天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (8): 916-919.doi: 10.11958/j.issn.0253-9896.2015.08.024

• 流行病学调查 • 上一篇    下一篇

体脂肪率及腰高比与高脂血症的关系及其筛检价值

陈永春，曹兴国，文静，李雪婷，孙琳   

  1. 1河南省人民医院营养科（邮编450001），2体检中心；3北京东华原医疗设备有限责任公司；4河南省人民医院康馨心内科
  • 收稿日期:2015-03-10 修回日期:2015-04-30 出版日期:2015-08-15 发布日期:2015-08-15
  • 通讯作者: 孙琳 E-mail:451149493@qq.com
  • 作者简介:陈永春（1971），男，硕士，副主任医师，主要从事临床营养研究
  • 基金资助:
    河南省卫生厅科技攻关项目（142102310407）

The influence and screening value of percentage of body fat and waist height ratio for hyperlipidemia in physical examination people

CHEN Yongchun, CAO Xingguo, WEN Jing, LI Xueting, SUN Lin   

  1. 1 Nutritional Department, The People′s Hospital of Henan Province, Zhengzhou 450001, China; 2 Department of Physical Examination, The People′s Hospital of Henan Province; 3 The Donghuanyuan Medical Equipmentlimited Liability Company in Beijing; 4 Department of Cardiology, The People′s Hospital of Henan Province
  • Received:2015-03-10 Revised:2015-04-30 Published:2015-08-15 Online:2015-08-15

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摘要： 目的评价体脂肪率（BF%）和腰高比（WHtR）与高脂血症的关系及其筛检价值。方法收集2014 年9 月—12 月河南省人民医院体检者2 668 例。检测身高、体质量、腰围、体成分及血脂水平。采用受试者工作特征曲线（ROC）法分析WHtR、BF%对高脂血症的筛检率，用曲线下面积（AUC）表示。按年龄、腰围、体质指数（BMI）分层后采用多因素Logistic 回归分析探讨BF%、WHtR 与高脂血症风险的关系。结果BF%筛检高脂血症的AUC 在女性和男性中均为0.79，高于WHtR 和BMI。女性BMI＜18.5 和18.5~<24 kg/m2 组中，BF%超标组高脂血症风险高于 BF%正常组，而WHtR 与高脂血症发生无关。男性年龄≥40 岁及腰围超标（≥85 cm）者中，BF%超标组高脂血症风险高于BF%正常组，而WHtR 与高脂血症发生无关。结论BF%对高脂血症的筛检价值优于WHtR 和BMI。建议 BMI＜18.5 和18.5~<24 kg/m2的女性及年龄≥40 岁或腰围≥85 cm 的男性行体成分检查，提高筛检准确率。

关键词: 体脂肪率, 高脂血症, 腰高比, 体质指数

Abstract: Objective To evaluate the relationship and screening value of percentage of body fat (BF%) and waist height ratio (WHtR) for hyperlipidemia in physical examination people. Methods A total of 2 668 objects taking physical examination in Henan Province People′s Hospital from September to December 2014 were included in this study. Values of height, body mass index (BMI), waist circumference, body composition and blood lipid level were detected. The receiver oper⁃ ating characteristic curve (ROC) was used to analyze the screening rate of WHtR and BF% on hyperlipidemia with sensitivi⁃ ty, specific and area under the curve (AUC). After stratified by age, waist circumference and BMI, multivariable logistic re⁃ gression analysis was used to investigate the association between hyperlipidemia risk, BF% and WHtR. Results The screening accuracy rate on hyperlipidemia was higher for BF%, AUC was 0.79 in both female and male people. Among wom⁃ en with BMI＜18.5 kg/m2 and 18.5~<24 kg/m2, the risk of hyperlipidemia was higher in superfatted group than that of normal group. There was no correlation between WHtR and hyperlipidemia. Among men older than 40 y or with abnormal waist cir⁃ cumference (≥85 cm), the risk of hyperlipidemia was higher in superfatted group than that of normal group, but not associat⁃ ed with WHtR. Conclusion The BF% is a better screening indicator for hyperlipidemia compared with that of WHtR and BMI. Women with BMI＜18.5 kg/m2 and 18.5~<24 kg/m2 and men older than 40 y or with waist circumference over 85 cm are suggested to do body composition tests to improve screening accuracy for hyperlipidemia.

Key words: percentage of body fat, hyperlipidemias, waist height ratio, body mass index