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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

20卷

期数:

2014年04期

页码:

316-319

栏目:

临床医学

出版日期:

2014-07-08

文章信息/Info

Title:

Anthropometric indexes on predicting cardiovascular risk factors and screening test estimating in police officers

文章编号:

1006-8147（2014）04-0316-04

作者:

罗晓燕¹; 2; 于 浩²; 于智睿³; 岳 松⁴; 王亚莎⁵; 邢京京²; 李延龙²; 冯紫薇²; 马 媛²; 王培忠⁶; 汤乃军²

(1.天津医科大学公共卫生学院流行病与卫生统计学系，天津300070；2.天津医科大学公共卫生学院劳动卫生与环境卫生学系，天津300070；3.天津出入境检验检疫局工业产品安全技术中心，天津300457；4.天津市公安医院物检科，天津300042；5.天津市第四中心医院查体科，天津300140；6.纽芬兰纪念大学医学院社区卫生与人文学部，圣约翰A1C 5S7)

Author(s):

 LUO Xiao-yan¹; 2;  YU Hao²;  YU Zhi-rui³;  YUE Song⁴;  WANG Ya-sha⁵;  XING Jing-jing²;  LI Yan-long²;  FENG Zi-wei²;  MA Yuan²;  WANG Pei-zhong⁶;  TANG Nai-jun²

 

关键词:

体质量指数; 腰围身高比; 腰围; 腰臀比; 心血管病危险因素; 警察; 男性

Keywords:

body mass index;  waist-to-height ratio;  waist circumference;  waist-to-hip ratio;  cardiovascular disease risk factor;  police;  male

分类号:

R18

DOI:

-

文献标志码:

A

摘要:

目的：比较体质量指数（BMI）、腰围（WC）、腰臀比（WHR）、腰围身高比（WHtR）4项人体测量指标对男性公安民警心血管病(CVD）危险因素的预测和评价。方法：以4 593名男性公安民警为研究对象，运用受试者特征曲线（ROC）比较4项人体测量指标对警察人群的适用性及CVD危险因素(高血压、糖尿病及血脂异常)的筛检试验评价。结果：该人群中，与WC、WHR和BMI相比，WHtR预测糖尿病、血脂异常及CVD高危人群的真实度较高，其ROC曲线下面积（AUC）较大（P分别<0.05、<0.01）；WHtR的灵敏度、约登指数及阴性预测值优于其他3项指标，分别为72.68%、0.35、58.9%。结论：应用WHtR在公安民警中进行筛检能够更全面地发现CVD高危人群，起到良好的预防效果。

Abstract:

Objective: To compare anthropometric indexes-body mass index(BMI), waist circumference(WC), waist-to-hip ratio(WHR) and waist-to-height ratio(WHtR) in identifying the presence of cardiovascular disease(CVD) risk factors in police officers and estimate their validity in screening test. Methods: A study on anthropometric indexes and cardiovascular diseases risk factors (hypertension, diabetes and dyslipidemia) using Receiver Operating Characteristic Curve (ROC) method was conducted among 4,593 police officers. Results: Compared with WC, WHR and BMI, AUC of WHtR performed a better role in identifying diabetes, dyslipidemia and high risk group of CVD(P<0.05, P<0.01 respectively); The sensitivity, Youden’s index and negative predictive value of WHtR were 71.87%,0.35,60.1%, respectively, which were higher than other anthropometric indexes. Conclusion: WHtR can identify high risk group of cardiovascular disease with a better prevention effect.

参考文献/References:

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备注/Memo

备注/Memo:

基金项目 天津市科技支撑计划重点项目（08ZCGYSF01500）
作者简介 罗晓燕（1987-），女，硕士在读，研究方向：流行病学；通信作者：王培忠，E-mail: wangpeizhong@yahoo.com；汤乃军，E-mail:tangnaijun@tijmu.edu.cn。

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更新日期/Last Update: 2014-06-06