CAJ | 학술논문

目的：评价体脂肪率（BF%）和腰高比（WHtR）与高脂血症的关系及其筛检价值。方法收集2014年9月—12月河南省人民医院体检者2668例。检测身高、体质量、腰围、体成分及血脂水平。采用受试者工作特征曲线（ROC）法分析WHtR、BF%对高脂血症的筛检率，用曲线下面积（AUC）表示。按年龄、腰围、体质指数（BMI）分层后采用多因素Logistic回归分析探讨BF%、WHtR与高脂血症风险的关系。结果 BF%筛检高脂血症的AUC在女性和男性中均为0.79，高于WHtR和BMI。女性BMI＜18.5和18.5~<24 kg/m2组中，BF%超标组高脂血症风险高于BF%正常组，而WHtR与高脂血症发生无关。男性年龄≥40岁及腰围超标（≥85 cm）者中，BF%超标组高脂血症风险高于BF%正常组，而WHtR与高脂血症发生无关。结论 BF%对高脂血症的筛检价值优于WHtR和BMI。建议BMI＜18.5和18.5~<24 kg/m2的女性及年龄≥40岁或腰围≥85 cm的男性行体成分检查，提高筛检准确率。
목적：평개체지방솔（BF%）화요고비（WHtR）여고지혈증적관계급기사검개치。방법수집2014년9월—12월하남성인민의원체검자2668례。검측신고、체질량、요위、체성분급혈지수평。채용수시자공작특정곡선（ROC）법분석WHtR、BF%대고지혈증적사검솔，용곡선하면적（AUC）표시。안년령、요위、체질지수（BMI）분층후채용다인소Logistic회귀분석탐토BF%、WHtR여고지혈증풍험적관계。결과 BF%사검고지혈증적AUC재녀성화남성중균위0.79，고우WHtR화BMI。녀성BMI＜18.5화18.5~<24 kg/m2조중，BF%초표조고지혈증풍험고우BF%정상조，이WHtR여고지혈증발생무관。남성년령≥40세급요위초표（≥85 cm）자중，BF%초표조고지혈증풍험고우BF%정상조，이WHtR여고지혈증발생무관。결론 BF%대고지혈증적사검개치우우WHtR화BMI。건의BMI＜18.5화18.5~<24 kg/m2적녀성급년령≥40세혹요위≥85 cm적남성행체성분검사，제고사검준학솔。
Objective To evaluate the relationship and screening value of percentage of body fat (BF%) and waist height ratio (WHtR) for hyperlipidemia in physical examination people. Methods A total of 2 668 objects taking physical examination in Henan Province People′s Hospital from September to December 2014 were included in this study. Values of height, body mass index (BMI), waist circumference, body composition and blood lipid level were detected. The receiver oper?ating characteristic curve (ROC) was used to analyze the screening rate of WHtR and BF%on hyperlipidemia with sensitivi?ty, specific and area under the curve (AUC). After stratified by age, waist circumference and BMI, multivariable logistic re?gression analysis was used to investigate the association between hyperlipidemia risk, BF% and WHtR. Results The screening accuracy rate on hyperlipidemia was higher for BF%, AUC was 0.79 in both female and male people. Among wom?en with BMI<18.5 kg/m2 and 18.5~<24 kg/m2, the risk of hyperlipidemia was higher in superfatted group than that of normal group. There was no correlation between WHtR and hyperlipidemia. Among men older than 40 y or with abnormal waist cir?cumference (≥85 cm), the risk of hyperlipidemia was higher in superfatted group than that of normal group, but not associat?ed with WHtR. Conclusion The BF%is a better screening indicator for hyperlipidemia compared with that of WHtR and BMI. Women with BMI<18.5 kg/m2 and 18.5~<24 kg/m2 and men older than 40 y or with waist circumference over 85 cm are suggested to do body composition tests to improve screening accuracy for hyperlipidemia.