老年人颈围、腰围、体重指数、腰身指数对血脂异常及其组分的预测价值

摘要

Objective To screen summary anthropometry index of each composition for the elderly people’s predicting dyslipidemia components in Renqiu.MethodA cluster random sampling method, select the age of 60 to 70 years Renqiu permanent residents as a screening object, including 4412 cases screened object, using face to face health questionnaires, anthropometric measurements, and laboratory testing. Gender grouping according to men and women, ROC curve analysis is used to determine the boundary value of neck circumference, waist circumference, body mass index and waist-to-height ratio.ResultThe overall prevalence of dyslipidemia was 66.1%(male was 22.5% and female was 43.6%). Correlation analysis showed that male and female neck circumference, waist circumference, body mass index and waist-to-height ratio were positively correlated with TG and LDL-C, and negatively correlated with HDL-C level, the neck circumference, waist-to-height ratio and body mass index(female) were positively correlated with TC.Men and women’s neck circumference, waist circumference,body mass index, waist index prediction abnormal Dyslipidemia, TG, TC, LDL-C, HDL-C, there was no statistically significant difference(P>0.05).ConclusionNeck circumference, waist circumference, body mass index and waist-to-height ratio were closely related to the abnormal blood lipid levels and its components, they are equally able to predicting dyslipidemia for men and women, we should be pay attention the body surveying index is very important in the application of dyslipidemia screening.%目的筛查预测任丘地区老年人群血脂异常及其组分的简易人体测量学指标。方法采用整群随机抽样的方法，对任丘市60～70岁常住居民4412例，进行面对面问卷调查、体格检查及实验室检测。采用ROC曲线分析法判断颈围、腰围、体重指数、腰身指数的界值。结果本研究血脂异常患病率为66.1%，其中男性为22.5%，女性为43.6%。相关分析显示，男女颈围、腰围、体重指数、腰身指数与甘油三酯（triglyceride，TG）、低密度脂蛋白胆固醇（low density lipoproten-cholesterol，LDL-C）呈正相关，与高密度脂蛋白胆固醇（high density lipoprotein cholesterol，HDL-C）呈负相关，其中，颈围、腰身指数、体重指数（女性）与总胆固醇（total cholesterol，TC）呈正相关。男女性颈围、腰围、体重指数、腰身指数预测血脂异常及其组分TG、TC、HDL-C、LDL-C异常的效果，差异无显著性（P＞0.05）。结论颈围、腰围、腰身指数、体重指数与血脂异常及其组分密切相关，四项指标预测男女性血脂各组分的效果一致，应重视人体测量学指标在血脂异常筛查中的应用。