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学科主题: 临床医学
题名:
Obesity criteria for identifying metabolic risks
作者: Wang, Jin-wen2; Hu, Da-yi1; Sun, Yi-hong1; Wang, Jia-hong1; Wang, Gui-lian1; Xie, Jiang3; Zhou, Zi-qiang2
关键词: obesity ; waist circumference ; metabolic risk factors ; ROC curve analysis ; Chinese
刊名: ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION
发表日期: 2009
卷: 18, 期:1, 页:105-113
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Nutrition & Dietetics
研究领域[WOS]: Nutrition & Dietetics
关键词[WOS]: BODY-MASS INDEX ; WAIST CIRCUMFERENCE CUTOFFS ; INSULIN-RESISTANCE ; ABDOMINAL OBESITY ; CARDIOVASCULAR-DISEASE ; ETHNIC COMPARISONS ; VISCERAL OBESITY ; CHINESE ADULTS ; BLOOD-PRESSURE ; HIP RATIO
英文摘要:

Criteria of obesity in the Chinese population with multiple metabolic risk factors remains unclear. The objective was to determine the best anthropometrical measurements with regard to the metabolic syndrome (MetS) and to propose optimal cut-off values. Between April and August, 2007, 3,704 men and 6,392 women aged 18-85 years were recruited from four community centers. Medical examinations included measurement of weight, height, waist circumference (WC), hip circumference, fasting blood triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), glucose concentrations, and blood pressure (BP). Body mass index (BMI), waist to hip ratio (WHR), WC and waist to stature ratio (WSR) were calculated. Four metabolic risk factors were examined: 1) high BP; 2) high levels of TG; 3) low levels of HDL-C; 4) impaired glucose tolerance. The relationships between studied indices and rise factors were analyzed using partial correlation analyses, analysis of variance (ANOVA), linear regression, and Receiver Operator Characteristic (ROC) curve analysis. The optimal cut-off values of each obesity index were calculated using ROC analysis respectively. All obesity indices were positively associated with metabolic risk factors. Area under curve (AUC) of WC was the largest for >= 2 risk factors after adjustment for age in both genders. Optimal cut-off points for WC were 89 cm in men, and 80.5 cm, 82.5cm, and 89.5cm in < 40-yr, 40-60-yr, and > 60-yr women respectively. Waist circumference is best associated with metabolic risk factors among the studied indices in Chinese adults. Indices of abdominal obesity for older age groups tend to be higher than younger age groups in women.

语种: 英语
WOS记录号: WOS:000265043100017
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/51347
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Peking Univ, Peoples Hosp, Ctr Heart, Beijing 100044, Peoples R China
2.Capital Med Univ, Beijing Tongren Hosp, Ctr Cardiovasc, Beijing, Peoples R China
3.Capital Med Univ, Sch Publ Hlth & Family Med, Beijing, Peoples R China

Recommended Citation:
Wang, Jin-wen,Hu, Da-yi,Sun, Yi-hong,et al. Obesity criteria for identifying metabolic risks[J]. ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION,2009,18(1):105-113.
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