The correlation between waist-to-height ratio and sarcopenic obesity in diabetic patients with normal body mass index
正常体质指数糖尿病患者腰围身高比与肌少症性肥胖的相关性

摘要

目的 探讨正常体质指数糖尿病患者腰围身高比（WHtR）与肌少症性肥胖（SO）关联性。方法 2023年4月-2024年8月（前瞻性研究），选取我院内分泌科门诊一个月的就诊正常BMI糖尿病患者1104例，通过生物电阻抗分析（BIA）评估身体成分，按WHtR四分位数分组，采用多因素logistic回归分析关联性。结果 WHtR四分位数升高与SO患病率显著相关（Q1:8.60%,Q4:44.30%）；校正混杂因素后，Q2-Q4组SO风险分别增加1.53倍（OR=2.53）、3.29倍（OR=4.29）和4.17倍（OR=5.17）（均P<0.001）。结论 正常BMI糖尿病患者中，WHtR是SO的独立预测因子。

Abstract

Objective To explore the association between waist-to-height ratio (WHtR) and sarcopenic obesity (SO) in patients with normal body mass index (BMI) diabetes.
Methods From April 2023 to August 2024 (a prospective study), 1,104 patients with normal BMI diabetes who visited our endocrinology outpatient clinic for one month were selected. Body composition was assessed using bioelectrical impedance analysis (BIA), and patients were grouped according to the four quartiles of WHtR. Multivariate logistic regression was used to analyze the association.
Results An increase in WHtR quartiles was significantly associated with the prevalence of SO (Q1: 8.60%, Q4: 44.30%). After adjusting for confounding factors, the risk of SO increased by 1.53 times (OR=2.53),3.29 times (OR=4.29), and 4.17 times (OR=5.17) in the Q2-Q4 groups (all P<0.001).
Conclusion   In patients with normal BMI diabetes, WHtR is an independent predictor of SO.