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前后腹部直径和腰围对内脏脂肪区域具有相似的预测能力
Jumpei Shikuma1, Yoshiyuki Nagai1, Mihono Otaki1
1Department of Diabetes, Metabolism and Endocrinology Tokyo Medical University Shinjuku-ku Japan.
Obesity science & practice
|January 27, 2025
概括
前后腹部直径是腰围的可靠替代方案,用于预测内脏脂肪区域. 这种简单的测量减少了误差,为评估腹部肥胖提供了一个实用的临床工具.
科学领域:
- 医学成像和诊断 医学成像和诊断
- 肥胖问题研究研究
- 评估心血管风险评估
背景情况:
- 腰围是估计内脏脂肪的常见但容易出错的方法.
- 腹部突起所表明的内脏脂肪积累与健康风险有关.
- 准确的内脏脂肪评估对于管理与肥胖有关的疾病至关重要.
研究的目的:
- 为了评估前后腹部直径作为腰围的代理.
- 为了确定前后腹直径是否可以预测内脏脂肪区域.
- 为了比较前后腹直径与腰围的预测精度.
主要方法:
- 招募了231名糖尿病患者,CT测量了内脏脂肪面积.
- 测量腰围和前后腹部直径.
- 与内脏脂肪面积相关的测量结果,并比较预测性能.
主要成果:
- 腰围 (r=0.759) 和前后腹部直径 (r=0.774) 都与内脏脂肪区域 (p<0.001) 有很强的相关性.
- 在ROC曲线下的面积表明,这两项措施的预测准确度都很高.
- 前后腹部直径显示略高的预测能力 (AUC=0.939) 与腰围 (AUC=0.923) 相比.
结论:
- 前后腹部直径是腰围的可行替代方案,用于预测内脏脂肪.
- 这种简单的测量可以最大限度地减少与腰围相关的变化.
- 前后腹直径为临床使用提供了实用和准确的工具.
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