日本の「メタボリック・シンドローム」診断基準の統計的問題

• 坂本 亘

  大阪大学大学院基礎工学研究科数理科学領域

• 五十川 直樹

  大阪大学大学院基礎工学研究科数理科学領域

• 後藤 昌司

  特定非営利活動法人医学統計研究会

書誌事項

タイトル別名

• Statistical Issues on Japanese Criteria of Metabolic Syndrome

抄録

The article by The Examination Committee of Criteria for ‘Obesity Disease’ in Japan and Japan Society for the Study of Obesity (2002) established cut-off points of waist circumference at 85 cm for males and 90 cm for females as criteria of obesity disease. Their article has also become a basis for criteria of metabolic syndrome in Japan; however, their article has various problems on statistical aspects. How the criteria on waist circumference should vary was investigated through reexamination based on descriptions in their article. First, their article obtained criteria on visceral fat area (VFA) from data in which males and females were pooled, while our reexamination suggested that we should use separate criteria on VFA between males and females. Second, their article inappropriately used regression lines to estimate waist circumference corresponding to VFA cut-off points. Our reexamination with errors-in-variables models suggested alternative cut-off points of waist circumference at 87 cm for males and 85 cm for females. Our simulation confirmed that the criteria by their article might lead to inappropriate diagnosis which is strict for males and easy for females.

収録刊行物

• 行動計量学

  行動計量学 35 (2), 177-192, 2008

  日本行動計量学会

キーワード

• 変数内誤差モデル
• ROC曲線
• 回帰モデル
• 感度
• 特異度
• データの変換

詳細情報

• CRID: 1390001205179427072
• NII論文ID: 130004477300
• DOI: 10.2333/jbhmk.35.177
• ISSN: 18804705
• ISSN: 03855481
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可