简易体脂参数估测腹内型肥胖的可靠性评价

目的：评价体重指数（BMI）、腰围（WC）、腰臀比（WHR）估测腹内型肥胖的最佳临界点及敏感度、特异度。方法：应用核磁共振（MRI）对690名受试者（男305人，女385人）进行腹内脂肪（VA）测量，同时测量BMI、WC、WHR。以受试者工作特性（ROC）曲线评价简易体脂参数对腹内型肥胖的诊断价值。结果：①经MRI诊断，超重／肥胖者中61．7％，正常体重者中14．2％呈腹内型肥胖（VA≥100cm^2）；②BMI、WC、WHR与腹内脂肪面积呈显著正相关，尤以WC的相关性最好;③简易体脂参数估测腹内脂肪积聚的最佳切割点为BMI：26kg/m^2,WC:90cm,WHR:0.93;④BMI≥28kg/m^2、WC≥95cm时，95％的男性及90％左右的女性呈腹内型肥胖。结论：BMI、WC及WHR都可估测腹内型肥胖，但以腰围的准确率稍高。     

不同肥胖指标与MS其他组分患病风险研究

目的分析体质指数(BMI)、腰围(WC)、腰围/身高比值(WHtR)3个肥胖指标与MS及其他组分的相关性。方法选取2008年参加健康体检的延吉市某社区居民,进行问卷调查、血压测量、体格检查及生化指标检测。对资料完整的886例对象按照不同的BMI、WC水平进行分层,比较分析代谢异常组分患病情况。对WHtR指标与MS其他组分异常数量的相关性进行分析,并寻找适合的切点,分析其对MS的患病风险。结果调查对象中肥胖程度比较严重,且各项指标存在性别差异;各项代谢异常患病率均与BMI和WC有关,两者均异常时,各项表示代谢性健康风险的OR值明显高于BMI与WC各单项异常组(P﹤0.01),但仅有腹型肥胖时,其OR值均高于BMI超重而WC正常者;WHtR与代谢异常数量之间存在正相关(r=0.479,P﹤0.01),当WHtR超过0.50时,个体MS患病危险度显著增加(OR:1.564,95%CI:1.046～1.896,P﹤0.01)。结论 BMI和WC异常可增加代谢异常疾病的患病风险,WHtR是较好代表中心性肥胖的指标,在防治MS其他组分时应将体脂增多同时伴有脂肪分布异常者列为重点高危人群。     

体重指数、腰围和腰臀比预测高血压、高血糖的实用价值及其建议值探讨

目的：探讨体重指数（BMI）、腰围（WC）、腰臀比（WHR）对于预测高血压、高血糖患病的实用价值及其诊断建议值，为确定我国肥胖和腹部肥胖的诊断指标及其界值提供科学依据。方法：利用1995－1997年全国糖尿病（DM）流行病学调查资料进行分析，方法包括偏相关分析、logistic多因素回归分析、交互作用分析，计算BMI、WC、WHR在不同截点暴露对高血压、高血糖和二者聚集的相对危险度（RR）、暴露组归因危险百分比（ARP）和人群归因危险百分比（PARP）。结果：①BMI、WC与血压和血糖的相关性比WHR好；②logistic调整了年龄、性别、职业性体力活动强度、休闲活动强度、文化强度和DM家族史后，BMI、WC、WHR是患高血压、高血糖以及二者聚集重要的预测因子，三者的相对重要性以BMI＞WC＞WHR；③BMI、WC、WHR三者之间对于高血压和高血糖患病率有相加交互作用，尤其以BMI与WC的交互作用普遍存在，其归因交互作用百分比[A[（AB）]在5．95－29．34％之间；④BMI≥23、≥24、≥25时，RR在2．5左右，从流行病学角度看，RR值处于暴露因子与疾病关联的中高度有害范围，其ARP在0．580－0．626之间，从流行病学角度看，RR值处于暴露因子与疾病关联中的中高度有害范围，其ARP在0．580－0．626之间，PARP在0．259－3．08之间，⑤男性WC≥85cm、女性WC≥80cm和男性WC≥90cm，女性WC≥80cm，RR分别在2．06－3．08之间，此时腹部肥胖对高血压、高血糖和二者聚集的PR值分别处于中、高度有害；RR分别在0．515－0．676之间，PARP分别在0．241－0．431之间。结论：从暴露对疾病危害的程度，人们对超重和肥胖的可接受性，我国开展肥胖防治处于初期阶段及公共卫生人群预防的角度综合考虑，在BMI、WC、WHR中，预测我国高血压和高血糖的实用价值以BMI和WC为好，建议以BMI为肥胖指标，BMI≥24诊断为超重和肥胖；以WC为腹部肥胖指标，男性WC≥80cm、女性WC≥80cm为诊断界值。     

