Waist Circumference and Waist-to-Height Ratio as Predictors of Cardiovascular Disease Risk in Korean Adults
Waist Circumference and Waist-to-Height Ratio as Predictors of Cardiovascular Disease Risk in Korean Adults
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DOI：
10.1253/circj.cj-09-0161
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发表时间：
2009-09-01
影响因子：
3.3
通讯作者：
Park, Hyun-Young
中科院分区：
文献类型：
--
作者：
Park, Sung-Hee;Choi, Soon-Ja;Park, Hyun-Young
背景：肥胖与糖尿病、高血压、血脂异常和心血管疾病（CVD）风险增加有关。人体测量指标，如体重指数（BMI），腰围（WC），腰围与身高比（WHtR），进行了评估作为预测的CVD危险因素在韩国adult.Methods和结果的存在：数据来自第三次韩国国民健康和营养检查调查（KNHANES III，2005年）。该研究包含了20岁或以上的韩国成年人（2，327名男性，3，102名女性）的全国代表性样本。在男性和女性中，WHtR的受试者工作特征（ROC）曲线下面积均高于WC或BMI与糖尿病和高血压相关的曲线下面积，而WC是男性中低高密度脂蛋白胆固醇的更好预测因子。预测糖尿病、高血压和血脂异常的WHtR截断值在男性中约为0.50，在女性中约为0.51。男性WC截断值为81.6 - 85.2 cm，女性为78.1 - 81.9 cm。最佳BMI截断点在23.0 ~ 24.7 kg/m2之间，男性和女性都是如此。结论：在韩国成年人中，WC或WHtR可能比BMI更能预测心血管疾病的危险因素。(Circ J 2009; 73：1643-1650）
Background: Obesity is associated with diabetes mellitus, hypertension, dyslipidemia and increased cardiovascular disease (CVD) risk. Anthropometric indices, such body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR), were evaluated as predictors of the presence of CVD risk factors in Korean adults.Methods and Results: The data were obtained from the Third Korea National Health and Nutrition Examination Survey (KNHANES III, 2005). The study contained a nationally representative sample of Korean adults (2,327 men, 3,102 women) aged 20 years or older. The area under the receiver operating characteristic (ROC) curve for WHtR was higher than that for WC or BMI with respect to diabetes mellitus and hypertension in both men and women, whereas WC was a better predictor for low high-density lipoprotein cholesterol in men. The WHtR cut-off value to predict diabetes mellitus, hypertension, and dyslipidemia was approximately 0.50 in men and 0.51 in women. The WC cut-offs varied from 81.6 to 85.2 cm in men and from 78.1 to 81.9 cm in women. The optimal BMI cut-off point varied from 23.0 to 24.7 kg/m(2) in both men and women.Conclusions: WC or WHtR may be a better predictor of CVD risk factors than BMI in Korean adults. (Circ J 2009; 73: 1643-1650)