新医学2017，Vol.48Issue(2)：109-113,5.DOI:10.3969/j.issn.0253-9802.2017.02.009
颈围与非酒精性脂肪性肝病的相关性及其预测效果分析
Analysis of correlation and predictive value between neck circumference and nonalcoholic fatty liver disease
摘要
Abstract
Objective To investigate the relationship between neck circumference and nonalcoholic fatty liver disease (NAFLD)and the valuate of neck circumference in predicting NAFLD.Methods A total of 4 470 subjects received physical examination including height,body mass index (BMI),neck circumference, waist circumference,hip circumference and abdominal B ultrasound.They were divided into different groups according to the GB of anthropometry indexes.The diagnostic rate of NAFLD was statistically compared.The risk factors of NAFLD were identified by binary Logistic regression analysis.The correlation among neck circ-umference,waist circumference,BMI,waist-to-hip ratio and the incidence of NAFLD was analyzed.Receiver operating characteristic curve (ROC curve)and Youden’s index were used to evaluate the diagnostic threshold of neck circumference for NAFLD.Results The diagnostic rate of NAFLD in patients with overweight,obesity and central obesity was significantly higher than that in those with normal weight (P <0.001 ).The diagnostic rate of NAFLD was 53.1 6% in subjects with large neck circumference,significantly higher compared with that in their counterparts with normal neck circumference (P <0.001 ).Univariate logistic regression analysis dem-onstrated that gender,age,neck circumference,waist circumference,BMI and waist-to-hip ratio were correla-ted with the incidence of NAFLD (all P <0.001 ).Multivariate logistic regression analysis revealed that the OR of neck circumference was 1 .699,95%CI (1 .51 8,1 .902),and 2.287,95%CI (1 .704,3.070)for waist circumference.The area under ROC curve of neck circumference for predicting NAFLD in male NAFLD patients was 0.78 with a threshold value of 38.05 cm,and 0.85 and 32.65 cm for female counterparts.Con-clusions Neck circumference is significantly associated with the prevalence of NAFLD.The threshold value of neck circumference for predicting NAFLD is 38.05 cm for the male,and 32.65 cm for female counterparts.关键词
颈围/非酒精性脂肪性肝病/相关性Key words
Neck circumference/Nonalcoholic fatty liver disease/Correlation引用本文复制引用
张慧,朱惠莲,曹思静,陈青青..颈围与非酒精性脂肪性肝病的相关性及其预测效果分析[J].新医学,2017,48(2):109-113,5.基金项目
深圳市科技创新委员会科技计划项目 （）
