以体脂率为标准评判几种肥胖指标的可行性探讨
|
摘要
以体脂率作为肥胖的判断标准,探讨腰围(WC)、腰臀比(WHR)、腰身比(WSR)、身体质量指数(BMI)、身体肥胖指数(BAI)作为评价中国西双版纳地区三个民族肥胖标准的可行性,比较几种指标的预测效果优劣。研究对象为18~80岁的云南省西双版纳傣族自治州少数民族成人1311例,测试身高、体重、腰围、臀围指标,计算BMI、WHR、WSR、BAI、PBF,并将各指标分别与体脂率进行相关分析和受试者工作特征曲线(ROC)分析。在用WC、WHR、WSR、BMI、BAI对云南西双版纳三个民族成年人的肥胖预测中,回归分析和ROC分析均表明BMI的预测效果最好,其次是WC,WSR,BAI和WHR。BMI指标以体脂率为标准可较好地评价肥胖。
To discuse the feasibility of using WC,WHR,WSR,BMI and BAI as a standard of adult obesity in southwest Chinese based on PBF standard for obesity,and to compare these several indicators. 1311 adults aged 18-80 years were selected and the stature,weight,waist circumference,hip circumference were measured,and BMI,WHR,WSR,BAI,PBF were calculated. The indexes were analyzed with body fat rate by correlation analysis and the receiver operating characteristic curve( ROC). In the prediction of the obesity of minority adults of Xishuangbanna in Yunnan by using WC,WHR,WSR,BMI and BAI,regression analysis and ROC analysis showed that the prediction effect of BMI was the best,followed by WC,WSR,BAI and WHR. BMI index can be used to evaluate obesity with the standard of percent body fat.
To discuse the feasibility of using WC,WHR,WSR,BMI and BAI as a standard of adult obesity in southwest Chinese based on PBF standard for obesity,and to compare these several indicators. 1311 adults aged 18-80 years were selected and the stature,weight,waist circumference,hip circumference were measured,and BMI,WHR,WSR,BAI,PBF were calculated. The indexes were analyzed with body fat rate by correlation analysis and the receiver operating characteristic curve( ROC). In the prediction of the obesity of minority adults of Xishuangbanna in Yunnan by using WC,WHR,WSR,BMI and BAI,regression analysis and ROC analysis showed that the prediction effect of BMI was the best,followed by WC,WSR,BAI and WHR. BMI index can be used to evaluate obesity with the standard of percent body fat.
引文
[1]COLE TIM J,BELLIZZI M C,FLEGAL K M,et al.Establishing a standard definition for child overweight and obesity worldwide:international survey[J].British Medical Journal.2000,320(7244):1240-1243.
[2]黄晓斌.肥胖相关性高血压:流行病学、病理生理及其临床管理[J].中华高血压杂志.2011,19(3):298.
[3]SCHLAICH M P,GRASSI G,LAMBERT G W,European Society of Hypertension Working Group on Obesity Obesity-induced hypertension and target organ damage:current knowledge and future direction[J].Journal of Hyperyension.2009,27(2):207-211.
[4]LAMBERT E,STRAZNICKY N,SCHLAICH M.Differing Pattern of Sympathoexcitation in Normal-Weight and Obesity-Related Hypertension[J].Hypertension.2007,50(5):862-868.
[5]陈昭.生物人类学和人体组成学的渊源关系[J].人类学学报,2013,32(3):264-273.
[6]肖毅.肥胖症患者体内脂肪及肌肉含量与肥胖并发症的相关性研究[D].广州:南方医科大学,2016.
[7]黄辉明,王文卫.体重指数与体脂率指标评价肥胖:基于诊断试验的比较研究[J].中国运动医学杂志,2017,36(3):218-225.
[8]苌飞霸,张和华,尹军.生物电阻抗测量技术研究与应用[J].中国医学物理学杂志,2015,32(2):234-238.
[9]席焕久,陈昭.人体测量方法[M].北京:科学出版社,2010:243-247.
[10]GELIEBTER A,ATALAYER D,FLANCBAUM L,et al.Comparison of body adiposity index(BAI)and BMI with estimations of%body fat in clinically severe obese women[J].Obesity,2013(21):493–498.
[11]LOPEZ A A,CESPEDES M L,VICENTE T,et al.Body adiposity index utilization in a Spanish Mediterranean population:comparison with the body mass index[J].PLo S One,2012,7(4):35281.
[12]王敬瀚.ROC曲线在临床医学诊断实验中的应用[J].中华高血压杂志,2008,16(2):175-177.
[13]董文静,王雅萱,宇克莉.3种肥胖指标对凉山彝族中心性肥胖的预测[J].天津师范大学学报(自然科学版),2017,37(1):76-80.
[14]ZHAO D,LI Y,ZHENG L,Brief Communication:Body Mass Index,Body Adiposity Index,and Percent Body Fat in Asians[J].American Journal of Physical Anthropology,2013,152(2):294-299.
