Waist-to-height ratio, a simple and practical index for assessing central fat distribution and metabolic risk in Japanese men and women
Waist-to-height ratio, a simple and practical index for assessing central fat distribution and metabolic risk in Japanese men and women
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DOI：
10.1038/sj.ijo.0802259
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发表时间：
2003-05-01
影响因子：
4.9
通讯作者：
Muto, T
中科院分区：
文献类型：
--
作者：
Hsieh, SD;Yoshinaga, H;Muto, T
目的：世界卫生组织（WHO）定义的正常体重指数（BMI）范围相当广泛，在此范围内的一些人可能会有过度的中央脂肪堆积和代谢风险升高。我们假设腰高比（W/Ht）是一个评估日本人中心脂肪分布的有效指标，可用于识别正常和超重范围内代谢风险较高的受试者。（1）6141名男性和2137名女性在不同年龄段和计算性别的BMI、腰围和W/Ht值（2）年龄与各人体测量指标之间的关系，年龄与冠心病危险因素的发病率指数之间的关系（高血糖、高血压、高胆固醇血症、高胆固醇血症和低HDL胆固醇的评分总和;如果存在，每种情况一分），以及冠状动脉危险因素的发病率指数和每种人体测量指数之间的关系;（3）使用各种建议的腰围指数，（WHO、日本肥胖症研究会和亚太地区观点建议的值），以及我们提出的边界值，W/Ht 0.5，在基于BMI的WHO分类中;（4）代谢风险（冠状动脉危险因素，高尿酸血症，高γ-谷氨酰转移酶，超声诊断的脂肪肝），以及W/Ht0.5的正常体重受试者的运动习惯。（1）在各年龄组的各项人体测量指标中，W/Ht的性别比最接近1，这表明对于男性和女性可以使用W/Ht的单一组值。(2)身高与年龄呈负相关。在人体测量指标中，只有W/Ht与男性和女性的年龄呈正相关，而年龄和除身高外的所有人体测量指标与冠心病危险因素的发病率指数呈正相关。对于男性和女性，W/Ht和冠状动脉危险因素的发病率指数之间的相关系数最高。(3)几乎所有超重的男性和女性（BMI > 25）的W/Ht > 0.5（98.5%的男性和97.5%的女性）。体重过轻的受试者中没有一个的W/HT大于或等于0.5。然而，45.5%的男性和28.3%的女性体重正常（BMI 18.5- 18.5），
OBJECTIVE: The normal body mass index (BMI) range, as defined by the World Health Organization (WHO), is quite wide, and some people within this range may have excessive central fat accumulation and elevated metabolic risks. We hypothesize that the waist-to-height ratio (W/Ht), an effective index for assessing central fat distribution among Japanese people, can be used to identify subjects who are at higher metabolic risk within the normal as well as the overweight range.METHODS: We investigated: (1) the values of BMI, waist circumference, and W/Ht in 6141 men and 2137 women at various age intervals and calculated gender (female to male) ratios for all these anthropometric indices; (2) the relation between age and each anthropometric index, between age and morbidity index for coronary risk factors (sum of the scores for hyperglycemia, hypertension, hypertriglyceridemia, hypercholesterolemia, and low HDL cholesterol; one point for each condition if present), and between morbidity index for coronary risk factors and each anthropometric index; (3) the distributions of the subjects, using various proposed indices of waist circumference (those suggested by WHO, the Japan Society for the Study of Obesity, and the Asia-Pacific perspective), and our proposed boundary value, W/Ht 0.5, among the WHO categories based on BMI; (4) the metabolic risks (coronary risk factors, hyperuricemia, high gamma-glutamyltransferase, and fatty liver diagnosed by ultrasonography), and exercise habits among normal-weight subjects with W/Ht0.5.RESULTS: (1) For the various anthropometric indices in all age groups, the gender ratio for W/Ht was closest to 1, indicating that a single set of values for W/Ht can be used for men and women. (2) Height correlated negatively with age. Among the anthropometric indices, only W/Ht correlated positively with age for both men and women, while age and all anthropometric indices, except height, correlated positively with the morbidity index for coronary risk factors. For both men and women, the highest correlation coefficient was between W/Ht and the morbidity index for coronary risk factors. (3) Nearly all overweight men and women (BMI > 25) had W/Ht > 0.5 (98.5% of men and 97.5% of women). None of the underweight subjects had W/ Htgreater than or equal to0.5. However, 45.5% of men and 28.3% of women of normal weight (BMI 18.5-