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不同肥胖指标对糖尿病风险预测效果比较的性别差异

DOI: 10.13604/j.cnki.46-1064/r.2015.09.09, PP. 1062-1065

Keywords: 肥胖指标,糖尿病,预测

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Abstract:

目的比较不同肥胖指标对糖尿病风险的预测价值。方法基于深圳市宝安区2009年慢性病流行病学调查数据,对受检者的体质指数(BMI),腰围(WC),腰臀比(WHR)和腰围与身高的比值(WHtR)进行标准化变换,通过比较Logistic回归分析的OR值和应用受试者工作曲线(ROC)下的面积大小,评价各肥胖指标对糖尿病的风险预测能力。结果在调整可能的混杂因素后,男性中各指标对糖尿病的风险预测能力相当,OR值于1.46~1.71之间,ROC曲线下面积于0.659~0.689之间,但综合筛选时WHR是唯一进入Logistic方程的指标,OR为1.39(95%CI1.12~1.73);女性中WHtR的OR值最大为2.08(95%CI1.57~2.75),WC次之为2.03(95%CI1.53~2.68),而BMI的OR值最小,仅为1.25(95%CI1.02~1.52),ROC曲线下面积结果类似,与BMI相比差异有统计学意义,依次为0.866(95%CI0.824~0.907),0.866(95%CI0.826~0.907)和0.857(95%CI0.816~0.898),综合筛选时WHtR是唯一进入logistic方程的指标,OR为2.08(95%CI1.57~2.75)。结论WC\WHR\WHtR预测糖尿病风险优于BMI,男性WHR和女性WHtR相对重要。

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