[15]何双涛,刘军.人体肥胖指数BAI作为中国人肥胖新指标的可行性探讨[J].复旦学报(医学版),2014,41(6):1672-8467.
[16]何英剑,陶秋山,李晓婷.性别、年龄对成人BMI超重与肥胖诊断标准影响[J].中国公共卫生,2009,25(4):441-443.
[17]GARRIDO-CHAMORRO R P,SIRVENT-BELANDO J E,GONZALEZ-LORENZO M,et al.Correlation between body mass index andbody composition in elite athletes[J].J Sports Med Phys Fitness,2009,49(3):278-284
[18]RAHMAN M,BERENSON A B.Accuracy of current body mas index obesity classification for white,black,and Hispanic reproductive-age women[J].Obstet Gynecol,2010,115(5):982-988
[19]BERGMAN R.STEFANOVSKI D,BUCHANAN T A.:A better index of body adiposity[J].Obesity,2011(19):1083-1089.
[20]FLEGAL K M,SHEPHERD J A,LOOKER A C,et al.Comparisons of percentage body fat,body mass index,waist circumferencecircumference,and waiststature ratio in adults[J].Am J Clin Nutr,2009(89):500–508.
[21]SCHULZE M B,STEFAN N.The body adiposity index and the sexual dimorphism in body fat[J].Obesity,2011(19):1729.
[2]黄晓斌.肥胖相关性高血压:流行病学、病理生理及其临床管理[J].中华高血压杂志.2011,19(3):298.
[3]SCHLAICH M P,GRASSI G,LAMBERT G W,European Society of Hypertension Working Group on Obesity Obesity-induced hypertension and target organ damage:current knowledge and future direction[J].Journal of Hyperyension.2009,27(2):207-211.
[4]LAMBERT E,STRAZNICKY N,SCHLAICH M.Differing Pattern of Sympathoexcitation in Normal-Weight and Obesity-Related Hypertension[J].Hypertension.2007,50(5):862-868.
[5]陈昭.生物人类学和人体组成学的渊源关系[J].人类学学报,2013,32(3):264-273.
[6]肖毅.肥胖症患者体内脂肪及肌肉含量与肥胖并发症的相关性研究[D].广州:南方医科大学,2016.
[7]黄辉明,王文卫.体重指数与体脂率指标评价肥胖:基于诊断试验的比较研究[J].中国运动医学杂志,2017,36(3):218-225.
[8]苌飞霸,张和华,尹军.生物电阻抗测量技术研究与应用[J].中国医学物理学杂志,2015,32(2):234-238.
[9]席焕久,陈昭.人体测量方法[M].北京:科学出版社,2010:243-247.
[10]GELIEBTER A,ATALAYER D,FLANCBAUM L,et al.Comparison of body adiposity index(BAI)and BMI with estimations of%body fat in clinically severe obese women[J].Obesity,2013(21):493–498.
[11]LOPEZ A A,CESPEDES M L,VICENTE T,et al.Body adiposity index utilization in a Spanish Mediterranean population:comparison with the body mass index[J].PLo S One,2012,7(4):35281.
[12]王敬瀚.ROC曲线在临床医学诊断实验中的应用[J].中华高血压杂志,2008,16(2):175-177.
[13]董文静,王雅萱,宇克莉.3种肥胖指标对凉山彝族中心性肥胖的预测[J].天津师范大学学报(自然科学版),2017,37(1):76-80.
[14]ZHAO D,LI Y,ZHENG L,Brief Communication:Body Mass Index,Body Adiposity Index,and Percent Body Fat in Asians[J].American Journal of Physical Anthropology,2013,152(2):294-299.
[15]何双涛,刘军.人体肥胖指数BAI作为中国人肥胖新指标的可行性探讨[J].复旦学报(医学版),2014,41(6):1672-8467.
[16]何英剑,陶秋山,李晓婷.性别、年龄对成人BMI超重与肥胖诊断标准影响[J].中国公共卫生,2009,25(4):441-443.
[17]GARRIDO-CHAMORRO R P,SIRVENT-BELANDO J E,GONZALEZ-LORENZO M,et al.Correlation between body mass index andbody composition in elite athletes[J].J Sports Med Phys Fitness,2009,49(3):278-284
[18]RAHMAN M,BERENSON A B.Accuracy of current body mas index obesity classification for white,black,and Hispanic reproductive-age women[J].Obstet Gynecol,2010,115(5):982-988
[19]BERGMAN R.STEFANOVSKI D,BUCHANAN T A.:A better index of body adiposity[J].Obesity,2011(19):1083-1089.
[20]FLEGAL K M,SHEPHERD J A,LOOKER A C,et al.Comparisons of percentage body fat,body mass index,waist circumferencecircumference,and waiststature ratio in adults[J].Am J Clin Nutr,2009(89):500–508.
[21]SCHULZE M B,STEFAN N.The body adiposity index and the sexual dimorphism in body fat[J].Obesity,2011(19):1729.