不同肥胖指标对中老年人群糖尿病的筛检效果研究
Screening effect of different obesity indexes on diabetes in middle-aged and elderly people
朱慧云 1王亚楠 2陈晓倩 1王江 1田峰1
作者信息
- 1. 临沂市中心医院,276400山东临沂
- 2. 临沂市人民医院,276000山东临沂
- 折叠
摘要
目的 探讨中老年人群不同肥胖指标对糖尿病的筛检效果,并确定不同肥胖指标的最优切点值及最适指标,为糖尿病的早期筛检及防控提供数据支撑和科学依据.方法 对12 630名45～79岁某医院体检人群进行问卷调查和体格检查,采用ROC曲线确定最适指标及最优切点值,Delong检验比较不同肥胖指标对糖尿病的筛检效果,logistic回归评估不同切点下不同肥胖指标的预测效果.结果 (1)糖尿病患病率男性高于女性;(2)不同性别腰围身高比指标的ROC曲线下面积均最大,且腰围、腰围身高比的ROC曲线下面积与身体质量指数、腰臀比的ROC曲线下面积均有显著差异;(3)不同切点下,腰围和腰围身高比有更高的OR值和ROC曲线下面积.结论 对于中老年人群而言,腰围和腰围身高比相比于其他指标对糖尿病有更好的筛检能力和预测效果.
Abstract
Objective To explore the screening effect of different obesity indicators on diabetes in middle-aged and eld-erly people,and determine the optimal cutting point values and optimal indicators of different obesity indicators,so as to provide data support and scientific basis for early screening,prevention and control of diabetes.Methods A total of 12 630 people aged 45-79 years old with physical examination in a hospital were investigated by questionnaire.Receiver operating characteristic curve(ROC)was used to determine the optimal index and the optimal cutting point.Delong test was used to compare the screening effect of different obesity indicators on diabetes,and the logistic regression was used to evaluate the predictive effect of different obesity indicators at different cutting points.Results(1)The prevalence of diabetes in males was higher than that in females;(2)the area under the receiver operating characteristic curve(AUROC)of waist-to-height ratio(WHtR)index of different gen-ders was the largest,and the AUROC of WC and WHtR was significantly different from that of body mass index(BMI)and waist-to-hip ratio(WHR);(3)at different cutting points,WC and WHtR had higher OR values and AUROC values.Conclu-sion For middle-aged and elderly people,WC and WHtR have better screening ability and prediction effect for diabetes than other indicators.
关键词
肥胖/切点/糖尿病/筛检Key words
obesity/cutting point/diabetes/screening引用本文复制引用
基金项目
临沂市科协调研课题(2024kxy226)
出版年
2024
NETL
NSTL
维普
万方数据