Received:19 November 2016,
Published:15 January 2017
移动端阅览
Yan Wang, Abudukeyoumu Saimaiti, Wenjie Zhang. Application of hip circumference in screening Uyghur obese women in poor areas of Kashi, Xinjiang[J]. Journal of Third Military Medical University, 2017, 39(3): 296-300.
Yan Wang, Abudukeyoumu Saimaiti, Wenjie Zhang. Application of hip circumference in screening Uyghur obese women in poor areas of Kashi, Xinjiang[J]. Journal of Third Military Medical University, 2017, 39(3): 296-300. DOI: 10.16016/j.1000-5404.201611167.
Objective
2
To investigate a new
simple and convenient indicator for obesity screening.
Methods
2
Body mass index (BMI) was regarded as the diagnostic standard for obesity in this study. The BMI of 2 423 Uyghur rural women living in Kashi Prefecture
Xinjiang region were compared with their waist circumference
hip circumference
waist-to-hip ratio
and waist-to-height ratio. Variance analysis and Pearson correlation analysis were used for statistical analyses
and receiver operative characteristic (ROC) curve was employed to define the optimal measurement index and its cutoff values for diagnosing obesity.
Results
2
①The enrolled subjects had an average BMI of 24.8±3.7 kg/m
2
with a rate of overweight as 31.9% and of obesity as high as 18.5%
both higher than the rates of overweight (22.8%) and obesity (7.1%) among Han females (
P
<
0.05)
respectively. The abnormalities in the Uyghur females were very high in waist circumference (31.4%)
waist-to-hip ratio (37.9%) and waist-to-height ratio (57.0%)
respectively. ②There were positive correlations between any 2 of the following indicators: age
BMI
waist circumference
hip circumference
waist-to-hip ratio and waist-to-height ratio
and the most significant correlation was seen between BMI and hip circumference (
r
=0.82). Education level was negatively correlated with BMI
waist circumference
hip circumference
waist-to-hip ratio and waist-to-height rat
io
respectively
but positively correlated with per capita income/per day. ③In the prediction of obesity
hip circumference showed the highest values of area under curve (AUC
0.953) and YI (0.813) among all indicators tested
obviously higher than other indicators. In terms of predicting obesity
the cutoff value of hip circumference was
>
101.5 cm.
Conclusion
2
Hip circumference
waist-to-height ratio and waist circumference are of good value in prediction of preliminary screening obesity. Hip circumference has the best predictive effect in screening overweight and obesity (with highest AUC and YI values).
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