Feasibility of anthropometric indices to identify dyslipidemia among adults in Jilin Province: a cross-sectional study.
Feasibility of anthropometric indices to identify dyslipidemia among adults in Jilin Province: a cross-sectional study.
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吉林省成人血脂异常人体测量指标的可行性横断面研究
DOI：
10.1186/s12944-017-0648-6
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发表时间：
2018-01-22
影响因子：
4.5
通讯作者：
Liu Y
中科院分区：
文献类型：
--
作者：
Zhang K;Zhao Q;Li Y;Zhen Q;Yu Y;Tao Y;Cheng Y;Liu Y
血脂异常及其他心血管疾病（CVD）危险因素与肥胖密切相关。人体测量指标在临床和流行病学研究中已被广泛用于评估肥胖。我们旨在研究血脂水平与不同人体测量指标之间的关联。
我们的研究纳入了17554名参与者。我们主要研究了人体测量指标与血脂水平或血脂异常指标类别之间的受试者工作特征曲线下面积（AUROC）以及最佳工作点（OOPs）。
在人体测量指标中预测1/2类血脂异常指标时，男性腰围（WC）的AUROC值最高（0.718），女性体脂率（BRI）和腰高比（WHtR）的AUROC值最高（均为0.700）（所有P＜0.001）；男性WC的OOP为82.450；女性BRI和WHtR的OOP分别为3.435和0.504。在人体测量指标中预测3类及以上血脂异常指标时，男性WC的AUROC值最高（0.806），女性BRI和WHtR的AUROC值最高（均为0.783）（所有P＜0.001）；男性WC的OOP为84.150；女性BRI和WHtR的OOP分别为3.926和0.529。
WC是男性1/2类或3类及以上血脂异常指标的良好预测指标。然而，BRI和WHtR是女性1/2类或3类及以上血脂异常指标的良好预测指标。身体形状指数（ABSI）的预测能力最弱。
本文的网络版（10.1186/s12944 - 017 - 0648 - 6）包含补充材料，授权用户可获取。
BackgroundDyslipidemia and other cardiovascular disease (CVD) risk factors have a strong association with obesity. Anthropometric indices have been widely used to evaluate obesity in clinical and epidemiological studies. We aim to investigate association between serum lipid levels and different anthropometric indices.MethodsOur study included 17,554 participants. We mainly investigated area under the receiver operating characteristic (AUROC) curves and optimal operating points (OOPs) between the anthropometric indices and serum lipid levels or categories of abnormal serum lipid indices.ResultsFor predicting one/two categories of abnormal serum lipid indices among the anthropometric indices, AUROC value of WC was the highest in men (0.718), and AUROC values of BRI and WHtR were the highest in women (0.700 and 0.700) (allP< 0.001); OOP of WC was 82.450 in men; OOPs of BRI and WHtR were 3.435 and 0.504 in women. For predicting three/more categories of abnormal serum lipid indices among the anthropometric indices, AUROC value of WC was the highest in men (0.806), and AUROC values of BRI and WHtR were the highest in women (0.783 and 0.783) (allP< 0.001); OOP of WC was 84.150 in men; OOPs of BRI and WHtR were 3.926 and 0.529 in women.ConclusionsWC was a good predictor for one/two or three/more categories of abnormal serum lipid indices in men. However, BRI and WHtR were good predictors for one/two or three/more categories of abnormal serum lipid indices in women. ABSI showed the weakest predictive power.
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