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体重调整腰围指数与中风的关联:一项横断面研究。

Association between the weight-adjusted waist index and stroke: a cross-sectional study.

机构信息

West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, China.

出版信息

BMC Public Health. 2023 Sep 1;23(1):1689. doi: 10.1186/s12889-023-16621-8.

Abstract

BACKGROUND

The weight-adjusted waist index (WWI) is a new measure of obesity, and this study aimed to determine the association between the WWI and stroke.

METHODS

Using the National Health and Nutrition Examination Survey (NHANES) 2011-2020 dataset, cross-sectional data from 23,389 participants were analysed. The correlation between the WWI and stroke was investigated through multivariate logistic regression and smoothing curve fitting. Subgroup analysis and interaction tests were also carried out.

RESULTS

The research involved 23,389 participants, of whom 893 (3.82%) had a stroke. The fully adjusted model revealed a positive correlation between the WWI and stroke [1.25 (1.05, 1.48)]. Individuals who were in the highest quartile of WWI exhibited a 62% higher likelihood of experiencing a stroke than those in the lowest quartile [1.62 (1.06, 2.48)]. Subgroup analysis and interaction tests revealed that this positive correlation was similar in different population settings (all P for interaction  > 0.05).

CONCLUSION

A higher WWI was associated with a higher prevalence of stroke. The results of this study underscore the value of the WWI in stroke prevention and management.

摘要

背景

体重调整腰围指数(WWI)是一种新的肥胖衡量指标,本研究旨在探讨 WWI 与中风之间的关联。

方法

利用 2011-2020 年全国健康和营养调查(NHANES)数据集,对 23389 名参与者的横断面数据进行分析。通过多变量逻辑回归和平滑曲线拟合来研究 WWI 与中风之间的相关性。同时进行了亚组分析和交互检验。

结果

本研究共纳入 23389 名参与者,其中 893 人(3.82%)患有中风。完全调整模型显示,WWI 与中风之间呈正相关[1.25(1.05,1.48)]。与 WWI 最低四分位组相比,处于最高四分位组的个体发生中风的可能性高出 62%[1.62(1.06,2.48)]。亚组分析和交互检验显示,这种正相关在不同人群中是相似的(所有交互检验 P 值均大于 0.05)。

结论

较高的 WWI 与更高的中风患病率相关。本研究结果强调了 WWI 在中风预防和管理中的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6050/10472709/bbdf08937649/12889_2023_16621_Fig1_HTML.jpg

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