成分、心肺适能和柔韧性显著相关。LAP 和 WHtR 在预测男、女大学教职工 DL 风险方面优于 BMI。
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