代谢综合征与肥胖的关系

代谢综合征（MS）、高血糖、血脂紊乱、高血压、肥胖等是心脑血管疾病的独立危险因素，各组分相互作用，增加了心脑血管疾病的相对危险度。用于估计肥胖程度的指标是体质指数（BMI）、腰围（WC）。WC与腹部脂肪相关，用作腹型肥胖的指标，BMI代表总体脂。为了解人群MS与WC和BMI的关系，笔者于2002年对云南省玉溪市红塔区的成人进行了抽样调查。     

青岛成年双生子不同肥胖指标与高血压的关联与遗传度研究

目的 探讨青岛地区成年双生子整体性肥胖、腹型肥胖与高血压患病风险之间的关联,并分析遗传因素对肥胖、血压的影响。方法 以青岛市自愿参加调查的225对成年双生子人群为研究对象,于2019年8—9月进行问卷调查和体格检测。采用多因素条件logistic回归分析肥胖与高血压患病的关系,并用组内相关系数法计算肥胖、血压的遗传度。敏感性分析以卵型鉴定者为研究对象进行多因素条件logistic回归。结果 多因素条件logistic回归分析显示,男性整体性超重、肥胖（依据BMI划分）和腹型肥胖（依据WC、WHR、WHtR划分）人群高血压患病风险是正常人群的2.45、4.86倍和2.77、1.99、3.04倍（P＜0.001）。男女同卵双生子组内相关系数均高于异卵双生子。男性双生子BMI、WC、WHR、SBP、DBP的遗传度分别为0.31、0.39、0.13、0.50、0.57,女性的遗传度为0.30、0.64、0.44、0.40、0.53。敏感性分析显示男性整体性超重、肥胖（依据BMI划分）和腹型肥胖（依据WC、WHR、WHtR划分）人群高血压患病风险是正常人群的2.39、5.50倍和2.56、1.86、1.67倍。结论 男性整体性肥胖、腹型肥胖者高血压患病风险增加;且不同性别WC、WHR及SBP、DBP的遗传度不同。     

体质指数、腰围、腰臀比与高血压、高血糖的关系及三者对高血压、高血糖的预测价值

目的探讨体质指数（BMI）、腰围（WC）、腰臀比（WHR）与高血压、高血糖的关系及三者对高血压高血糖的预防价值。方法2006年4-9月整群抽取黑龙江省电力医院健康检查中心体检的1751人,测量身高、体重、腰围、臀围、血压和空腹血糖。结果①BMI、WC与血压的相关性比WHR好;WHR、WC与血糖的相关性比BMI好;②logistic回归分析表明3个指标中BMI是高血压重要的预测因子,而WC是高血糖及二者聚集重要的预测因子;③BMI、WC与WHR三者之间两两指标同时存在时对高血糖、高血压及二者聚集都存在交互作用;④当BMI≥25kg/m2时,其OR值在3.02-4.01之间,ARP在58.13%-69.21%之间,PARP在43.79%-55.77%之间;当WC≥85cm（男性）、WC≥80cm（女性）时,其OR值在4.04-6.70之间,PARP在56.47%-75.52%之间;敏感度和特异度均较好,正确指数高,具有较高的公共卫生价值。结论BMI、WC分别是高血压、高血糖重要的预测因子,以BMI≥25kg/m2或WC≥85cm（男性）、WC≥80cm（女性）为超重肥胖切点时,诊断价值最高,建议以此为诊断界值。     

