摘要
目的探讨腰臀比(WHR)和体质指数(BMI)与代谢综合征(MS)的相关性。方法选择2007年1月至2008年12月期间进行健康体检的上海保税区企业人群668例作为调查对象,根据BMI和WHR分为A组正常体重正常体型、B组正常体重异常体型、C组异常体重正常体型、D组异常体重异常体型,进行MS流行病学调查,并分析WHR和BMI与高血压、高血糖、血脂异常等代谢异常的患病关系。结果调查对象BMI异常检出率为49.1%(标化率40.30%),WHR异常检出率为53.0%(标化率54.75%),随年龄的增长肥胖患病率呈上升趋势;与A组相比,B组、D组的高血压、高血糖、血脂异常及MS患病率以及合并2项以上代谢异常情况均明显增高(P<0.05),而C组人群仅高血压及MS的患病率明显增高(P<0.05),B组、C组、D组人群MS的患病风险均高于A组,OR值分别为11.581(95%CI:1.277～105.044)、16.600(95%CI:1.822～151.224)、83.000(95%CI:11.419～603.289)。结论 WHR、BMI异常可增加MS的患病风险,WHR对代谢异常的影响比BMI更高,两者结合可明显提高MS风险预测的特异性和敏感性,应将WHR、BMI作为MS早期防治的控制指标。
Objective To explore the relationship between waist-to-hip ratio（WHR）,body mass index（BMI） and prevalence of metabolic syndrome（MS） in occupational population in Shanghai Free Trade Zone.Methods 668 employees in Shanghai Free Trade Zone companies who took physical examination from January 2007 to December 2008 were collected,and they were divided into 5 groups according to their BMI and WHR,and investigated on epidemiological characteristics.Results The rates of abnormal BMI and WHR were 49.1% and 53.0%,respectively,the standardized rates were 40.30% and 54.75%,respectively.The prevalence of obesity was increasing along with the age.The prevalence rates of hypertension,hyperglycemia,dyslipidemia,MS and combined with two metabolic disorders in B group with abnormal WHR and in D group with abnormal BMI WHR were significantly higher than that in A group with normal BMI and WHR（P 0.05）,while there was significant difference between C group with abnormal BMI and A group only in the prevalence of hypertension and MS（P〈0.05）.The risk of MS in B group,C group,D group was all significant higher than that in A group with OR value as 11.581（95%CI： 1.277~ 105.044）,16.600（95%CI： 1.822~151.224）,83.000（95%CI： 11.419~603.289）,respectively.Conclusion BMI abnormality and WHR abnormality independently contribute to MS.In combined analysis of WHR and BMI,both variables were significant predictors of metabolic disorders;WHR is a stronger risk factor on metabolic disorders compared with BMI.The specificity and sensitivity of diagnosing MS would be significantly higher by using both WHR and BMI.They should be controlled for early preventing and controlling MS.
出处
《中国慢性病预防与控制》
CAS
北大核心
2010年第5期464-466,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
代谢综合征
体质指数
腰臀比
风险预测
Metabolic syndrome
Body mass index
Waist-to-hip ratio
Risk forecasting
