Body mass index, waist circumference, and waist-to-height ratio for prediction of multiple metabolic risk factors in Chinese elderly population

被引:49
作者
Gu, Zhan [1 ]
Li, Dong [2 ]
He, Huayu [1 ]
Wang, Jianying [1 ]
Hu, Xiaojuan [1 ]
Zhang, Peihua [2 ]
Hong, Yanlong [1 ]
Liu, Baocheng [1 ]
Zhang, Lei [1 ]
Ji, Guang [1 ,3 ]
机构
[1] Shanghai Univ Tradit Chinese Med, Shanghai Innovat Ctr, TCM Hlth Serv, 1200 Cailun Rd, Shanghai 201203, Peoples R China
[2] Zhangjiang Community Hlth Serv Ctr Pudong New Dis, 458 Yijiang Rd, Shanghai 201210, Peoples R China
[3] Shanghai Univ Tradit Chinese Med, Longhua Hosp, Inst Digest Dis, China Canada Ctr Res Digest Dis ccCRDD, 725 South Wanping Rd, Shanghai 200032, Peoples R China
基金
中国国家自然科学基金;
关键词
FATTY LIVER-DISEASE; URIC-ACID LEVEL; ASSOCIATION; HYPERURICEMIA; DEFINITION; DIAGNOSIS; OBESITY; ADULTS;
D O I
10.1038/s41598-017-18854-1
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The purpose of this study was to compare the predictive ability of five obesity indices, including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), waist-to-hip ratio (WHpR) and body adiposity index (BAI), to predict multiple non-adipose metabolic risk factors, including elevated blood pressure (BP), elevated fasting plasma glucose (FPG), elevated triglyceride (TG), reduced high-density lipoprotein cholesterol (HDL-C), elevated serum uric acid (SUA) and non-alcoholic fatty liver disease (NAFLD), in an elderly Chinese population. A total of 5685 elderly Chinese subjects (>= 60 years) were recruited into our community-based cross-sectional study. Receiver operating characteristic curve (ROC) analyses were used to compare the predictive ability as well as determine the optimal cutoff values of the obesity indices for multiple metabolic risk factors. According to the areas under the receiver operating characteristic curve (AUC), BMI, WC and WHtR were able to similarly predict high metabolic risk in males (0.698 vs. 0.691 vs. 0.688), while in females, BMI and WC were able to similarly predict high metabolic risk (0.676 vs. 0.669). The optimal cut-off values of BMI, WC and WHtR in males were, respectively, 24.12 kg/m(2), 83.5 cm and 0.51, while in females, the values were 23.53 kg/m(2) and 77.5 cm.
引用
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页数:6
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