北京3～6岁儿童体质指数及腰围与血压的关系

【目的】分析北京市3~6岁儿童血压与体质指数(body mass index,BMI)、腰围(waist circumference,WC)的关系,探讨儿童高血压与肥胖及肥胖类型的关系。【方法】选取2004年4—10月进行的北京市儿童代谢综合征研究(Beijing children metabolic syndrome study,BCAMS)中1 862名3~6岁儿童(男942,女920人)为研究对象,分析其血压水平与BMI及WC的关系;以BMI标准分别划分儿童超重和肥胖,以WC标准划分腹型肥胖,分析肥胖与高血压状态的变化及其趋势。【结果】北京3~6岁儿童收缩压(systolic blood pressure,SBP)和舒张压(diatolic blood pressure,DBP)均值按BMI和腰围正常、超重和肥胖组顺序依次升高;控制年龄和性别后,BMI、腰围与SBP和DBP呈独立正相关(P0.001);超重组和肥胖组的高血压患病率均显著高于正常组(P0.001),BMI肥胖组高血压患病率为45.9%,高血压发生风险是正常组的3.3倍;腹型肥胖组高血压患病率为38.6%,高血压患病风险是正常组的2.6倍。【结论】儿童BMI、WC与SBP和DBP呈正相关,用BMI和腰围评价的肥胖均可增加儿童高血压的患病风险,高血压患病率随着肥胖程度增加呈现成倍上升趋势。控制儿童BMI和腰围可以降低儿童血压水平,从而降低高血压发病风险。     

不同方法评价肥胖相关健康风险效果分析

长期以来，普遍认为体质指数（BMI）是多种慢性疾病诸如2型糖尿病、冠心病的发病率和死亡率的预测因子，也证实了腰围（WC）能预示肥胖相关的健康风险。为确定WC及BMI预测与肥胖相关健康风险的有效性，BMI能否增加WC评价与肥胖相关健康风险的作用，我们进行了研究。结果报告如下。     

汉族和朝鲜族居民不同类型肥胖与心血管代谢危险因素的关系

目的 分析延边地区朝鲜族和汉族居民不同类型肥胖与心血管代谢危险因素的关系.方法 于2006年8月～2008年8月在吉林省延边农村地区随机抽取30～70岁朝鲜族和汉族人群5842人,测其身高、体重、腰围( waist circumference,WC)等指标,同时采集清晨空腹(禁食12h)静脉血,并准确测定生化指标.结果 1)30～70岁人群肥胖粗患率汉族和朝鲜族分别为12.2％和8.7％,年龄调整患病率分别为11.2％和9.8％,汉族均高于朝鲜族(x2=18.09,P＜0.001; U=39.43,P＜0.001);汉族和朝鲜族腹型肥胖粗患病率分别为46.4％和44.8％,年龄调整患病率分别为41.8％和40.9％,调整患病率汉族高于朝鲜族(U=17.64,P＜0.001).2)不同性别及民族心血管代谢危险因素及其聚集性与体质指数(body mass index,BMI)水平、WC关联与否及其程度有所不同.3)Logistic分析结果表明,高血压、高血糖(朝鲜族)、高胆同醇(total cholesterol,TC)(汉族)、低高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)(汉族)、非HDL-C、高甘油三酯(triglyceride,TG)和代谢综合征(metabolic syndrome,MS)在BMI和WC均异常组的aRR值最大;单纯BMI异常组的aRR值大于单纯WC异常组的心血管代谢危险因素为高血压(朝鲜族)、低HDL-C(汉族)和非HDL-C(朝鲜族);而单纯WC异常组的aRR值大于单纯BMI异常组的心血管代谢危险因素则为高血压(汉族)、高血糖、高TC(朝鲜族)、高TG和MS.结论 吉林省延边地区一般人群肥胖患病水平较高,而且不同民族人群不同类型肥胖患病率存在明显的差异.BMI、WC及其合并组表现出不同的心血管代谢风险.     

