腰高比预测 2 型糖尿病患者代谢综合征的价值。
Interest of the waist-to-height ratio to predict metabolic syndrome in type 2 diabetic patients.
出版信息
Tunis Med. 2022;100(2):137-142.
INTRODUCTION
Metabolic syndrome (MetS) is defined as a cluster of risk factors for cardiovascular disease.
AIM
To determine the optimal cut-off point of the waist-to-height ratio (WHtR) at which MetS can be identified with maximum sensitivity and specificity in a sample of Tunisian type 2 diabetic patients.
METHODS
We enrolled 457 type 2 diabetic patients in a cross-sectional study. Blood pressure, anthropometric indices, fasting glucose, and lipid profile were measured. WHtR was calculated. MetS was defined according to the IDF criteria. Receiver operating characteristic (ROC) curve analysis was used to identify the optimal cut-off value of WHtR in MetS screening with maximum sensitivity and specificity.
RESULTS
The overall prevalence of MetS was 79.8%, it was higher in women than in men (85.5% vs 61.4%; p.
简介
代谢综合征（MetS）被定义为一组心血管疾病的危险因素。
目的
在突尼斯 2 型糖尿病患者样本中，确定腰围身高比（WHtR）的最佳截断值，以便以最大的灵敏度和特异性识别代谢综合征。
方法
我们进行了一项横断面研究，共纳入了 457 例 2 型糖尿病患者。测量血压、人体测量指标、空腹血糖和血脂谱。计算 WHtR。根据 IDF 标准定义代谢综合征。使用受试者工作特征（ROC）曲线分析确定 WHtR 筛查代谢综合征的最佳截断值，以获得最大的灵敏度和特异性。
结果
代谢综合征的总体患病率为 79.8%，女性高于男性（85.5% vs 61.4%；p<0.001）。WHtR 与所有代谢综合征成分呈正相关。ROC 曲线分析显示，WHtR 预测代谢综合征的最佳截断值为 0.52，其灵敏度和特异性分别为 71.4%和 76.2%。
结论
在突尼斯 2 型糖尿病患者中，WHtR 是一种简单、实用的工具，可用于识别代谢综合征。
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