Measurement of Waist Circumference
Measurement of Waist Circumference
复制标题
DOI：
10.2337/dc12-1452
复制
发表时间：
2013-06-01
期刊：
影响因子：
16.2
通讯作者：
Li, Hung-Yuan
中科院分区：
文献类型：
--
作者：
Ma, Wen-Ya;Yang, Chung-Yi;Li, Hung-Yuan
腰围（WC）用于定义中心性肥胖。本研究旨在比较两种推荐的WC测量位置的性能。研究设计和方法-一个队列的1,898名受试者谁是没有糖尿病从2006年至2012年进行了为期31个月的中位数（台湾生活方式研究）。由国家胆固醇教育计划第三成人治疗小组推荐的WC-IC在髂嵴的上级边界处测量，并且由世界卫生组织和国际糖尿病联合会推荐的WC-mid在最低肋骨和髂嵴之间的中间测量。腹部皮下脂肪面积（SFA）和内脏脂肪面积（VFA）的测量结果表明，女性的WC-IC和WC-mid的测量值与男性相比有显著性差异（P < 0.001）。WC-IC和WC-mid与BMI、VFA和SFA均显著相关（P均< 0.001）。WC-mid与VFA的相关性比WC-IC更好，尤其是在女性中，它与血压、血糖、血红蛋白甘油三酯水平、HDL胆固醇和C反应蛋白的相关性更强（均P < 0.05）。WC-mid与高血压、糖尿病和代谢综合征的相关性略优于WC-IC（受试者操作曲线下面积分别为0.7 vs. 0.69、0.71 vs. 0.68和0.75 vs. 0.7;所有年龄校正后的P < 0.05）。以90 cm（男性）180 cm（女性）作为中心性肥胖的标准，WC-mid，而不是WC-IC，预测糖尿病发展的发病率（年龄调整P = 0.003）。
OBJECTIVE-Waist circumference (WC) is used to define central obesity. This study aimed to compare the performance of two recommended locations of WC measurement.RESEARCH DESIGN AND METHODS-A cohort of 1,898 subjects who were without diabetes from 2006 to 2012 were followed for a median of 31 months (Taiwan Lifestyle Study). The WC-IC, recommended by the National Cholesterol Education Program Third Adult Treatment Panel, was measured at the superior border of the iliac crest, and the WC-mid, recommended by World Health Organization and International Diabetes Federation, was measured midway between the lowest ribs and the iliac crest. The abdominal subcutaneous fat area (SFA) and visceral fat area (VFA) were assessed by computed tomography.RESULTS-There was greater difference between WC-IC and WC-mid measurements in women than in men (P < 0.001). Both WC-IC and WC-mid correlated significantly with BMI, VFA, and SFA (all P < 0.001). WC-mid was better correlated to VFA than WC-IC, particularly in women, and it correlated more strongly to blood pressure, plasma glucose, hemoglobin triglyceride levels, HDL cholesterol, and C-reactive protein (all P < 0.05). The association of WC-mid with hypertension, diabetes, and metabolic syndrome was slightly better than that of WC-IC (area under the receiver operator curve 0.7 vs. 0.69, 0.71 vs. 0.68, and 0.75 vs. 0.7, respectively; all age-adjusted P < 0.05). With 90 cm (male)180 cm (female) as criteria for central obesity, WC-mid, but not WC-IC, predicted the incidence of diabetes development (age-adjusted P = 0.003).CONCLUSIONS-WC-mid is a better measurement to define central obesity than WC-IC, particularly in women.