1661名农村中老年人健康状况调查的分析

目的调查了解农村中老年人的健康状况并对相关测量指标的应用进行分析。方法随机抽取青岛市某农村1661名中老年人（男612人,女1049人）进行体格检查,包括身高、体重、腰围、臀围、血压、血糖、血红蛋白等指标。结果 1661名农村中老年人高血压患病率为63.4%,高血糖检出率为23.8%,贫血患病率为35.3%。中老年女性体质指数（BMI）、腰围（WC）、腰围/身高比值（WHtR）均高于男性（P〈0.05）,男性腰围/臀围比（WHR）高于女性（P〈0.05）。65岁之前BMI、WC均较高（BMI〉25kg/m^2,WC〉85cm）,65岁以后随年龄升高BMI、WC有逐渐降低的趋势（P〈0.05）。BMI、WC、WHR、WHtR4者与收缩压、舒张压、血糖的正相关系数均为WHtR最大（P〈0.01）。结论农村中老年人高血压、高血糖、贫血患病率均较高,中老年女性超重和肥胖率高于男性,比男性更易发生高血糖,同时45～65岁中老年人超重和肥胖的发生率也较高;WHtR与BMI、WC、WHR、收缩压、舒张压和血糖的相关性均较强,可以作为有效的腹型肥胖指标和预测高血糖与高血压的有效指标。     

Waist circumference and not body mass index explains obesity-related health risk

BACKGROUND: The addition of waist circumference (WC) to body mass index (BMI; in kg/m(2)) predicts a greater variance in health risk than does BMI alone; however, whether the reverse is true is not known. OBJECTIVE: We evaluated whether BMI adds to the predictive power of WC in assessing obesity-related comorbidity. DESIGN: Subjects were 14 924 adult participants in the third National Health and Nutrition Examination Survey, grouped into categories of BMI and WC in accordance with the National Institutes of Health cutoffs. Odds ratios for hypertension, dyslipidemia, and the metabolic syndrome were compared for overweight and class I obese BMI categories and the normal-weight category before and after adjustment for WC. BMI and WC were also included in the same regression model as continuous variables for prediction of the metabolic disorders. RESULTS: With few exceptions, overweight and obese subjects were more likely to have hypertension, dyslipidemia, and the metabolic syndrome than were normal-weight subjects. After adjustment for WC category (normal or high), the odds of comorbidity, although attenuated, remained higher in overweight and obese subjects than in normal-weight subjects. However, after adjustment for WC as a continuous variable, the likelihood of hypertension, dyslipidemia, and the metabolic syndrome was similar in all groups. When WC and BMI were used as continuous variables in the same regression model, WC alone was a significant predictor of comorbidity. CONCLUSIONS: WC, and not BMI, explains obesity-related health risk. Thus, for a given WC value, overweight and obese persons and normal-weight persons have comparable health risks. However, when WC is dichotomized as normal or high, BMI remains a significant predictor of health risk.     

