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新型和传统人体测量指标预测肾结石病的能力:一项横断面研究。

Predictive ability of novel and traditional anthropometric measurement indices for kidney stone disease: a cross-sectional study.

机构信息

Department of Urology, Jiangnan University Medical Center, 68 Zhongshan Road, Liangxi District, Wuxi, 214000, Jiangsu, China.

Department of Urology, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, 215300, Jiangsu, China.

出版信息

World J Urol. 2024 May 20;42(1):339. doi: 10.1007/s00345-024-05035-9.

Abstract

BACKGROUND

The aim of our research was to examine the association of novel anthropometric indices (a body shape index (ABSI), waist-to-height ratio (WtHR), conicity index (CI) and body roundness index (BRI)) and traditional anthropometric indices (body mass index (BMI), and waist (WC)) with prevalence of kidney stone disease (KSD) in the general population of United States (U.S.).

METHODS

In this study, we conducted a cross-sectional analysis among the participants in the National Health and Nutrition Examination Survey between the years 2007 and 2020. Weighted multivariable logistic regression analysis, restricted cubic spline (RCS), receiver operating characteristic (ROC) curves, and subgroup analysis were performed to analyze the association of ABSI, BRI, WtHR, CI, BMI and WC with prevalence of KSD.

RESULTS

In total, 11,891 individuals were included in our study. The RCS plot shown that the linear positive association was found between ABSI, BRI, WtHR, CI, BMI and WC and KSD risk. Additionally, the ROC curve demonstrated that the area under the curve of ABSI, BRI, WtHR, and CI was significantly higher than traditional anthropometric indices, including BMI and WC.

CONCLUSIONS

Our study found that the discriminant ability of ABSI, BRI, WtHR, and CI for KSD was higher than BMI and WC. Consequently, ABSI, BRI, WtHR, and CI have the potential to become new indicators for the detection of KSD risk in clinical practice.

摘要

背景

本研究旨在探讨新型人体测量学指标(身体形状指数(ABSI)、腰高比(WtHR)、锥度指数(CI)和体圆度指数(BRI))与传统人体测量学指标(体重指数(BMI)和腰围(WC))与美国普通人群肾结石病(KSD)患病率的关系。

方法

本研究对 2007 年至 2020 年期间参加国家健康和营养调查的参与者进行了横断面分析。采用加权多变量逻辑回归分析、限制三次样条(RCS)、受试者工作特征(ROC)曲线和亚组分析,分析 ABSI、BRI、WtHR、CI、BMI 和 WC 与 KSD 患病率的关系。

结果

本研究共纳入 11891 人。RCS 图显示,ABSI、BRI、WtHR、CI、BMI 和 WC 与 KSD 风险之间呈线性正相关。此外,ROC 曲线表明,ABSI、BRI、WtHR 和 CI 的曲线下面积明显高于 BMI 和 WC 等传统人体测量学指标。

结论

本研究发现,ABSI、BRI、WtHR 和 CI 对 KSD 的判别能力高于 BMI 和 WC。因此,ABSI、BRI、WtHR 和 CI 有可能成为临床实践中检测 KSD 风险的新指标。

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