| 体格测量指标对肥胖儿童胰岛素抵抗的预测意义 |
| |
| 引用本文： | 鲍鹏丽,刘戈力,杨箐岩,姜丽红,魏莹,穆青,王彤.体格测量指标对肥胖儿童胰岛素抵抗的预测意义[J].实用儿科临床杂志,2010(7). |
| |
| 作者姓名： | 鲍鹏丽 刘戈力 杨箐岩 姜丽红 魏莹 穆青 王彤 |
| |
| 作者单位： | 天津医科大学总医院儿科; |
| |
| 摘 要： | 目的分析体质量指数(BMI)、腰围、臀围、腰臀比(WHR)、脐旁皮褶厚度、颈部黑棘皮程度6项体格测量指标对胰岛素抵抗(IR)的预测意义,并计算出可用于临床检测的各个指标的切点。方法测量162例肥胖儿童身高、体质量、腰围、臀围,计算BMI(BMI=体质量/身高2)、WHR(WHR=腰围/臀围),并评价其颈部黑棘皮程度;测量其空腹血糖(FBG)及空腹胰岛素(FIN),通过稳态模型法(HOMA)计算IR指数(HOMA-IR)(HOMA-IR=FBG×FIN/22.5),评价胰岛素敏感性;通过ROC曲线下面积评价各项指标对IR的预测能力,并计算出相应指标的特异度及灵敏度,两者同时最大的点作为各项指标的切点。结果ROC曲线下面积(95%可信区间)、切点分别为:BMI0.778(0.684～0.872)、27.45,腰围0.800(0.718～0.883)、87.25cm,臀围0.72(0.612～0.828)、99.75cm,WHR0.698(0.601～0.796)、0.895,脐旁皮褶厚度0.781(0.684～0.878)、4.05cm,颈部黑棘皮程度0.752(0.646～0.858)、3度。结论BMI、腰围、...
|
| 关 键 词： | 体格测量 胰岛素抵抗 肥胖 儿童 |
Prediction Significance of Anthropometric Parameters on Insulin Resistance in Obese Children |
| |
| BAO Peng-li,LIU Ge-li,YANG Qing-yan,JIANG Li-hong,WEI Ying,MU Qing,WANG Tong.Prediction Significance of Anthropometric Parameters on Insulin Resistance in Obese Children[J].Journal of Applied Clinical Pediatrics,2010(7). |
| |
| Authors: | BAO Peng-li LIU Ge-li YANG Qing-yan JIANG Li-hong WEI Ying MU Qing WANG Tong |
| |
| Institution: | BAO Peng-li,LIU Ge-li,YANG Qing-yan,JIANG Li-hong,WEI Ying,MU Qing,WANG Tong(Department of Pediatrics,Tianjin Medical University General Hospital,Tianjin 300070,China) |
| |
| Abstract: | Objective To analyze the prediction significance of anthropometric parameters including body mass index(BMI),waist cir-cumference,hip circumference,waist hip ratio (WHR),skinfold thickness of the abdomen,and the degree of acanthosis nigricans on insulin resistance(IR) in obese children,then get the cut off points of each indicators for clinical assessment.Methods The weight,height,waist circumference,hip circumference of each participants were measured,the BMI,WHR were calculated,finally the skinfold thickn... |
| |
| Keywords: | anthropometric parameters insulin resistance obesity child |
| 本文献已被 CNKI 等数据库收录！ |
|
