CAJ | 학술논문

目的探讨预测青少年代谢综合征的最佳腰嗣身高比(WHtR)切点.方法在秦皇岛地区进行一项4 507名13～18岁青少年的横断面调查.采用受试者工作特征(ROC)曲线分析确定代谢综合征的最佳WHtR切点.结果无论男性还是女性,代谢综合征的百分比均随着WHtR的增加而增加.WHtR>/0.45后发生代谢综合征的OR值显著增加,分别为13.85(4.08～46.97)和12.42(2.62～58.96,P<0.01).ROC曲线分析显示以上相应WHtR切点具有最佳的敏感性和特异性.结论 WHtR与青少年代谢综合征密切相关.预测青少年代谢综合征的WHtR切点为0.45.
목적 탐토예측청소년대사종합정적최가요사신고비(WHtR)절점.방법 재진황도지구진행일항4 507명13～18세청소년적횡단면조사.채용수시자공작특정(ROC)곡선분석학정대사종합정 적최가WHtR절점.결과 무론남성환시녀성,대사종합정적백분비균수착WHtR적증가이증가.WHtR>/0.45후발생대사종합정적OR치현저증가,분별위13.85(4.08～46.97)화12.42(2.62～58.96,P<0.01).ROC곡선분석현시이상상응WHtR절점구유최가적민감성화특이성.결론 WHtR여청소년대사종합정밀절상관.예측청소년대사종합정적WHtR절점위0.45.
Objective To explore the best cut-point of waist-to-heisht ratio (WHtR) for identifying metabolic syndrome(MS)in adolescents.Methods A cross-sectional study was conducted in 4 507 adolescents aged 13-18 years in Qinhuangdao.Receiver operating characteristic (ROC) curve analysis was employed to determine the optimal WHtR cut-point for detecting MS.Results The prevalences of MS were higher among higher WHtR in both boys and girls.Odds ratios for MS significantly increased from the WHtR≥0.45 in boys(OR =13.85,95%CI 4.08-46.97)and in girls (OR=12.42,95%CI 2.62-58.96,P<0.01).The ROC curve analysis showed that the optimal WHtR cut-point was 0.45 in boys with the sensitivity of 89.4%and specificity of 81.4%.and in girls with sensitivity of 90.3%and specificity of 86.5%.Conclusion There is a significant correlation between WHtR and MS.Optimal WHtR cut-point for predicting MS is 0.45.