The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women
The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women
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DOI：
10.1016/j.ypmed.2004.05.025
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发表时间：
2005-02-01
影响因子：
5.1
通讯作者：
Muto, T
中科院分区：
文献类型：
--
作者：
Hsieh, SD;Muto, T
背景。公开的肥胖是相对罕见的日本人，尽管高患病率的代谢紊乱，这表明需要开发简单有效的方法来评估代谢风险的非肥胖个体的公共卫生教育的一部分。我们比较了BMI < 25 kg/m2的4,668名男性和1,853名女性的体重指数（BMI）、腰围和腰高比（W/Ht）作为评估冠心病危险因素（高血压、高血糖、高胆固醇血症、高胆固醇血症和低HDL胆固醇）聚集的指标。冠状动脉危险因素的总和与所有人体测量指标呈正相关，其中W/Ht的相关性最密切。多元回归分析显示，身高是冠状动脉危险因素总和的负向独立预测因子，而年龄和腰围是正向独立预测因子。在各种建议的人体测量指标的代谢风险评估，大于或等于2和大于或等于3冠状动脉危险因素的聚类识别的灵敏度最高的腰高比大于或等于0。男女各5例。在非肥胖男性和女性中，腰高比比比BMI或腰围更能敏感地评估冠状动脉危险因素的聚集。(C)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Backgrounds. Overtly obesity is relatively rare among the Japanese despite the high prevalence of metabolic disorders, which suggests the need to develop simple and effective methods for assessing metabolic risks among the non-obese individuals as part of public health education.Methods. We compared body mass index (BMI), waist circumference, and waist-to-height ratio (W/Ht) as indices for evaluation of clustering of coronary risk factors (hypertension, hyperglycemia, hypertriglyceridemia, hypercholesterolemia, and low HDL cholesterol) in 4,668 men and 1,853 women with BMI < 25 kg/m(2).Results. The sum of coronary risk factors correlated positively with all anthropometric indices, with the closest correlation found for W/Ht. Multiple regression analysis showed that height was a negative independent predictor of the sum of coronary risk factors, while age and waist circumference were positive independent predictors. Among the various proposed anthropometric indices for the evaluation of metabolic risk, the sensitivities for identification of clustering of greater than or equal to 2 and greater than or equal to 3 coronary risk factors were highest for a waist-to-height ratio greater than or equal to 0. 5 in both genders.Conclusions. Waist-to-height ratio is more sensitive than BMI or waist circumference alone to evaluate clustering of coronary risk factors among non-obese men and women. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.