Ratsavong Kethmany, Essink D R, Vonglokham Manithong, Kounnavong Sengchanh, Sayasone Somphou, Aekplakorn Wichai, Worawichawong Suchin, Wright E P
Lao Tropical and Public Health Institute, Vientiane Capital, Lao PDR.
Athena Institute, Vrije University Amsterdam, Amsterdam, The Netherlands.
Asia Pac J Public Health. 2025 Jan;37(1):35-42. doi: 10.1177/10105395241295573. Epub 2024 Oct 31.
This study aimed to determine the potential predictive value of four noninvasive anthropometric indices in screening for the risk of diabetes and hypertension in the Lao population. The data used for this study were collected as part of the National Health Survey which used the World Health Organization's stepwise approach, covered 17 provinces and Vientiane capital, and had a representative sample of 3240 participants above 18 years old. Among the anthropometry indices tested, waist-to-height ratio (WHtR) had the highest predictive power for the prevalence of diabetes (area under the curve [AUC] = 0.73) and hypertension (AUC = 0.70). It is suitable for use in urban or rural areas and for fieldwork. The WHtR can serve as a public health and clinical screening tool, as there are no differences between sexes, ages, and ethnicities when monitoring diabetes and hypertension risk in Lao PDR, using the optimal cutoff point of 0.5 for both diabetes and hypertension.
本研究旨在确定四项非侵入性人体测量指标在老挝人群糖尿病和高血压风险筛查中的潜在预测价值。本研究使用的数据是作为国家健康调查的一部分收集的，该调查采用世界卫生组织的逐步方法，覆盖17个省和万象市，有3240名18岁以上参与者的代表性样本。在所测试的人体测量指标中，腰高比（WHtR）对糖尿病患病率（曲线下面积[AUC]=0.73）和高血压患病率（AUC=0.70）具有最高的预测能力。它适用于城市或农村地区以及实地工作。WHtR可作为公共卫生和临床筛查工具，因为在老挝人民民主共和国监测糖尿病和高血压风险时，使用糖尿病和高血压的最佳切点0.5时，性别、年龄和种族之间没有差异。
