在成年人中,体脂肪量,体脂肪量和心血管和全因死亡率之间的关联:NHANES 2003-2007年
Wenzhi Ma1, Huiping Zhu2, Xinyi Yu2
1School of Public Health, Wuhan University, Wuhan, China.
Frontiers in cardiovascular medicine
|June 5, 2023
概括
适度的体和体脂肪质量提供了对死亡的最大保护. 保持健康的体脂至关重要,特别是对于吸烟者,饮酒者和糖尿病患者来说.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 有限的证据存在于Android和gynoid脂肪质量对死亡率的预测价值.
- 区域性身体组成,特别是脂肪分布,可能在心血管疾病 (CVD) 和全因死亡风险方面发挥重要作用.
研究的目的:
- 为了研究机器人脂肪和骨头脂肪与心血管疾病 (CVD) 和全因死亡率之间的关联.
- 分析这些协会的国家健康和营养检查调查 (NHANES) 数据库中的数据.
主要方法:
- 利用20岁以上参与者的NHANES数据,使用双能X射线吸收计 (DEXA) 测量机器人和骨头脂肪.
- 收集的共同变量数据包括人口统计,生活方式因素和病史 (糖尿病,高血压).
- 采用考克斯回归分析,按关键共变量分层,以检查脂肪质四分位数与死亡结果之间的关系.
主要成果:
- 在完全调整的模型中,Android和gynoid脂肪质量的第三四分位数 (Q3) 显示了死亡率的最低危险比率 (HR).
- 在吸烟者和饮酒者中,安卓脂肪质量的第二四分位数 (Q2) 与最低的心血管疾病风险有关.
- 糖尿病患者的安卓脂肪质量增加和女性和60岁以上的个体的更高的骨头脂肪质量与降低死亡风险有关.
结论:
- 适度水平的安卓和gynoid脂肪质量 (Q3) 显示出对死亡率的最显著的保护作用.
- 特定的脂肪分布模式在各种人口和健康亚群中提供了差异性的保护,突出了身体成分在死亡率预测中的重要性.
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