颈围、臀围、腰臀比变化与代谢综合征发生的相关性

摘要

目的 分析颈围、臀围、腰臀比变化对代谢综合征发生的预测价值.方法 2016年1至2016年12月,以北京某社区具有本地户籍且每年定期来我院体检的常住居民为研究对象,以确诊的MS患者为MS组,采用配对研究的方法,纳入同期与观察组患者年龄、性别相匹配的患者作为非MS组.统计两组患者过往3年的颈围、臀围、腰臀比增长趋势,绘制Δ颈围、Δ臀围、Δ腰臀比评价代谢综合征受试者工作特征(ROC)曲线. 结果 共入选MS患者102例,其中MS组男48例,女54例,平均年龄(53.9±14.7)岁.非MS组男96例,女108例,平均年龄(51.6±18.2)岁.与非MS组比较,MS组Δ颈围、Δ臀围、Δ腰臀比均更大,差异有统计学意义(P<0.05).以Δ颈围、Δ臀围、Δ腰臀比为绘制ROC曲线,结果显示Δ颈围有诊断价值,其AUC为0.710;Δ腰臀比、Δ臀围对MS的发生无诊断价值.结论 颈围的快速增长对MS的发生有预测价值.%Objective To analyze the predictive value of changes of neck circumference,hip circumference,and ratio of waist to hip on the occurrence of metabolic syndrome.Methods From January 2016 to December 2016,residents from a community in Beijing with local residency and regularly annual physical examination in our hospital were chosen for the study.The confirmed MS patients were chosen as the MS group,using the method of paired study,during the same period patients whoseage and gender were matched with patients in the observation group were included as the non-MS group.We calculated the growth trend of neck circumference,hip circumferenceand ratio of waist to hip of patients in the two groups over the past three years and drew the receiver operating characteristic(ROC)curvewith the Δneck circumference,the Δhip circumference andthe Δratioof waist to hip to evaluate the metabolic syndrome.Results A total of 102 MS patients were chosen,including 48 cases of male and 54 cases of femalein MS group,and the average age was(53.9±14.7)years old.96 cases of male and 108 cases of female in non-MS group,and theaverage age was(51.6±18.2)years old.Compared with non-MS group,the Δneck circumference,the Δhip circumference and the Δratio of waist to hip in MS group were all larger,and the difference was statistically significant(P<0.05).The ROCcurve was drew according to the Δneck circumference,the Δhip circumference andthe Δratioof waist to hip,and the results showed that the Δneck circumference had diagnostic value,of which the AUC was 0.710;The Δratioof waist to hip andthe Δhip circumferencehadno diagnostic value on the occurrence of MS.Conclusion The rapid growth of the neck circumference has predictive value on the occurrence of MS.