Prescreening tools for diabetes and obesityassociated dyslipidaemia: comparing BMI, waist and waist hip ratio. The DESIR Study
Prescreening tools for diabetes and obesityassociated dyslipidaemia: comparing BMI, waist and waist hip ratio. The DESIR Study
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DOI：
10.1038/sj.ejcn.1602308
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发表时间：
2006-03-01
影响因子：
4.7
通讯作者：
Charles, MA
中科院分区：
文献类型：
--
作者：
Balkau, B;Sapinho, D;Charles, MA
目的：比较体重指数、腰围和腰臀比在确定糖尿病和/或肥胖相关血脂异常的筛查对象中的敏感性。设计：横断面研究。地点：法国中西部。参与者：3000多名男性和女性，年龄40-，来自法国研究：来自胰岛素抵抗综合征(D.E.S.I.R.)的流行病学研究数据。主要观察指标：筛查糖尿病(空腹血糖和GT=7.0 mmol/L)和筛查血脂异常(甘油三酯和GT；=2.3mmo1/L和/或高密度脂蛋白-胆固醇=27/26 kg/m(2)(男性/女性)或腰围=96/83厘米或腰臀比=0.96/0.83。这些值被选为阈值。在男性中，BMI对糖尿病和血脂异常的敏感性均高于腰围或腰臀比(77vs74%和66%P
Objective: To compare the sensitivities of BMI, waist circumference and waist hip ratio (WHR) in identifying subjects who should be screened for diabetes and/or for obesity-associated dyslipidaemia.Design: Cross-sectional study.Setting: Central-western France.Participants: More than 3000 men and women, aged 40 - 64 years, from the French study: data from an epidemiological study on the insulin resistance syndrome ( D. E. S. I. R.).Main outcome measures: Sensitivity and specificity for screened diabetes ( fasting plasma glucose >= 7.0 mmol/l) and screened dyslipidaemia (triglycerides >= 2.3 mmol/l and/or HDL-cholesterol = 27/26 kg/ m(2) (men/women) or waist >= 96/83 cm or WHR >= 0.96/0.83. These values were chosen as thresholds. In men, BMI had a nonsignificantly higher sensitivity than waist or WHR for both diabetes and dyslipidaemia (77 vs 74 and 66% P