【摘要】 目的 探讨河北省老年人群中国人内脏脂肪指数(CVAI)与糖尿病、高血压、糖尿病或者高血压、糖尿病共病高血压之间的相关性。方法 于2020年采用分层多阶段随机抽样的方法对河北省10个监测点的常住居民进行问卷调查、体格检查和实验室检测，利用logistic回归分析CVAI与糖尿病、高血压、糖尿病或者高血压、糖尿病共病高血压的相关性，并采用受试者工作特征(ROC)曲线下面积评估其对糖尿病、高血压、糖尿病或者高血压以及糖尿病共病高血压的预测价值。结果 研究对象中糖尿病检出率为19.8%、高血压检出率为74.6%，糖尿病或者高血压的检出率为78.2%，糖尿病共病高血压的检出率为16.2%。经多因素logistic回归分析发现，与CVAI最低四分位Q1组相比，最高四分位Q4组发生糖尿病、高血压、糖尿病或者高血压、及糖尿病共病高血压的OR(95%CI)分别为3.55(2.58～4.89)、2.52(1.92～3.31)、3.09(2.31～4.12)、4.92(3.40～7.12); ROC曲线结果显示，CVAI在诊断糖尿病共病高血压中，预测能力最优，其中男性人群中的最佳临界值为128.54，女性为141.88。结论 河北省老年人群中高血压、糖尿病的检出率较高。CVAI与河北省老年人群发生糖尿病、高血压、糖尿病或者高血压、糖尿病共病高血压的风险呈正相关，且对糖尿病共病高血压的预测能力最强。更多还原

【Abstract】 Objective To investigate the association between the Chinese visceral adiposity index( CVAI) and diabetes mellitus,hypertension,diabetes mellitus or hypertension,and diabetes with hypertension among elderly people in Hebei Province. Methods In 2020,a stratified multi-stage random sampling was used to conduct questionnaire survey,physical examination and laboratory detection among permanent residents of 10 monitoring sites in Hebei Province. Logistic regression was used to analyze the association between CVAI and diabetes mellitus,hypertension,diabetes mellitus or hypertension,and diabetes with hypertension. The area under the ROC curve( AUC) was used to evaluate the predictive value of CVAI for diabetes mellitus,hypertension,diabetes mellitus or hypertension,and diabetes with hypertension. Results The detection rates of diabetes mellitus,hypertension,diabetes mellitus or hypertension,and diabetes with hypertension were 19. 8%,74. 6%,78. 2%,and 16. 2%,respectively. Multivariate logistic regression analysis showed that compared with the lowest quartile of CVAI group Q1,the OR( 95% CI) of diabetes mellitus,hypertension,diabetes mellitus or hypertension,and diabetes with hypertension in the highest quartile Q4 group were 3. 55( 2. 58 ～ 4. 89),2. 52( 1. 92 ～ 3. 31),3. 09( 2. 31 ～4. 12),and 4. 92( 3. 40 ～ 7. 12),respectively. The ROC curve results showed that CVAI had the best predictive value in the diagnosis of diabetes with hypertension,and the optimized critical values in males and females were 128. 54 and 141. 88,respectively. Conclusion The detection rates of diabetes mellitus and hypertension are high in the elderly population in Hebei Province. CVAI is positively associated with the risk of diabetes mellitus,hypertension,diabetes mellitus or hypertension,and diabetes with hypertension among the elderly in Hebei. CVAI has the strongest prediction ability for diabetes with hypertension.更多还原