糖尿病临床流行病学

　　【摘要】 目的 研究中国新疆汉族、维吾尔族、哈萨克族MS的适宜腰围切点。 方法 采用多中心研究，进行横断面调查，寻找适宜的腰围切点建议。 结果 新疆汉族男女MS腰围切点分别在85 cm和80 cm,维吾尔族及哈萨克族男女MS腰围切点分别在90 cm和85 cm时，ROC曲线距离最短。 结论 建议将新疆汉族男女MS腰围切点定为85 cm和80 cm，维吾尔族及哈萨克族男女MS腰围切点定为90 cm和85 cm，作为MS临床检出标准，更符合新疆地域及民族特点。

　　【关键词】 汉族;维吾尔族;哈萨克族;代谢综合征;腰围

　　Recommendations for Waist Circumference Cut-off Points for Metabolic Syndrome in Han, Uygur, and Kazak Subjects in Xinjiang China

　　WANG Yan, ZHAO Li-min, SONG Xiang-xin, et al. Department of Endocrinology, Zhongnan Hospital of Wuhan University, Wuhan 430000, China

　　Corresponding author: XU Yan-cheng, E-mail: xuyanchen1996@163.com

　　【Abstract】 Objective To find the appropriate waist circumference cut-off points in Han, Uygur, and Kazak subjects in Xinjiang China for diagnosis of metabolic syndrome (MS). Methods A multicenter cross-section survey was conducted. The relationship of waist circumference (WC) in the three nationalities with other risk factors for MS was analyzed to find the appropriate WC cut-off points. Results When the WC cut-off points for diagnosis of MS in male and female subjects for Han were 85cm and 80 cm, and for Uygur and Kazak 90cm and 85cm respectively, the distance of ROC curve were the shortest. Conclusions For the diagnosis of MS, the WC cut-off points are recommended in Han as 90cm and 85cm, and in Uygur and Kazak as 90cm and 85cm, in male and female, respectively, which accord more appropriately with regional nationality characteristics in Xinjiang.

　　【Key words】 Han nationality; Uygur nationality; Kazak nationality; Metabolic syndrome (MS); Waist circumference (WC)