文献类型：期刊文献

中文题名：成年人不同肥胖评价指标对高血压患病风险预测效果的比较

英文题名：Comparison of different obesity indices in predicting risk of hypertension among adults in Gansu Province

作者：史青云[1];陈炳华[1];罗婉榕[1];汪亚琼[1];黄浩[1];张茜[1];马浇[1];严斌国[1];吴晨璐[1];裴磊磊[1];陈方尧[1];康轶君[1];党少农[1];王新华[2];颜虹[1];赵亚玲[1];赵翊[2]

第一作者：史青云

机构：[1]西安交通大学医学部公共卫生学院流行病与卫生统计学系,陕西西安710061;[2]甘肃中医药大学公共卫生学院,甘肃兰州730000

第一机构：西安交通大学医学部公共卫生学院流行病与卫生统计学系,陕西西安710061

年份：2022

卷号：43

期号：4

起止页码：581

中文期刊名：西安交通大学学报（医学版）

外文期刊名：Journal of Xi’an Jiaotong University（Medical Sciences）

收录：CSTPCD;;Scopus;北大核心:【北大核心2020】；CSCD:【CSCD2021_2022】；

基金：国家重点研发计划精准医学研究重点专项(No.2017YFC0907200,2017YFC0907202)。

语种：中文

中文关键词：高血压;肥胖;ROC曲线;人体测量学指标

外文关键词：hypertension;obesity;ROC curve;anthropometric index

摘要：目的比较体质量指数(BMI)、体脂率(BFP)、腰围(WC)、腰围身高比(WHtR)和内脏脂肪指数(VFI)5个肥胖评价指标及联合使用两类肥胖评价指标对高血压患病风险的预测能力。方法基于“甘肃城乡自然人群队列建设与肿瘤随访研究”基线调查的数据,采用带有协变量的ROC曲线的曲线下面积(AUC)分析和比较单个肥胖评价指标和两类肥胖评价指标联合预测高血压患病风险的效果。结果对20079名成年人的分析显示,BMI、BFP、WC、WHtR和VFI预测高血压患病风险的AUC分别为0.636、0.604、0.615、0.614和0.619。一般性肥胖和中心性肥胖评价指标BMI和WC联合预测的AUC(0.643)大于单独预测效果最佳的BMI的AUC(0.636),但AUC仅增加1.09%。中心性肥胖评价指标WC、WHtR和VFI与一般性肥胖评价指标BFP联合的AUC均小于单独使用BMI的AUC。BMI预测高血压的切点值为24.2 kg/m^(2)。结论BMI预测高血压患病风险的效果优于BFP、WC、WHtR和VFI单独预测的效果,联合使用一般性肥胖和中心性肥胖评价指标的预测效果并不优于单独使用BMI的效果。为预防和控制高血压,成年人应将BMI控制在超重标准以下。
Objective To compare the ability of body mass index(BMI),body fat percentage(BFP),waist circumference(WC),waist-to-height ratio(WHtR),visceral fat index(VFI)and the combinations of two kinds of obesity indices to predict the risk of hypertension.Methods Data collected in the baseline survey of“Gansu Province’s Urban and Rural Natural Population Cohort Establishment and Tumor Follow-up Study”were analyzed.Area under the curve(AUC)of ROC curve with covariates was used to analyze and compare the effects of individual obesity evaluation index and the combination of two kinds of obesity indices in predicting the risk of hypertension.Results Analyses of data of 20,079 adults showed that the AUC of BMI,WC,WHtR,BFP and VFI was 0.636,0.604,0.615,0.614 and 0.619,respectively.AUC of the combination of BMI and WC(0.643)was higher than that of BMI(0.636);however,the change rate of AUC was only 1.09%.AUC of the combinations of WC,WHtR and VFI,the three central obesity evaluation indices,and BFP,a general obesity evaluation index,were lower than that of BMI.The optimal cutoff value for BMI was 24.2 kg/m^(2).Conclusion The effect of BMI in predicting the risk of hypertension is better than that of BFP,WC,WHtR and VFI.The effects of the combinations of the two kinds of obesity evaluation indices are not better than that of BMI.To prevent and control hypertension,adults should keep their BMI under overweight.