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首页> 外文期刊>Preventive Medicine Reports >Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus: Filipino-American women cardiovascular study
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Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus: Filipino-American women cardiovascular study

机译：体重指数，腰围和腰高比在预测高血压和糖尿病中的比较：菲律宾裔女性心血管研究

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The relative ability of three obesity indices to predict hypertension (HTN) and diabetes (DM) and the validity of using Asian-specific thresholds of these indices were examined in Filipino-American women (FAW). Filipino-American women ( n = 382), 40–65 years of age were screened for hypertension (HTN) and diabetes (DM) in four major US cities. Body mass index (BMI), waist circumference (WC) and waist circumference to height ratio (WHtR) were measured. ROC analyses determined that the three obesity measurements were similar in predicting HTN and DM (AUC: 0.6–0.7). The universal WC threshold of ≥ 35 in. missed 13% of the hypertensive patients and 12% of the diabetic patients. The Asian WC threshold of ≥ 31.5 in. increased detection of HTN and DM but with a high rate of false positives. The traditional BMI ≥ 25 kg/m 2 threshold missed 35% of those with hypertension and 24% of those with diabetes. The Asian BMI threshold improved detection but resulted in a high rate of false positives. The suggested WHtR cut-off of ≥ 0.5 missed only 1% of those with HTN and 0% of those with DM. The three obesity measurements had similar but modest ability to predict HTN and DM in FAW. Using Asian-specific thresholds increased accuracy but with a high rate of false positives. Whether FAW, especially at older ages, should be encouraged to reach these lower thresholds needs further investigation because of the high false positive rates. Highlights ? WC, BMI and WHtR measurements cutoff points were higher in middle aged FAW. ? WC, BMI and WHtR measurements had similar ability to predict HTN and DM in FAW. ? Need to tailor thresholds of obesity measurements for specific Asian subgroups.
机译：在菲律宾裔美国女性（FAW）中检查了三种肥胖指数预测高血压（HTN）和糖尿病（DM）的相对能力以及使用这些指数的亚洲特定阈值的有效性。在美国的四个主要城市中，对年龄在40-65岁之间的菲律宾裔美国妇女（n = 382）进行了高血压（HTN）和糖尿病（DM）筛查。测量体重指数（BMI），腰围（WC）和腰围与身高之比（WHtR）。 ROC分析确定，三种肥胖测量值在预测HTN和DM方面相似（AUC：0.6-0.7）。 ≥35 in。的通用WC阈值错过了13％的高血压患者和12％的糖尿病患者。 ≥31.5 in。的亚洲WC阈值增加了对HTN和DM的检测，但假阳性率很高。传统的BMI≥25 kg / m 2阈值错过了35％的高血压患者和24％的糖尿病患者。亚洲BMI阈值可提高检测效率，但会导致较高的误报率。建议的WHtR临界值≥0.5，仅漏掉了HTN患者的1％和DM患者的0％。三种肥胖测量具有相似但适中的预测一汽中HTN和DM的能力。使用亚洲特定的阈值可以提高准确性，但误报率很高。由于假阳性率高，是否应该鼓励一汽，尤其是老年一汽达到这些较低的门槛，需要进一步调查。强调 ？中年一汽的WC，BMI和WHtR测量临界点较高。 ？ WC，BMI和WHtR测量具有预测一汽中HTN和DM的相似能力。 ？需要为特定的亚洲亚人群量身定做的肥胖测量阈值。

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