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体重调整后腰部指数与慢性阻塞性肺病之间的关联

Xingshi Hua^1,2, Yu Gan², Xiaodong Lv¹

¹Liaoning University of Traditional Chinese Medicine, Shenyang, China.

|October 22, 2025

概括

体重调整后的腰部指数 (WWI) 与慢性阻塞性肺病 (COPD) 患病率有积极联系. 这种新型的肥胖指标表明,与传统指标相比,COPD的预测效用优越.

科学领域:

公共卫生公共卫生
肺部病理学肺部病理学
肥胖问题研究研究

背景情况:

慢性阻塞性肺病 (COPD) 是一个主要的全球健康问题.
肥胖越来越被认为是各种慢性疾病的危险因素,包括呼吸系统疾病.
需要新的人类指数来更好地评估与肥胖相关的健康风险.

研究的目的:

调查体重调整腰指数 (WWI) 与美国成年人中COPD患病率之间的关联.
将第一次世界大战的预测效用与COPD的传统肥胖指数进行比较.

主要方法:

2017-2020年国家健康和营养检查调查 (NHANES) 数据的横截面分析.
调整为共变量的多变量逻辑回归模型;非线性关系的限制立方线.
接收器操作特征 (ROC) 曲线分析,以比较预测性能.

主要成果:

在第一次世界大战和COPD患病率之间发现了显著的积极关联 (OR = 1.30).
在第一次世界大战四分位数和COPD患病率之间观察到一种积极的剂量反应关系 (P趋势=0.031).
与传统的肥胖指数相比,第一次世界大战显示了COPD (AUC = 0.662) 的优异预测性能.

结论:

体重调整后的腰部指数 (WWI) 与自我报告的COPD患病率有显著的关联.
WWI显示出作为一种简单,非侵入性工具的潜力,用于识别COPD风险较高的个体.
该指数可以帮助临床和公共卫生机构对COPD风险分层进行分层.

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