Zhang Xinyi, Lu Xi, Pan Xiaohui, Shen Sumin, Tong Nanwei
Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041.
Center for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu 610213, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2024 Jul 28;49(7):1062-1072. doi: 10.11817/j.issn.1672-7347.2024.240259.
Although body mass index (BMI) is widely used as a simple tool to assess obesity, it has certain limitations and inaccuracies. It is known that visceral adipose tissue is closely related to cardiometabolic risks and all-cause mortality; however, precise measurement methods for visceral fat (magnetic resonance imaging and computed tomography) cannot be widely used. Thus, simple but accurate alternatives are valuable. Studies have shown that waist circumference-to-height ratio (WHtR) might be a superior and more accurate variable in assessing central or visceral adiposity as well as predicting risks of diabetes and other cardiometabolic diseases. Furthermore, WHtR cutoff values can be consistent across different races, age, and genders, making it a universal metric worth promoting and applying.
尽管体重指数（BMI）作为评估肥胖的简单工具被广泛使用，但它存在一定的局限性和不准确性。众所周知，内脏脂肪组织与心脏代谢风险和全因死亡率密切相关；然而，内脏脂肪的精确测量方法（磁共振成像和计算机断层扫描）无法广泛应用。因此，简单而准确的替代方法很有价值。研究表明，腰围身高比（WHtR）在评估中心性或内脏肥胖以及预测糖尿病和其他心脏代谢疾病风险方面可能是一个更优且更准确的变量。此外，WHtR的截断值在不同种族、年龄和性别中可能是一致的，这使其成为一个值得推广和应用的通用指标。
