人体测量指标作为中国城市人群心血管危险因素的预测因素
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摘要
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,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,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.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,Conclusion:Our data indicated that WHR and WHtR 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.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,Conclusion:Our data indicated that WHR and WHtR were the anthropometric indicators that best predicted CVD risk factors in men and WHR and WC in women.
引文
[1]http://www.cdctj.com.cn/main/shownews.phptblName=A0015_10&storepk=36&newsid=28189[EB/OL].
[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 JC,Verschuren WM,van Leer EM,Kromhout D.Overweight,underweight,and mortality:aprospective study of 48287men and women[J].Arch Intern Med.,1996,156(9):958-63.
[4]胡盛寿,孔灵芝,等.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 CY,Kang YG,Suh YS,et al.A model for estimating body shape biological age based on clinical parameters associated with body composition[J].Clin Interv Aging.,2013,8:11-8.
[6]Tybor DJ,Lichtenstein AH,Dallal GE,et al.Independent effects of age-related changes in waist circumference and BMI z scores in predicting cardiovascular disease risk factors in a prospective cohort of adolescent females[J].Am J Clin Nutr.,2011,93(2):392-401.
[7]Hadaegh F,Zabetian A,Harati H,et al.Waist/height ratio as a better predictor of type 2diabetes compared to body mass index in Tehranian adult men--a 3.6-year prospective study[J].Exp Clin Endocrinol Diabetes,2006,114(6):310-5.
[8]Tantisira KG,Litonjua AA,Weiss ST,et al.Association of body mass with pulmonary function in the Childhood Asthma Management Program(CAMP)[J].Thorax,2003,58(12):1036-41.
[9]Bouguerra R,Alberti H,Smida H,et al.Waist circumference cut-off points for identification of abdominal obesity among the tunisian adult population[J].Diabetes Obes Metab,2007,9(6):859-68.
[10]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.
[11]周北凡,武阳丰,赵连成,等.我国中年人群向心性肥胖和心血管病危险因素及其聚集性[J].中华心血管病杂志,2001(2):9-12.
[12]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,2010,31(15501):151.
[13]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[M].北京:中国儿童青少年肥胖问题研讨会,2003.
[14]Physical status:the use and interpretation of anthropometry.Report of a WHO Expert Committee[J].World Health Organ Tech Rep Ser.,1995,854:1-452.
[15]Jackson AS,Pollock ML.Generalized equations for predicting body density of men[J].Br J Nutr.,1978,40(3):497-504.
[16]Jackson AS,Pollock ML,Ward A.Generalized equations for predicting body density of women[J].Med Sci Sports Exerc,1980,12(3):175-81.
[17]Friedewald WT,Levy RI,Fredrickson DS.Estimation of the concentration of low-density lipoprotein cholesterol in plasma,without use of the preparative ultracentrifuge[J].Clin Chem.,1972,18(6):499-502.
[18]Kannel WB,D’Agostino RB,Cobb JL.Effect of weight on cardiovascular disease[J].Am J Clin Nutr.,1996,63(3):419S-422S.
[19]Galal OM.The nutrition transition in Egypt:obesity,under nutrition and the food consumption context[J].Public Health Nutr.,2002,5(1A):141-8.
[20]Yumuk VD,Hatemi H,Tarakci T,et al.High prevalence of obesity and diabetes mellitus in Konya,a central Anatolian city in Turkey[J].Diabetes Res Clin Pract.,2005,70(2):151-8.
[21]Erem C,Arslan C,Hacihasanoglu A,et al.Prevalence of obesity and associated risk factors in a Turkish population(Trabzon city,Turkey)[J].Obes Res.,2004,12(7):1117-27.
[22]Sibai AM,Hwalla N,Adra N,Rahal B.Prevalence and covariates of obesity in Lebanon:findings from the first epidemiological study[J].Obes Res.,2003,11(11):1353-61.
[23]Ledoux M,Lambert J,Reeder BA,et al.Correlation between cardiovascular disease risk factors and simple anthropometric measures.Canadian Heart Health Surveys Research Group[J].CMAJ.,1997,157(Suppl 1):S46-53.
[24]Rimm EB,Stampfer MJ,Giovannucci E,et al.Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men[J].Am J Epidemiol.,1995,141(12):1117-27.
[25]Windham BG,Fumagalli S,Ble A,et al.The Relationship between Heart Rate Variability and Adiposity Differs for Central and Overall Adiposity[J].J Obes.,2012:149516.
[26]Folsom AR,Kaye SA,Sellers TA,et al.Body fat distribution and 5-year risk of death in older women[J].JAMA.,1993,269(4):483-7
[27]Patil VC,Parale GP,Kulkarni PM,et al.Relation of anthropometric variables to coronary artery disease risk factors[J].Indian J Endocrinol Metab.,2011,15(1):31-7.
