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在多民族人口中定义肥胖度切割点
Fahad Razak1, Sonia S Anand, Harry Shannon
1Population Health Research Institute, McMaster University, Hamilton, ON, Canada.
Circulation
|April 11, 2007
概括
标准体重指数 (BMI) 切割点对于肥胖可能不适用于所有种族群体. 这项研究发现,与欧洲人相比,南亚人,中国人和土著人的代谢风险BMI值较低.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 人口健康 人口健康
背景情况:
- 体重指数 (BMI) 是评估心血管疾病和2型糖尿病风险的常见指标.
- 目前的肥胖度切割点 (BMI>30 kg/m2) 基于欧洲人口.
- 这些BMI切割点对非欧洲人口的适用性是不确定的.
研究的目的:
- 评估与不同种族群体的BMI相关的代谢风险.
- 确定是否需要特定种族的BMI切割点来准确地分类肥胖.
主要方法:
- 一项涉及1078名来自加拿大的南亚,中国,土著和欧洲族群的参与者的研究.
- 主要成分因子分析应用于14个心脏代谢标志物.
- 根据潜在因素推导种族特异性BMI切割点.
主要成果:
- 三个潜伏因素解释了葡萄糖,脂质和血压标记物中56%的变化.
- 与欧洲人相比,南亚人,中国人和土著人在较低的BMI下表现出更高的心脏代谢风险.
- 基于葡萄糖和脂质因素的肥胖度切割点在非欧洲群体中大约低6公斤/平方米.
结论:
- 对于南亚,中国和土著人口而言,现有的BMI肥胖度切割点可能需要修订.
- 实施修订后的切断点可能会揭示这些群体中肥胖相关代谢障碍的患病率更高.
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