Comorbidity of overweight and obesity in a nationally representative sample of German adults aged 18-79 years

ABSTRACT: BACKGROUND: Overweight has increased in many countries over the past 20 years and excessive body weight is an established risk factor for adverse health outcomes and chronic diseases. This study aimed to determine comorbidity associated with overweight and obesity in a nationally representative sample of German adults. METHODS: In the German National Health Interview and Examination Survey 1998 standardized measures of body weight, height and waist circumference (WC) were obtained for 7,124 men and women 18 to 79 years of age. Information on pre-existing health conditions, health-related behaviors, and sociodemographic characteristics was collected using physician-administered computer-assisted interviews and self-administered questionnaires. World Health Organization (WHO) cut-off criteria were applied to define overweight (BMI: 25.0-29.9 kg/m2) and obesity (BMI [GREATER-THAN OR EQUAL TO]30.0 kg/m2) and abdominal obesity (men: WC [GREATER-THAN OR EQUAL TO]102 cm; women: WC [GREATER-THAN OR EQUAL TO]88 cm). RESULTS: The crude prevalence of persons with cardio metabolic risk factors, diabetes mellitus, cardiovascular disease (CVD), gall bladder disease, and osteoarthritis showed a significant stepwise increase from the lowest to the highest BMI category in both sexes. In multiple logistic regression models adjusting for age, social status, and smoking, significant associations with overweight and obesity persisted for cardio metabolic risk factors and osteoarthritis. For example, obese persons had a three- to fourfold higher chance of having any cardio metabolic risk factor compared to normal weight persons (odds ratio (OR) = 4.07, 95% CI: 3.16-5.25 for men; OR = 3.40 (2.60-4.46) for women). Only in women, overweight and obesity as well as abdominal obesity, independent of BMI category, were significantly and consistently associated with diabetes (overweight: OR = 1.85 (1.03-3.30); obesity: OR = 2.94 (1.63-5.31); abdominal obesity: OR = 1.44 (1.08-1.92) and gall bladder disease (overweight: OR = 1.65 (1.22-2.25); obesity: OR = 3.06 (2.26-4.14); abdominal obesity: OR = 1.73 (1.25-2.39)). CONCLUSION: Current estimates of disease burden underline the public health importance and clinical relevance related to overweight and obesity and needs to take into account comorbidity aspects.     

上海市某社区老年人体质指数与代谢异常关系的调查

[目的]了解上海市湖南社区老年人体质指数(BMI)的分布情况及与高血压、高血糖、血脂紊乱、高尿酸、代谢综合征等患病情况的关系,以便更好地进行干预。[方法]对社区中60岁以上老人进行体检,询问病史,测定身高、体重、血压、空腹血糖、血脂、血尿酸等。[结果]639名资料齐全的老人平均BMI为24.15±3.38,其中男性为24.11±3.15,女性为24.18±3.53。超重、肥胖比例达51.64%,高于体重正常组,男性60～69岁组肥胖比例最高。60岁以上老人高血压检出率在超重和肥胖人群中高达83.40%和87.01%,明显高于体重正常组。血脂紊乱检出率在超重和肥胖人群中高达67.98%和75.33%,高于低体重组和正常体重组;正常体重组女性血脂紊乱检出率高达66.86%,高于同组男性的50.42%。代谢综合征检出率在超重、肥胖人群中分别为35.97%、61.04%,明显高于低体重组和正常体重组。高尿酸血症在肥胖组中达36.36%,高于另3组。高血糖检出率以超重和肥胖组为高。[结论]应加强健康教育,提前控制体重等心脑血管疾病危险因素,以利提高老年人的生存质量。     

