scholarly journals Use of height3:waist circumference3 as an index for metabolic risk assessment?

2006 ◽  
Vol 95 (6) ◽  
pp. 1212-1220 ◽  
Author(s):  
Anja Bosy-Westphal ◽  
Sandra Danielzik ◽  
Corinna Geisler ◽  
Simone Onur ◽  
Oliver Korth ◽  
...  

Current anthropometric indices for health risk assessment are indirect measures of total or visceral body fat mass that do not consider the inverse relationship of lean body mass to metabolic risk as well as the non-linear relationship between central obesity and insulin resistance.We examined a new anthropometric index that reflects the relationship of waist circumference (WC) as a risk factor to fat-free mass (FFM) as a protective parameter of body composition. In apopulation of 335 adults (191 females and 144 males; mean age 53 (sd 13·9) years) with ahigh prevalence of obesity (27%) and metabolic syndrome (30%) we derived FFM:WC3 from the best fit of the relationship with metabolic risk factors (plasma triacylglycerol levels and insulin resistance by homeostasis model assessment index). Because FFM is known to be proportional to the cube of height, FFM was subsequently replaced by height3 yielding height3:WC3 as an easily applicable anthropometric index. Significant inverse relationships of height3:WC3 to metabolic risk factorswere observed for both sexes. They slightly exceeded those of conventional anthropometric indicessuch as BMI, WC or WC:hip ratio in women but not in men. The exponential character of the denominator WC3 implies that at a given FFM with gradually increasing WC the increasein metabolic risk is lower than proportional. Further studies are needed to evaluate height3:WC3 as an anthropometric index for health risk assessment.

2012 ◽  
Vol 610-613 ◽  
pp. 624-629
Author(s):  
Xiao Chun Qin ◽  
Bo Chang Dong ◽  
Yi Shen ◽  
She Gang Shao

60%~70% of air pollutants are vehicle emissions. With the soaring increasing of Vehicle Population, automobile exhaust is becoming the leading cause of air pollution. In this paper space-time variation rule of road-related atmospheric pollution is analyzed based on the characteristics of air pollution on the road. And the basic methods of road-related air pollution health risk assessment are determined in the analysis of the relationship of road-related air pollution and health. The economic evaluation of road-related air pollution is also made which would provide the methods for reference in the related research on road air pollution.


Author(s):  
Ruzhen Luo ◽  
Chunmei Zhang ◽  
Yanhui Liu

In China, many young and middle-aged rural residents move to urban areas each year. The rural elderly are left behind. The number of the rural left-behind elderly is increasing with urbanization, but it is unclear which indicators can be used to assess their health condition. The health risk assessment index system was developed to improve the health level of the rural left-behind elderly. A two-round web-based Delphi process was used to organize the recommendations from fifteen Chinese experts in geriatrics, health management, social psychology who participated in this study. Meaningfulness, importance, modifiability, and comprehensive value of the health risk assessment indicators in the index system were evaluated. The effective recovery rates of the two-round Delphi were 86.67% and 92.31%, respectively. The judgement coefficient and the authority coefficient were 0.87 and 0.82, respectively. The expert familiarity was 0.76. Ultimately, the health risk assessment index system for the rural left-behind elderly consisted of five first-level indicators, thirteen second-level indicators, and sixty-six third-level indicators. The final indicators can be used to evaluate the health of the rural left-behind elderly and provide the basis for additional health risk interventions.


2011 ◽  
Vol 414 ◽  
pp. 214-220
Author(s):  
Xiao Song Sun ◽  
An Ping Liu ◽  
Hang Zhou ◽  
Xiao Nan Sun ◽  
Jian Ming Sun

Based on the process of health risk assessment for Cd contaminated sites, study the relationship between exposure duration and recommended target of soil remediation. This paper discusses the changes (from 7.7 mg/kg to 5.0 mg/kg, from 9.1 mg/kg to 3.8 mg/kg) of recommended target for soil remediation when the exposure duration has large changes (EDa ranges from 6a to 36a, EDc ranges from 1a to 12a). The results point out that both EDa and EDc have effects on recommended target of soil remediation, and in general, exposure duration and recommended target of soil remediation vary inversely.


2020 ◽  
Author(s):  
Ran Hao ◽  
Meng Zhang ◽  
Nan Zhao ◽  
Peng Zhang ◽  
Rumeng Zhao ◽  
...  

Abstract Background : Massive health, a national strategy in China, calls for maintaining people’s health in an all-round way. This puts forward a new challenge for family doctors (FDs) to improve the ability of chronic diseases management. As the main service force in the community, FDs need to change the service concept and improve their management level of chronic diseases. In the background of massive health, we aimed to construct the health risk assessment index system (HRAIS), with the hope of helping FDs to carry out chronic disease management, especially to identify and monitor main chronic diseases and their risk factors in the community. Methods : Available health indexes, national health databases and chronic disease surveillance systems were reviewed to identify potential indexes and evaluation methods of the indexes. Delphi method was performed to establish the HRAIS, and the analytic hierarchy process was used to calculate the indexes weight. Results : The final HRAIS included 4 first-level indexes and 38 second-level indexes. We also determined the evaluation methods for the 38 indexes. The authority coefficient was 0.86. The Kendall’s W for the two rounds of Delphi consultation were 0.202 and 0.210, respectively ( p < 0.001). The weights of the first-level indexes from high to low were physiological health (0.4094), psychosocial health (0.2895), health-related behaviors (0.2047) and environment (0.0965). Conclusion : The HRAIS is a multi-dimension and multi-index tool, which can be used as a guideline for FDs in early screening, early intervention and classified management of main chronic diseases. Keywords : Chronic diseases, Health risk assessment, Index system, Family doctors, Massive health


2020 ◽  
Vol 27 (32) ◽  
pp. 40732-40748
Author(s):  
Matthias Monneron--Gyurits ◽  
Marilyne Soubrand ◽  
Emmanuel Joussein ◽  
Alexandra Courtin-Nomade ◽  
Irene Jubany ◽  
...  

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