基于心血管疾病结果和全因死亡率的BMI类别特定的腰围值:德黑兰脂质和葡萄糖研究 (TLGS)
Amirhosein Seyedhoseinpour1, Maryam Barzin1, Maryam Mahdavi1
1Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC public health
|July 5, 2023
概括
这项研究确定了身体质量指数 (BMI) 特定的腰围 (WC) 值,以更好地预测心血管疾病 (CVD) 风险. 这些新的值有助于识别患心血管疾病和死亡风险较高的人.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 人类测量学 人类测量学.
背景情况:
- 腰围 (WC) 是腹部内脏脂肪的一个关键指标.
- 腹部内脏脂肪与心血管疾病 (CVD) 的风险和结果密切相关.
- 现有的风险评估工具可以从精细的指标中受益.
研究的目的:
- 为了确定身体质量指数 (BMI) 特定的腰围 (WC) 值.
- 评估这些值作为发生心血管疾病 (CVD) 和全因死亡率的预测指标.
- 为了提高心脏代谢疾病的风险分层.
主要方法:
- 前性队列研究 (德黑兰脂质和葡萄糖研究).
- 在18年内跟踪了7,412名参与者 (3,344名男性,4,068名女性).
- 在BMI类别 (<25, 25-30, >30 kg/m2) 中,使用尤登指数计算出特定性别的WC值.
主要成果:
- 在男性和女性中确定了针对心血管疾病事件和全因死亡率的独特的BMI特定的WC值.
- 心血管疾病的示例值:男性 (<25个BMI):82厘米;女性 (25-30个BMI):89厘米.
- 死亡率的示例值:男性 (>30 BMI):103厘米;女性 (<25 BMI):83厘米.
结论:
- 特定于BMI的WC值可以更好地识别患心血管疾病的高风险人群.
- 这些精细的值可以帮助临床医生进行个性化风险评估.
- 进一步的研究可以在不同的人群中验证这些指标.
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