WAIST CIRCUMFERENCE AS A MEASURE FOR INDICATING NEED FOR WEIGHT MANAGEMENT
WAIST CIRCUMFERENCE AS A MEASURE FOR INDICATING NEED FOR WEIGHT MANAGEMENT
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DOI：
10.1136/bmj.311.6998.158
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发表时间：
1995-07-15
影响因子：
--
通讯作者：
MORRISON, CE
中科院分区：
文献类型：
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作者：
LEAN, MEJ;HAN, TS;MORRISON, CE
目的 - 测试单一测量值腰围可用于识别因超重和中央脂肪分布而面临健康风险的人的假设。设计 - 社区衍生的男性和女性随机样本和第二个验证样本。地点 - 北格拉斯哥。受试者——904 名男性和 1014 名女性（第一个样本）； 86 名男性和 202 名女性（验证样本）。主要结果指标 - 腰围、体重指数、腰臀比。结果 - 男性腰围大于或等于 94 厘米，女性腰围大于或等于 80 厘米，确定受试者具有高体重指数（大于或等于 25 kg/m(2)）和体重指数较低但腰臀比较高（大于或等于 男性为 0.95，女性大于或等于 0.80），敏感性 > 96%，特异性 > 97.5%。男性腰围大于或等于 102 厘米，女性腰围大于或等于 88 厘米，识别出体重指数大于或等于 30 的受试者以及体重指数较低但腰臀比较高的受试者，其敏感性 > 96%，特异性 > 98%，只有约 2% 的样本被错误分类。 结论——腰围可用于健康促进计划，以识别应寻求和提供的个体 体重管理。男性腰围大于或等于94厘米，女性腰围大于或等于80厘米，体重不应再增加；男性腰围大于或等于102厘米、女性腰围大于或等于88厘米应减轻体重。
Objective-To test the hypothesis that a single measurement, waist circumference, might be used to identify people at health risk both from being overweight and from having a central fat distribution.Design-A community derived random sample of men and women and a second, validation sample.Setting-North Glasgow. Subjects-904 men and 1014 women (first sample); 86 men and 202 women (validation sample).Main outcome measures-Waist circumference, body mass index, waist:hip ratio.Results-Waist circumference greater than or equal to 94 cm for men and greater than or equal to 80 cm for women identified subjects with high body mass index (greater than or equal to 25 kg/m(2)) and those with lower body mass index but high waist:hip ratio (greater than or equal to 0.95 for men, greater than or equal to 0.80 women) with a sensitivity of > 96% and specificity > 97.5%. Waist circumference greater than or equal to 102 cm for men or greater than or equal to 88 cm for women identified subjects with body mass index greater than or equal to 30 and those with lower body mass index but high waist:hip ratio with a sensitivity of > 96% and specificity > 98%, with only about 2% of the sample being misclassified.Conclusions-Waist circumference could be used in health promotion programmes to identify individuals who should seek and be offered weight management. Men with waist circumference greater than or equal to 94 cm and women with waist circumference greater than or equal to 80 cm should gain no further weight; men with waist circumference greater than or equal to 102 cm and women with waist circumference greater than or equal to 88 cm should reduce their weight.