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題 名 | Simple Anthropometric Indices in Relation to Cardiovascular Risk Factors in Chinese Type 2 Diabetic Patients |
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作 者 | Wu, Hong-yan; Chen, Lu-lu; Zheng, Juan; Liao, Yun-fei; Zhou, Min; | 書刊名 | 中國生理學雜誌 |
卷 期 | 50:3 2007.06[民96.06] |
頁 次 | 頁135-142 |
分類號 | 397 |
關鍵詞 | Obesity; Waist to height ratio; Diabetes mellitus; Cardiovascular risk factors; |
語 文 | 英文(English) |
英文摘要 | To determine which is the best anthropometric index among body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR) and waist to height ratio (WHtR) in type 2 diabetic patients, we examined the relationship between these indices and cardiovascular risk factors using partial correlation analysis, chi-square test, logistic regression analysis and Receiver Operator Characteristic (ROC) curves. Partial correlation analysis showed that among the 4 obesity indices, WHtR had the highest r values for all the cardiovascular risk factors in both sexes, followed by WC. Chi-square analysis which revealed that an increased WHtR was more strongly associated with hypertension, hypertriglyceridemia (high TG) and low high-density lipoprotein cholesterol (HDL-C) than the other indices. Logistic regression analysis showed that, after controlling for age, the hypertension, high TG and low HDL-C odds ratios of WHtR ≥0.5 were 2.56 (95%CI: 1.24, 5.29), 2.87 (95%CI: 1.43, 5.78), 2.59 (95%CI: 1.03, 6.59) in men and 3.75 (95%CI: 1.75, 8.05), 3.21 (95%CI: 1.52, 6.79), 3.62 (95%CI: 1.43, 9.21) in women, respectively. In ROC analysis, the areas under curve of WHtR were the largest for at least one risk factor in both men and women. These results indicated that WHtR had a higher correlation with cardiovascular risk factors than WC, WHR or BMI in newly diagnosed type 2 diabetes. We proposed the measurement of WHtR as a screening tool for cardiovascular risk factors in this population. |
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