Waist-to-Height Ratio as a Key Predictor for Diabetes and Hypertension in Lao PDR National Health Survey.

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Asia-Pacific Journal of Public Health Pub Date : 2024-10-31 DOI:10.1177/10105395241295573

Kethmany Ratsavong, D R Essink, Manithong Vonglokham, Sengchanh Kounnavong, Somphou Sayasone, Wichai Aekplakorn, Suchin Worawichawong, E P Wright

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Abstract

This study aimed to determine the potential predictive value of four noninvasive anthropometric indices in screening for the risk of diabetes and hypertension in the Lao population. The data used for this study were collected as part of the National Health Survey which used the World Health Organization's stepwise approach, covered 17 provinces and Vientiane capital, and had a representative sample of 3240 participants above 18 years old. Among the anthropometry indices tested, waist-to-height ratio (WHtR) had the highest predictive power for the prevalence of diabetes (area under the curve [AUC] = 0.73) and hypertension (AUC = 0.70). It is suitable for use in urban or rural areas and for fieldwork. The WHtR can serve as a public health and clinical screening tool, as there are no differences between sexes, ages, and ethnicities when monitoring diabetes and hypertension risk in Lao PDR, using the optimal cutoff point of 0.5 for both diabetes and hypertension.

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老挝人民民主共和国全国健康调查中作为糖尿病和高血压主要预测指标的腰围与身高之比。

本研究旨在确定四种无创人体测量指数在老挝人口糖尿病和高血压风险筛查中的潜在预测价值。本研究使用的数据是全国健康调查的一部分，该调查采用世界卫生组织的逐步法，覆盖 17 个省和首都万象，有 3240 个 18 岁以上的代表性样本。在测试的人体测量指数中，腰高比（WHtR）对糖尿病（曲线下面积 [AUC] = 0.73）和高血压（AUC = 0.70）患病率的预测能力最高。它适用于城市或农村地区，也适用于实地调查。WHtR可作为公共卫生和临床筛查工具，因为在老挝人民民主共和国，使用糖尿病和高血压的最佳临界点0.5来监测糖尿病和高血压风险时，性别、年龄和种族之间没有差异。

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来源期刊

Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.30

自引率

4.00%

发文量

147

审稿时长

6 months

期刊介绍： Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.