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目的探讨体质指数(BM I)、腰围(WC)、腰臀比(WHR)与代谢综合征(MS)的关系,比较它们在2004年中华医学会糖尿病学会分会(CDS)、2005年国际糖尿病联盟(IDF)和2005年美国国家胆固醇教育计划成人治疗组第3次报告修订版(NCEP-ATPⅢ)的MS诊断标准中的应用。方法对研究资料分别采用CDS(2004)、IDF(2005)、ATPⅢ(2005)的诊断标准计算MS以及肥胖的患病率,比较不同MS标准下的BM I、WC和WHR以及它们的相关性。结果CDS(2004),IDF(2005)、ATPⅢ(2005)的诊断标准下的MS患病率分别为15.2%,15.8%和22.6%;肥胖率分别为42%,30.5%和30.5%。3个诊断标准中MS的BM I平均值分别为27.8,28.0和27.1;男/女WC的平均值分别为93.7/87.4,96.8/89.4和93.7/851;男/女WHR的平均值分别为0.92/0.86,0.94/0.88和0.93/0.86。BM I、WC和WHR的相关系数分别为r1(BM I/WC)=0.785,r2(BM I/WHR)=0.580和r3(WC/WHR)=0.878;3个诊断标准的BM I/WC相关系数分别为0.128,0.566和0.682,BM I和WC均呈正相关(P<0.01)。结论BM I,WC和WHR与MS关系密切,并存在高度相关性:BM I和WC均可用于肥胖的判断以及作为MS诊断标准的组分;对中国人而言,肥胖在MS中的地位与其他组分地位应相同。
Objective To explore the relationship between body mass index (BM I), waist circumference (WC), waist-to-hip ratio (WHR) and metabolic syndrome (MS), compare them with the 2004 Diabetes Society of China Branch (CDS), 2005 International Diabetes Federation (IDF) and the 2005 National Cholesterol Education Program Adult Treatment Unit, Third Report, Revision 3 (NCEP-ATP III). Methods The diagnostic criteria of CDS (2004), IDF (2005) and ATP Ⅲ (2005) were used to calculate the prevalence of MS and obesity. The BM I, WC and WHR and their correlations under different MS criteria were compared. Results The prevalences of MS under the diagnostic criteria of CDS (2004), IDF (2005) and ATPⅢ (2005) were 15.2%, 15.8% and 22.6%, respectively; and the obesity rates were 42%, 30.5% and 30.5% respectively. The average BM I of MS in the three diagnostic criteria were 27.8, 28.0 and 27.1, respectively; the mean values of male / female WC were 93.7 / 87.4, 96.8 / 89.4 and 93.7 / 851, respectively; the mean values of male / female WHR were 0.92 /0.86,0.94/0.88 and 0.93 / 0.86. The correlation coefficients of BM I, WC and WHR were r1 (BM I / WC) = 0.785, r2 (BM I / WHR) = 0.580 and r3 (WC / WHR) The coefficients were 0.128, 0.566 and 0.682, respectively. There was a positive correlation between BM I and WC (P <0.01). Conclusion BM I, WC and WHR are closely related to MS and are highly correlated: BM I and WC can be used to judge obesity and serve as diagnostic criteria for MS; for Chinese, the status of obesity in MS is related to The status of other components should be the same.