摘要
目的探讨颈围与中心性肥胖及代谢综合征(MS)的相关性。方法在北京城区整群抽样,纳入2型糖尿病及糖尿病前期患者3191例,男性1 249例,女性1 942例。检测身高、体重、颈围、腰围、臀围、血压、血糖、血脂,并进行分析。结果总体人群的颈围(36.5±3.8)cm;男性和女性患者颈围与腰围、体重指数、腰臀比、血压和TG均呈显著正相关,与HDLC呈显著负相关;在调整MS相关因素后,颈围仍为MS的独立危险因素。男性颈围与中心性肥胖和MS诊断的ROC曲线下面积分别为0.747和0.725,最佳切点值均为38.5 cm;女性颈围与中心性肥胖和MS诊断的ROC曲线下面积分别为0.742和0.688,最佳切点值分别为34.5 cm和34.7 cm。结论颈围是反映中心性肥胖的有效指标;颈围粗是MS的独立危险因素,对MS的发生具有预测能力。
Objective To investigate the relationship of neck circumference（NC） to central obesity and the presence of metabolic syndrome（MS）. Methods 3191 patients diagnosed as type 2 diabetes and pre-diabetes were recruited by randomized cluster sampling in Beijing communities. Height, weight, neck circumference（NC）, waist girth, hip girth, and blood pressure were measured using standard procedures. Blood samples were taken after an overnight fast and analyzed for glu- cose and lipid. Results NC measured was （36.5±3.8） cm in the total sample. It was significantly correlated with numerous risk factors, including age, waist circumference, body mass index, waist- hip ratio（WHR）, blood pressure, fasting triglyceride, and HDL-cholesterol. After adjustment for all MS components, NC was associated significantly with MS. In ROC analysis between NC and central obesity,area under curve was 0. 747 in men and 0. 742 in women,that between NC and MS was 0. 725 and 0. 688 respectively in men and in women （P 〈 0.01）. The optimal cut-points of neck circumference for abdominal obesity and MS were both 38.5 cm in men, 34.5 cm and 34.7 cm respectively in women. Conclusion NC is proposed as a marker of central obesity. NC is an independent risk factor for MS,and contributes to MS likely beyond waist circumference.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2010年第12期1059-1061,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金
首都医学发展科研基金资助(2007-1035)
关键词
糖尿病
2型
肥胖症
颈
代谢综合征X
腰骶部
体重与身体测量
diabetes mellitus, type 2
obesity
neck
metabolic syndrome X
lumbosacral region
body weights and measures
