{"id":539,"title":"Waist Circumference Adds to BMI, but Will Clinicians Adopt It?","title_zh":"腰围能否在BMI之外改善心脏代谢风险评估，以及临床采纳的障碍","url":"https://doi.org/10.1001/jama.2026.18249","doi":"10.1001/jama.2026.18249","pmid":null,"journal":"JAMA","kind":"paper","lang":"en","published_at":"2026-11-06T00:00:00+00:00","fetched_at":"2026-11-08T03:45:22+00:00","authors":["Kate Schweitzer"],"primary_topic":"repro-tox","topics":[{"slug":"repro-tox","score":5.0,"hits":["bmi","body mass index"]}],"topic_score":5.0,"preference_score":0.0,"preference_labels":[],"llm_score":32.0,"final_score":38.0,"score_dims":{"novelty":25,"rigor":20,"impact":15,"relevance":8,"translation":15},"recommend_reason":"内容为JAMA新闻栏目对腰围用于心脏代谢风险分层的评述，与生殖医学、辅助生殖及胚胎多组学无直接关联，信息为二手综述，对ART临床与实验室决策几无参考价值。","keywords":["腰围","体质指数","心脏代谢风险","临床实践采纳","医学新闻"],"selected":0,"story_id":null,"llm_provider":"deepseek","llm_model":"deepseek-flash","llm_effort":"low","source_key":"crossref-cns","source_name":"Crossref · CNS 与大子刊新上线（领域过滤）","source_tier":1,"mention_count":1,"has_interpretation":false,"journal_key":"jama","journal_tier":"general-top","journal_if":63.1,"is_mock":false,"summary_zh":"本文为JAMA医学新闻栏目文章，讨论腰围测量在BMI之外用于细化心脏代谢风险分层的做法日益增多。文章梳理了支持腰围作为补充指标的证据背景，审视该转变能否真正改善患者结局，并分析将其纳入常规临床实践所需的条件，如测量标准化、流程整合与临床工作负担等。原文为新闻综述，未提供原始研究数据、样本量或统计结果，具体证据强度无法从可见信息判断，且内容不涉及生殖医学或辅助生殖结局。","summary":"This Medical News article discusses the growing use of waist circumference to refine cardiometabolic risk assessment beyond body mass index (BMI), examining whether such a shift can meaningfully improve patient outcomes and what it would take to implement the measure in routine clinical practice.","interpretation_basis":null,"fulltext_status":null,"interpretation":null,"fulltext":{"available":false,"status":null,"reason":"尚未抓取全文（未入选、分数未达阈值，或还没跑 fulltext 步骤）","pmcid":null,"license":null,"chars":0,"source":null,"fetched_at":null}}