まとめ
ボディ・マス・インデックス (BMI) と腰と身長の比率 (WHtR) は高血圧のリスクを効果的に特定します. しかし,南アジアでは低BMIでWHtRが高く,肥満の分布が異なることを示す地域差がある.
科学分野:
- 公衆衛生
- エピデミオロジー
- 人体測定法
背景:
- 肥満の測定は健康の評価に不可欠です.
- ボディ・マス・インデックス (BMI) と腰と身長の比率 (WHtR) のような腹部脂肪指数は一般的な指標です.
- 肥満の地域的な違いを理解することは 標的を絞った健康介入の鍵です
研究 の 目的:
- BMIとWHtRの関連性を調査する.
- 高血圧と高血圧のない人を区別するBMIとWHtRの能力を定量化する.
- 肥満の分布と高血圧との関係における地域差を調査する.
主な方法:
- 1990年から2023年のBMI,WHtR,および世界の8つの地域からの成人 (20〜64歳) の高血圧に関するデータを活用した.
- グラフィカルな比較,ピアソンの相関,および混合効果の線形回帰を用いた.
- C統計と純再分類改善 (NRI) を使用して差別を評価した.
主要な成果:
- BMIとWHtRの強い相関 (0. 76- 0. 89) が地域内で観察された.
- 南アジア,ラテンアメリカ,中央アジア/中東/北アフリカでは,西部の地域と比較して平均WHtRが高い.
- BMIとWHtRの両方とも,高血圧の特定において,類似した中等から高い精度を示し,併用するとわずかな改善が見られた.
結論:
- BMIとWHtRは,成人における高血圧リスクを特定するための貴重なツールです.
- BMIとWHtRの解釈に影響を与える,肥満の分布における重要な地域差がある.
- 効果的な高血圧管理のための 人体測定法におけるこれらの地域的差異は公衆衛生戦略で考慮されるべきである.
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