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新型人体测量学和生化指标对心血管风险预测的预测特性

Predictive properties of novel anthropometric and biochemical indexes for prediction of cardiovascular risk.

作者信息

Mansoori Amin, Allahyari Maryam, Mirvahabi Mobina Sadat, Tanbakuchi Davoud, Ghoflchi Sahar, Derakhshan-Nezhad Elahe, Azarian Farnoosh, Ferns Gordon, Esmaily Habibollah, Ghayour-Mobarhan Majid

机构信息

Department of Applied Mathematics, School of Mathematical Sciences, Ferdowsi University of Mashhad, Mashhad, Iran.

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Diabetol Metab Syndr. 2024 Dec 19;16(1):304. doi: 10.1186/s13098-024-01516-4.

Abstract

OBJECTIVE

Our aim was to examine the correlation between CVDs and various anthropometric and biochemical indices in the Iranian population.

METHODS

9704 healthy individuals without CVD aged 35-65 were enrolled in our study. The anthropometric indices including Body Adiposity Index (BAI), Abdominal Volume Index (AVI), Body Roundness Index (BRI), Waist to Hip Ratio (WHR), Weight-adjusted Waist Index (WWI), Conicity Index (C-Index), A Body Shape Index (ABSI), Waist to Height Ratio (WHtR), Body Surface Area (BSA), Body Mass Index (BMI), Lipid Accumulation Product (LAP) and Visceral Adiposity Index (VAI) were calculated. The biochemical indices including Cardiac Risk Ratio (CRR), Atherogenic Index of Plasma (AIP), Triglycerides-Glucose Index (TyG), Cardiac Risk Index (CRI), Atherogenic Coefficient (AC), and high-sensitivity C-Reactive Protein (hs-CRP) were investigated. The association of the above indices with CVD was analyzed using logistic regression (LR) and the decision tree (DT) models.

RESULTS

The LR showed age, hs-CRP, AIP, AVI, LAP, and TyG had significant associations with CVDs in men (p-value < 0.002). Also, age, hs-CRP, LAP, TyG, BRI, VAI, and CRR had significant associations with CVDs in women (p-value < 0.002). The DT showed 95% of men with age > = 48, AIP > = 0.94, TyG > = 9.71, and AVI > = 14.24 had CVDs. Also, 97% of women with age > = 54, TyG > = 8.33, and hs-CRP > = 36.69 had CVDs.

CONCLUSION

Age, TyG, AIP, AVI, hs-CRP and LAP were the best predictors of CVD in men. Moreover, age, TyG, hs-CRP and BAI were the best indicators of CVD in women.

摘要

目的

我们的目的是研究伊朗人群中心血管疾病(CVDs)与各种人体测量和生化指标之间的相关性。

方法

9704名年龄在35 - 65岁、无心血管疾病的健康个体纳入我们的研究。计算人体测量指标,包括体脂指数(BAI)、腹容积指数(AVI)、身体圆润度指数(BRI)、腰臀比(WHR)、体重校正腰围指数(WWI)、锥度指数(C指数)、身体形状指数(ABSI)、腰高比(WHtR)、体表面积(BSA)、体重指数(BMI)、脂质积聚产物(LAP)和内脏脂肪指数(VAI)。研究生化指标,包括心脏风险比(CRR)、血浆致动脉粥样硬化指数(AIP)、甘油三酯-葡萄糖指数(TyG)、心脏风险指数(CRI)、致动脉粥样硬化系数(AC)和高敏C反应蛋白(hs-CRP)。使用逻辑回归(LR)和决策树(DT)模型分析上述指标与心血管疾病的关联。

结果

逻辑回归显示,年龄、hs-CRP、AIP、AVI、LAP和TyG在男性中与心血管疾病有显著关联(p值<0.002)。此外,年龄、hs-CRP、LAP、TyG、BRI、VAI和CRR在女性中与心血管疾病有显著关联(p值<0.002)。决策树显示,年龄>=48、AIP>=0.94、TyG>=9.71且AVI>=14.24的男性中有95%患有心血管疾病。此外,年龄>=54、TyG>=8.33且hs-CRP>=36.69 的女性中有97%患有心血管疾病。

结论

年龄、TyG、AIP、AVI、hs-CRP和LAP是男性心血管疾病的最佳预测指标。此外,年龄、TyG、hs-CRP和BAI是女性心血管疾病的最佳指标。

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