人体测量指标作为城市人群心血管危险因素的预测因素
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摘要
目的:研究用不同的人体测量指标,测定超重和肥胖的患病率和分布。方法:对991名男性和1188名女性进行横向研究,年龄在15—74岁之间。测量体重指标(BMI)、腰围、腰臀比率、腰身高比率和体脂百分比。采集空腹血液。评价CVD危险因素。结论:研究数据表明,腰臀比率和腰身高比率是预测男性心血管危险因素最好的人体测量指标,腰臀比率和腰围是女性最好的预测指标。
Objective: The purpose of this study is to determine the prevalence and distribution of overweight and obesity, using different anthropometric measurements. Methods: This cross-sectional study was conducted with 991 men and 1188 women aged 15 to 74 years old. Body mass index(BMI), waist circumference, waist-to-hip ratio, waist-to-height ratio and percentage of body fat were measured. A fasting blood specimen was obtained. CVD risk factors were assessed. Conclusion: Our data indicated that WHR and WHt R were the anthropometric indicators that best predicted CVD risk factors in men and WHR and WC in women.
Objective: The purpose of this study is to determine the prevalence and distribution of overweight and obesity, using different anthropometric measurements. Methods: This cross-sectional study was conducted with 991 men and 1188 women aged 15 to 74 years old. Body mass index(BMI), waist circumference, waist-to-hip ratio, waist-to-height ratio and percentage of body fat were measured. A fasting blood specimen was obtained. CVD risk factors were assessed. Conclusion: Our data indicated that WHR and WHt R were the anthropometric indicators that best predicted CVD risk factors in men and WHR and WC in women.
引文
[1]向楠.我国肥胖人口已达3.25亿四成减肥者却体重正常或偏瘦[N].中国青年报,2012-02-02(7).
[2]王鹏巨,叶兴蓉,王万华,等.1677例老干部向心性肥胖和心血管病危险因素的关系[J].中华老年心脑血管病杂志,2003,(1):12-14.
[3]SEIDELL J C,VERSCHUREN W M,VAN LEER E M,et al.Overweight,underweight,and mortality:a prospective study of48287 men and women[J].Archives of Internal Medicine,1996,(9):958-963.
[4]卫生部心血管病防治研究中心.中国心血管病报告2010[M].北京:中国大百科全书出版社,2011.
[5]BAE C Y,KANG Y G,SUH Y S,et al.A model for estimating body shape biological age based on clinical parameters associated with body composition[J].Clinical Interventions in Aging,2013,(8):8-11.
[6]HADAEGH F,ZABETIAN A,HARATI H,et al.Waist/height ratio as a better predictor of type 2 diabetes compared to body mass index in Tehranian adult men--a 3.6-year prospective study[J].Exp Clin Endocrinol Diabete,2006,(6):310-315.
[7]BOUGUERRA R,Al BERTI H,SMIDA H,et al.Waist circumference cut-off points for identification of abdominal obesity among the tunisian adult population[J].Diabetes Obes Metab,2007,(6):859-868.
[8]袁志敏.腰围/身高比值所示肥胖与心血管疾病风险间关系[J].心血管病学进展,2010,(1):151-153.
[9]国际生命科学学会中国肥胖工作组.中国学生超重、肥胖BMI筛查标准[S].北京:中国儿童青少年肥胖问题研讨会,2003.
[10]LISTED N.Physical status:the use and interpretation of anthropometry.Report of a WHO Expert Committee[J].World Health Organization,1995,854-856.
[11]JACKSON A S,POLLOCK M L.Generalized equations for predicting body density of men[J].British Journal of Nutrition,1978,(3):497-504.
[12]FRIEDEWALD W T,LEVY R I,FREDRICKSON D S.Estimation of the concentration of low-density lipoprotein cholesterol in plasma,without use of the preparative ultracentrifuge[J].Clinical Chemistry,1972,(6):499-502.
[13]KANNEL W B.Effect of weight on cardiovascular disease[J].American Journal of Clinical Nutrition,1996,(2):157-158.
[14]GALAL O M.The nutrition transition in Egypt:obesity,under nutrition and the food consumption context[J].Public Health Nutrition,2002,(1a):141-148.
[15]YUMUK V D,HATEMI H,TARAKCI T,et al.High prevalence of obesity and diabetes mellitus in Konya,a central Anatolian city in Turkey[J].Diabetes Research&Clinical Practice,2005,(2):151-158.
[16]SIBAI A M,HWALLA N,ADRA N,et al.Prevalence and covariates of obesity in Lebanon:findings from the first epidemiological study[J].Obesity Research,2012,(11):1353-1361.
[17]LEDOUX M,LAMBERT J,REEDER B A,et al.Correlation between cardiovascular disease risk factors and simple anthropometric measures.Canadian Heart Health Surveys Research Group[J].CMAJ,1997,(1):46-53.