[28]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.
[29]Howel D.Waist circumference and abdominal obesity among older adults:patterns,prevalence and trends[J].PLoS One.2012,7(10):e48528.
[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 JC,Verschuren WM,van Leer EM,Kromhout D.Overweight,underweight,and mortality:aprospective study of 48287men and women[J].Arch Intern Med.,1996,156(9):958-63.
[4]胡盛寿,孔灵芝,等.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 CY,Kang YG,Suh YS,et al.A model for estimating body shape biological age based on clinical parameters associated with body composition[J].Clin Interv Aging.,2013,8:11-8.
[6]Tybor DJ,Lichtenstein AH,Dallal GE,et al.Independent effects of age-related changes in waist circumference and BMI z scores in predicting cardiovascular disease risk factors in a prospective cohort of adolescent females[J].Am J Clin Nutr.,2011,93(2):392-401.
[7]Hadaegh F,Zabetian A,Harati H,et al.Waist/height ratio as a better predictor of type 2diabetes compared to body mass index in Tehranian adult men--a 3.6-year prospective study[J].Exp Clin Endocrinol Diabetes,2006,114(6):310-5.
[8]Tantisira KG,Litonjua AA,Weiss ST,et al.Association of body mass with pulmonary function in the Childhood Asthma Management Program(CAMP)[J].Thorax,2003,58(12):1036-41.
[9]Bouguerra R,Alberti H,Smida H,et al.Waist circumference cut-off points for identification of abdominal obesity among the tunisian adult population[J].Diabetes Obes Metab,2007,9(6):859-68.
[10]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.
[11]周北凡,武阳丰,赵连成,等.我国中年人群向心性肥胖和心血管病危险因素及其聚集性[J].中华心血管病杂志,2001(2):9-12.
[12]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,2010,31(15501):151.
[13]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[M].北京:中国儿童青少年肥胖问题研讨会,2003.
[14]Physical status:the use and interpretation of anthropometry.Report of a WHO Expert Committee[J].World Health Organ Tech Rep Ser.,1995,854:1-452.
[15]Jackson AS,Pollock ML.Generalized equations for predicting body density of men[J].Br J Nutr.,1978,40(3):497-504.
[16]Jackson AS,Pollock ML,Ward A.Generalized equations for predicting body density of women[J].Med Sci Sports Exerc,1980,12(3):175-81.
[17]Friedewald WT,Levy RI,Fredrickson DS.Estimation of the concentration of low-density lipoprotein cholesterol in plasma,without use of the preparative ultracentrifuge[J].Clin Chem.,1972,18(6):499-502.
[18]Kannel WB,D’Agostino RB,Cobb JL.Effect of weight on cardiovascular disease[J].Am J Clin Nutr.,1996,63(3):419S-422S.
[19]Galal OM.The nutrition transition in Egypt:obesity,under nutrition and the food consumption context[J].Public Health Nutr.,2002,5(1A):141-8.
[20]Yumuk VD,Hatemi H,Tarakci T,et al.High prevalence of obesity and diabetes mellitus in Konya,a central Anatolian city in Turkey[J].Diabetes Res Clin Pract.,2005,70(2):151-8.
[21]Erem C,Arslan C,Hacihasanoglu A,et al.Prevalence of obesity and associated risk factors in a Turkish population(Trabzon city,Turkey)[J].Obes Res.,2004,12(7):1117-27.
[22]Sibai AM,Hwalla N,Adra N,Rahal B.Prevalence and covariates of obesity in Lebanon:findings from the first epidemiological study[J].Obes Res.,2003,11(11):1353-61.
[23]Ledoux M,Lambert J,Reeder BA,et al.Correlation between cardiovascular disease risk factors and simple anthropometric measures.Canadian Heart Health Surveys Research Group[J].CMAJ.,1997,157(Suppl 1):S46-53.
[24]Rimm EB,Stampfer MJ,Giovannucci E,et al.Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men[J].Am J Epidemiol.,1995,141(12):1117-27.
[25]Windham BG,Fumagalli S,Ble A,et al.The Relationship between Heart Rate Variability and Adiposity Differs for Central and Overall Adiposity[J].J Obes.,2012:149516.
[26]Folsom AR,Kaye SA,Sellers TA,et al.Body fat distribution and 5-year risk of death in older women[J].JAMA.,1993,269(4):483-7
[27]Patil VC,Parale GP,Kulkarni PM,et al.Relation of anthropometric variables to coronary artery disease risk factors[J].Indian J Endocrinol Metab.,2011,15(1):31-7.
[28]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.
[29]Howel D.Waist circumference and abdominal obesity among older adults:patterns,prevalence and trends[J].PLoS One.2012,7(10):e48528.