我国成年人体质指数和腰围与缺血性卒中发病风险的前瞻性研究

目的 分析我国成年人BMI和腰围与缺血性卒中发病风险的关联。方法 从2010年中国慢性病监测项目选取60个监测点人群（城市监测点25个、农村监测点35个）作为本次研究对象,共计36 632人。将2010年中国慢性病监测项目数据作为基线数据。2016-2017年对该60个监测点人群进行随访,实际完成者27 762人。采用Cox比例风险回归模型分析不同人群BMI和腰围与缺血性卒中发病风险比,敏感性分析将死亡者和高胆固醇血症者剔除。结果 共纳入26 907人进入分析,随访期间观察到缺血性卒中事件1 128例（男性491例,女性637例）。调整相关混杂因素后,以BMI正常/腰围正常者为参照,全人群和男性具有CVD危险因素人群,BMI正常/腹型肥胖组、超重/腹型肥胖组和肥胖/腹型肥胖组缺血性卒中发病风险分别增加50%（HR=1.50,95% CI：1.07~2.08）、51%（HR=1.51,95% CI：1.20~1.91）、46%（HR=1.46,95% CI：1.09~1.96）和63%（HR=1.63,95% CI：1.12~2.38）、56%（HR=1.56,95% CI：1.20~2.03）、45%（HR=1.45,95% CI：1.05~2.01）,超重/腰围正常组未见发病风险增加;女性全人群和女性CVD危险因素人群,超重/腹型肥胖组和肥胖/腹型肥胖组发病风险分别增加40%（HR=1.40,95% CI：1.15~1.72）、46%（HR=1.46,95% CI：1.16~1.83）和35%（HR=1.35,95% CI：1.08~1.69）、30%（HR=1.30,95% CI：1.01~1.67）,超重/腰围正常组和BMI正常/腹型肥胖组未见发病风险增加。敏感性分析结果未见变化。结论 在男性人群中,超重/肥胖且腹型肥胖或单纯腹型肥胖缺血性卒中发病风险增加;在女性人群中,超重/肥胖且腹型肥胖发病风险增加;提示在控制体重预防缺血性卒中,应将BMI和腰围进行结合来评价人群肥胖情况。     

Measures of adiposity in the identification of metabolic abnormalities in elderly men

BACKGROUND: Body mass index (BMI; in kg/m(2)) is considered a poor indicator of overall and abdominal obesity in the elderly. OBJECTIVES: Our goal was to determine which simple anthropometric measurements [BMI, waist-to-hip ratio (WHR), waist circumference (WC), percentage body fat (%BF), or fat mass (FM)] are most closely associated with metabolic risk factors and insulin resistance in elderly men. DESIGN: This was a cross-sectional study of 2924 men aged 60-79 y with no history of coronary heart disease, stroke, or diabetes who were drawn from general practices in 24 British towns. RESULTS: BMI and WC were the measures most strongly associated with the metabolic syndrome (>/=3 of the following: hypertension, low HDL cholesterol, high triacylglycerols, or high blood glucose) and insulin resistance. For a 1-SD increase in BMI, WC, WHR, %BF, and FM, the odds ratios (95% CIs) of having the metabolic syndrome after adjustment for age, socioeconomic status, smoking status, and physical activity were as follows: BMI, 1.61 (1.44, 1.79); WC, 1.65 (1.48, 1.81); WHR, 1.49 (1.34, 1.66); %BF, 1.41 (1.25, 1.59); and FM, 1.53 (1.38, 1.70). For insulin resistance, the odds ratios (95% CIs) were as follows: 2.48 (2.22, 2.77), 2.46 (2.19, 2.65), 1.75 (1.59, 1.93), 1.79 (1.60, 2.00), and 2.10 (1.88, 2.34), respectively. In normal-weight (BMI < 25) and overweight (BMI 25-29.9) men, the presence of the metabolic syndrome and insulin resistance increased with increasing WC; this did not occur in obese men. CONCLUSIONS: BMI and WC are the simple measures of adiposity most strongly associated with metabolic abnormalities in elderly men. Our findings suggest that WC can be used as a complementary measurement to identify health risks in normal-weight and overweight elderly persons.     

