中国全科医学2016，Vol.19Issue(7)：781-785,5.DOI:10.3969/j.issn.1007-9572.2016.07.009
颈围、腰围、腰臀比对2型糖尿病患者超重、肥胖及代谢综合征评价作用的比较研究
Function of Neck Circumference, Waist Circumference and Waist-hip Ratio in Evaluating Overweight, Obesity and Metabolic Syndrome：A Comparative Study
摘要
Abstract
Objective To compare the function of neck circumference ( NC) , waist circumference ( WC) and waist-hip ratio ( WHR ) in the evaluation of overweight, obesity and metabolic syndrome of patients with type 2 diabetes mellitus (T2DM) .Methods From the baseline database of the longitudinal diabetes management project jointly carried out by Grade A Class Three hospitals and 15 urban communities in Beijing, we selected 3 176 T2DM patients ( community residents under the administration of 15 community health service centers in 5 city districts who were diagnosed with T2DM and were enrolled by random cluster sampling from August 2008 to July 2009 ) .BMI≥24/29 kg/m2 was taken as the diagnostic criterion for overweight/obesity.The diagnostic criterion of the Chinese Diabetes Society of Chinese Medical Association was used as a reference for the diagnosis of metabolic syndrome.SPSS 11.5 software was used to draw the ROC curves of NC, WC and WHR evaluating overweight, obesity and metabolic syndrome, and AUC was calculated and analyzed by Z test of MedCalc software.Results Among the 3 176 T2DM patients, there were 1 291 (40.65%) males and 1 885 (59.35%) females; the mean NC, WC and WHR were ( 36.6 ±3.7 ) cm, ( 89.0 ±9.4 ) cm and ( 0.89 ±0.06 ) respectively.No significant difference existed in age between male and female T2DM patients ( P>0.05) , while significant differences existed in NC, WC and WHR (P<0.05).AUC values of NC, WC and WHR evaluating the overweight of male patients were 0.721, 0.833 and 0.677 respectively, and those evaluating the overweight of female patients were 0.728, 0.838 and 0.639; the AUC of WC and WHR evaluating the overweight of male and female patients was significantly different from the AUC of NC evaluating their overweight (P<0.05); the AUC of WHR evaluating the overweight of male and female patients was significantly different from the AUC of WC evaluating their overweight ( P<0.05) .The AUC values of NC, WC and WHR evaluating the obesity of male patients were 0.779, 0.870 and 0.703 respectively, and those evaluating the obesity of female patients were 0.735, 0.849 and 0.629; the AUC of WC and WHR evaluating the obesity of male and female patients was significantly different from the AUC of NC evaluating their obesity ( P<0.05 ); the AUC of WHR evaluating the obesity of male and female patients was significantly different from the AUC of WC evaluating their obesity ( P <0.05 ) .The AUC values of NC, WC and WHR evaluating the metabolic syndrome of male patients were 0.667, 0.772 and 0.629 respectively, and those evaluating the metabolic syndrome of female patients were 0.661, 0.746 and 0.621; the AUC of WC evaluating the metabolic syndrome of male and female patients was significantly different from the AUC of NC evaluating their metabolic syndrome ( P<0.05); the AUC of WHR evaluating the metabolic syndrome of male and female patients was significantly different from the AUC of WC evaluating their metabolic syndrome (P<0.05) .Conclusion WC is superior to NC and WHR in the evaluation of overweight, obesity and metabolic syndrome, and NC is superior to or equal with WHR.NC can replace WHR in the evaluation of overweight, obesity and metabolic syndrome.关键词
糖尿病,2型/颈围/腰围/腰臀比/超重/肥胖症/代谢综合征XKey words
Diabetes mellitus, type 2/Neck circumference/Waist circumference/Waist-hip ratio/Overweight/Obesity/Metabolic syndrome X分类
医药卫生引用本文复制引用
杨光燃,杜雪平,李玉玲,季宇,谷晓宁,李月,崔学利,白薇,陈玉洁,王自明,程淑艳,袁申元,高迎,柳德元,王益品,傅汉菁,万钢,朱良湘,袁明霞,潘素芳,卜祥雷,张建东..颈围、腰围、腰臀比对2型糖尿病患者超重、肥胖及代谢综合征评价作用的比较研究[J].中国全科医学,2016,19(7):781-785,5.基金项目
首都卫生发展科研专项(2011-2005-01）； IDF-BRIDGES Grant (ST12-024）；北京市卫生系统高层次卫生技术人才培养计划(2014-3-013） （）
