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首页> 外文期刊>Diabetes care >Defining Abdominal Obesity as a Risk Factor for Coronary Heart Disease in the US: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
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Defining Abdominal Obesity as a Risk Factor for Coronary Heart Disease in the US: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

机译:将腹部肥胖定义为美国冠心病的危险因素:西班牙裔社区卫生学习/拉丁美洲人(HCHS / SOL)的研究结果

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OBJECTIVE Various organizations have highlighted the need to examine whether abdominal obesity cut points are appropriate for identification of cardiovascular risk among ethnic minority adults, particularly Hispanic/Latino adults living in Western societies. This study aimed1) to establish optimal definitions for abdominal obesity among Hispanics/Latinos and2) to determine the level of agreement between the presence of metabolic syndrome diagnosed by the current Joint Interim Statement (JIS) definition and an updated definition with optimal abdominal obesity cut points. RESEARCH DESIGN AND METHODS The sample included 16,289 adults who self-identified as Hispanic/Latino ages 18-74 years enrolled in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Receiver operating characteristic curves were used to derive sensitivity and specificity values. The largest sum of sensitivity plus specificity was used to determine appropriate cut points. RESULTS Among U.S. Hispanic/Latino adults, waist circumference cut points of >102 cm in men (in line with current JIS criteria) and >97 cm (9 points higher than JIS criteria) in women provide optimal discrimination for cardiovascular risk as judged by the presence of coronary heart disease. When using these cut points to create an updated metabolic syndrome definition among women, we found disagreement between our updated definition and the current JIS criteria. The prevalence of the metabolic syndrome was overestimated by similar to 5 percentage points among women based on JIS criteria in comparison with our definition. CONCLUSIONS Our results suggest that the current recommendations for waist circumference cut points may not be appropriate for U.S. Hispanic/Latino women.
机译:目标各种组织突出了需要检查腹部肥胖削减点是否适合鉴定少数民族成年人中的心血管风险,特别是居住在西方社会的西班牙裔/拉丁裔成年人。本研究旨在建立西班牙裔/拉美裔人中腹部肥胖的最佳定义,以确定当前联合中期陈述(JIS)定义(JIS)定义和最佳腹部肥胖削减点诊断的代谢综合征存在之间的协议水平。研究设计和方法该样品包括16,289名成年人,以18-74岁自我识别为18-74岁的人,注册西班牙裔社区卫生学习/拉丁美洲(HCHS / SOL)。接收器操作特征曲线用于导出灵敏度和特异性值。使用最大的灵敏度和特异性来确定适当的切割点。结果美国西班牙裔/拉丁裔成人,男性腰围切割点> 102厘米(符合当前的JIS标准)和> 97厘米(比JIS标准高9分)提供了判断的心血管风险的最佳歧视冠心病的存在。在使用这些切割点时,在女性中创建更新的代谢综合征定义,我们在更新的定义和当前的JIS标准之间发现了分歧。与我们的定义相比,基于JIS标准的女性相似,代谢综合征的患病率高估到女性的5个百分点。结论我们的结果表明,目前对腰围削减点的建议可能不适合美国西班牙裔/拉丁裔妇女。

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