天津市宝坻区老年人体质指数、腰围以及腰围身高比与高血压患病率的关联

  目的   探讨天津市宝坻区60岁及以上老年居民的体质指数(body mass index, BMI)、腰围(waist circumference, WC)以及腰围身高比(waist-to-height ratio, WHtR)与高血压患病率的关联。   方法   本研究对2018年4-5月参加天津市宝坻区口东卫生院体检的老年人(≥60岁)进行问卷调查和体格检查。采用分层分析和logistic回归分析BMI与WC(或WHtR)对高血压的联合作用和交互作用。   结果   共邀请1 692人, 1 417人(83.75%)参与本研究。老年人群的高血压患病率为46.36%、BMI超重和肥胖者占66.50%、WC中心型肥胖者占74.66%、WHtR超重和肥胖者占75.38%。与BMI或WC正常相比, BMI超重(OR=1.65, 95% CI:1.19~2.30)和肥胖(OR=3.41, 95% CI:2.23~5.20)及WC中心型肥胖(OR=1.49, 95% CI:1.00~2.23)均增加高血压的患病风险。BMI联合WC超重/肥胖(OR=2.49, 95% CI:1.78~3.46), 或BMI联合WHtR超重/肥胖(WHtR超重: OR=2.05, 95% CI:1.41~2.99;WHtR肥胖: OR=2.37, 95% CI:1.50~3.76)的患病风险高于后者单独作用的风险(WC超重/肥胖: OR=1.39, 95% CI:0.90~2.15;WHtR超重: OR=1.02, 95% CI:0.62~1.66;WHtR肥胖: OR=1.44, 95% CI:0.55~3.81)。   结论   三项指标中, BMI与高血压患病的关联性最强, 且BMI超重/肥胖增强WC(或WHtR)与高血压的关联, 提示控制BMI相关体重指标在正常范围内有助于预防和控制高血压。     

Evaluation of waist circumference to predict general obesity and arterial hypertension in women in Greater Metropolitan Belo Horizonte,Brazil

This study examined the capacity of waist circumference (WC) to identify subjects with overweight (BMI >/=25) and obesity (BMI >/=30), in agreement with internationally recommended levels of action. Data were obtained from 791 women, 15-59 years old. After identifying overweight and obesity according to WC values, sensitivity and specificity were calculated to verify whether WC could be a good risk predictor for hypertension. Associations were tested by linear regression and logistic regression, controlling for confounding. WC cut-off points of 80cm and 88cm correctly identified 89.8% and 88.5% of women with overweight and obesity, respectively. Abdominal obesity (WC >/=88cm) was statistically associated with hypertension in the multivariate analysis (OR = 2.88; 95% CI: 1.77-4.67). Hypertension was identified with a sensitivity of 63.8% and 42.8%, and with a specificity of 68.0% and 83.3%, for WC >/=80 and >/=88, respectively. The proposed cut-off points for abdominal obesity can potentially distinguish individuals at risk for future obesity, but has only moderate power to predict individuals with high blood pressure.     

BMI、腰围与睡眠质量对成年人高血压患病风险的联合作用

  目的  探讨成年人BMI、腰围与睡眠质量的联合作用对高血压患病风险的影响。  方法  采用便利抽样法,于2020年10月12日―2020年12月18日对十堰市3 195名成年居民进行问卷调查。采用Logistic回归分析模型分析BMI、腰围与睡眠质量对高血压患病的联合作用。  结果  高血压患病率为18.22%。多因素Logistic回归分析模型分析显示,以BMI正常且睡眠质量好的组为对照组,体重过轻且睡眠质量好的组、超重且睡眠质量好的组、全身型肥胖且睡眠质量好的组、体重过轻且睡眠质量差的组、BMI正常且睡眠质量差的组、超重且睡眠质量差的组、全身型肥胖且睡眠质量差的组高血压患病风险分别是对照组的4.049倍、1.172倍、4.625倍、4.581倍、1.166倍、5.476倍和8.230倍。以腰围正常且睡眠质量好的组为对照组,腹型肥胖且睡眠质量好的组、腰围正常且睡眠质量差的组、腹型肥胖且睡眠质量差的组高血压患病风险分别是对照组的4.017倍、3.074倍和7.495倍。  结论  睡眠质量差和全身型肥胖或腹型肥胖共存会增加高血压的患病风险,提示睡眠质量差的人群控制BMI和腰围有利于高血压的预防。