Abstract
Object of research: to determine the cut-off point of waist circumference (WC) identify the components of metabolic syndrome (MS) in a large industrial center of Western Siberia.In the period from 2003 to 2005 in the screening population surveyed 9362 people, including 4268 men (45.6%) and 5094 women (54.4%).The response rate was 61%. The study protocol included a sociodemographic data, measurement of blood pressure (BP), anthropometry (height, weight, WC), the definition of biochemical parameters. Statistical analysis was performed using the package SPSS. To determine the cut-off points of the used ROC model.In the group with ≥2 components of MS cut-off point WC from the men was 93.3 cm (sensitivity 72%, specificity 83%), women – 90.2 cm (sensitivity 72%, specificity 62%).The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm (sensitivity 66.8%, specificity 58.1%), for women – 86.5 cm (sensitivity 71.0%, specificity 55.7%). The highest cut-off point from the defined patients with diabetes for men was 99.0 cm (sensitivity 61%, specificity 70.2%), for women – cm (sensitivity 64.1%, specificity 65.9%).Conclusions: Cut-off point from the persons with the presence of ≥2 MS components in Siberian population 45–69 years, in accordance with the ROC analysis are 93.3 cm for men and 90.2 cm for women. The lowest cut-off point WC marked BP ≥ 130/85 mm Hg for men – 90 cm, for women – 86.5 cm. The highest cut-off point from the defined patients with diabetes for men was 99.0 cm, for women – 95 cm.
Highlights
In the period from 2003 to 2005 in the screening population surveyed 9362 people, including 4268 men (45.6%) and 5094 women (54.4%).The response rate was 61%
Cut-off point from the persons with the presence of ≥2 metabolic syndrome (MS) components in Siberian population 45–69 years, in accordance with the ROC analysis are 93.3 cm for men and 90.2 cm for women
Bulletin of Siberian Medicine, 2014, vol 13, no. 2, pp
Summary
ОКРУЖНОСТЬ ТАЛИИ КАК ИНДИКАТОР КОМПОНЕНТОВ МЕТАБОЛИЧЕСКОГО СИНДРОМА В СИБИРСКОЙ ПОПУЛЯЦИИ Симонова Г.И., Мустафина С.В., Никитин Ю.П., Щербакова Л.В. Цель исследования – определить наиболее информативное значение окружности талии (ОТ) для идентификации компонентов метаболического синдрома и сахарного диабета по данным эпидемиологического исследования в крупном промышленном центре Западной Сибири. В подгруппе, имеющей более 2 компонентов метаболического синдрома (МС), отрезная точка ОТ у мужчин составила 93,3 см (чувствительность 72%, специфичность 83%), у женщин – 90,2 см (чувствительность 72%, специфичность 62%). При идентификации лиц с сахарным диабетом (СД) определено наибольшее значение отрезной точки ОТ – 99,0 см (чувствительность 61,0%, специфичность 70,2%) у мужчин и 95,1 см (чувствительность 64,1%, специфичность 65,9%) у женщин. Отрезная точка ОТ для идентификации СД имеет наибольшее значение: 99,0 см у мужчин и 95,1 см у женщин.
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