肥胖相关指标与老年人不受控制的糖尿病之间的关联:中国的一项基于社区的研究
Xinxi Zhang1, Mingqi Liu2, Hangjiong Xuan1
1Shaoxing City Shangyu District Center for Disease Control and Prevention, Shaoxing, China.
Frontiers in medicine
|October 10, 2025
概括
腰围 (WC) 最好预测中国老年人无法控制的糖尿病 (DM). 肥胖指标如WC,体重调整的腰指数 (WWI) 和腰与身高比 (WHTR) 显示了增加DM风险的性别特定值.
科学领域:
- 老年学是指老年学的学科.
- 代谢健康 代谢健康
- 公共卫生 公共卫生
背景情况:
- 控制不良的糖尿病 (DM) 是一个重要的健康问题,特别是在老年人群中.
- 肥胖是糖尿病的既定风险因素,需要对有效的肥胖指标进行调查,以预测DM控制.
研究的目的:
- 评估各种肥胖指标对中国老年社区中不受控制的糖尿病 (DM) 的关联和预测能力.
- 为了比较腰围 (WC),体重指数 (BMI),体重调整腰围指数 (WWI) 和腰与身高比率 (WHTR) 的预测性能,用于不受控制的DM.
主要方法:
- 进行了一项涉及15673名老年糖尿病患者的横截面研究.
- 采用接收器操作特征 (ROC) 曲线分析和多变量逻辑回归来评估预测性能和关联.
- 使用零碎线性模型检测值效应,并进行子组分析.
主要成果:
- 腰围 (WC) 显示了对不受控制的DM的最高预测性能 (AUC=0.53),表现优于BMI.
- WC,第一次世界大战和WHTR显示了与不受控制的DM的部分线性关系,表明非线性关联.
- 观察到特定于性别的非线性关系:女性的WC (值=70.5厘米),男性的第一次世界大战 (值=9.60厘米/√kg) 和男女的WHTR (值=0.46男性,0.45女性).
结论:
- 腰围 (WC) 是中国老年人中不受控制的糖尿病 (DM) 的最强有力的预测因素.
- 无法控制的DM的风险与WC和WWI的性别特异性值效应有关,突出非线性关系.
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