[18]RIMM E B,STAMPFER M J,GIOVANNUCCI E,et al.Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men[J].American Journal of Epidemiology,1995,(12):1117-1127.
[19]WINDHAM B G,FUMAGALLI S,BLE A,et al.The relationship between heart rate variability and adiposity fiffers for central and overall adiposity[J].Journal of Obesity,2012,(10):149-151.
[20]FOLSOM A R,KAYE S A,SELLERS T A,et al.Body fat distribution and 5-year risk of death in older women[J].JAMA,1993,(4):483-487.
[21]PATIL V C,PARALE G P,KULKARNI P M,et al.Relation of anthropometric variables to coronary artery disease risk factors[J].Indian J Endocrinol Metab,2011,(1):31-37.
[22]唐晓君,李革,张素华,等.不同体重指数和腰臀比与血糖、血脂、血压的关系[J].现代预防医学,2007,(21):4032-4034+4041.
[2]王鹏巨,叶兴蓉,王万华,等.1677例老干部向心性肥胖和心血管病危险因素的关系[J].中华老年心脑血管病杂志,2003,(1):12-14.
[3]SEIDELL J C,VERSCHUREN W M,VAN LEER E M,et al.Overweight,underweight,and mortality:a prospective study of48287 men and women[J].Archives of Internal Medicine,1996,(9):958-963.
[4]卫生部心血管病防治研究中心.中国心血管病报告2010[M].北京:中国大百科全书出版社,2011.
[5]BAE C Y,KANG Y G,SUH Y S,et al.A model for estimating body shape biological age based on clinical parameters associated with body composition[J].Clinical Interventions in Aging,2013,(8):8-11.
[6]HADAEGH F,ZABETIAN A,HARATI H,et al.Waist/height ratio as a better predictor of type 2 diabetes compared to body mass index in Tehranian adult men--a 3.6-year prospective study[J].Exp Clin Endocrinol Diabete,2006,(6):310-315.
[7]BOUGUERRA R,Al BERTI H,SMIDA H,et al.Waist circumference cut-off points for identification of abdominal obesity among the tunisian adult population[J].Diabetes Obes Metab,2007,(6):859-868.
[8]袁志敏.腰围/身高比值所示肥胖与心血管疾病风险间关系[J].心血管病学进展,2010,(1):151-153.
[9]国际生命科学学会中国肥胖工作组.中国学生超重、肥胖BMI筛查标准[S].北京:中国儿童青少年肥胖问题研讨会,2003.
[10]LISTED N.Physical status:the use and interpretation of anthropometry.Report of a WHO Expert Committee[J].World Health Organization,1995,854-856.
[11]JACKSON A S,POLLOCK M L.Generalized equations for predicting body density of men[J].British Journal of Nutrition,1978,(3):497-504.
[12]FRIEDEWALD W T,LEVY R I,FREDRICKSON D S.Estimation of the concentration of low-density lipoprotein cholesterol in plasma,without use of the preparative ultracentrifuge[J].Clinical Chemistry,1972,(6):499-502.
[13]KANNEL W B.Effect of weight on cardiovascular disease[J].American Journal of Clinical Nutrition,1996,(2):157-158.
[14]GALAL O M.The nutrition transition in Egypt:obesity,under nutrition and the food consumption context[J].Public Health Nutrition,2002,(1a):141-148.
[15]YUMUK V D,HATEMI H,TARAKCI T,et al.High prevalence of obesity and diabetes mellitus in Konya,a central Anatolian city in Turkey[J].Diabetes Research&Clinical Practice,2005,(2):151-158.
[16]SIBAI A M,HWALLA N,ADRA N,et al.Prevalence and covariates of obesity in Lebanon:findings from the first epidemiological study[J].Obesity Research,2012,(11):1353-1361.
[17]LEDOUX M,LAMBERT J,REEDER B A,et al.Correlation between cardiovascular disease risk factors and simple anthropometric measures.Canadian Heart Health Surveys Research Group[J].CMAJ,1997,(1):46-53.
[18]RIMM E B,STAMPFER M J,GIOVANNUCCI E,et al.Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men[J].American Journal of Epidemiology,1995,(12):1117-1127.
[19]WINDHAM B G,FUMAGALLI S,BLE A,et al.The relationship between heart rate variability and adiposity fiffers for central and overall adiposity[J].Journal of Obesity,2012,(10):149-151.
[20]FOLSOM A R,KAYE S A,SELLERS T A,et al.Body fat distribution and 5-year risk of death in older women[J].JAMA,1993,(4):483-487.
[21]PATIL V C,PARALE G P,KULKARNI P M,et al.Relation of anthropometric variables to coronary artery disease risk factors[J].Indian J Endocrinol Metab,2011,(1):31-37.
[22]唐晓君,李革,张素华,等.不同体重指数和腰臀比与血糖、血脂、血压的关系[J].现代预防医学,2007,(21):4032-4034+4041.