印度的正常体重中心肥胖和高血压:来自LASI的横截面发现,2017-19年
Sayani Das1, Vaidehi Goswami2, Shivani Chandel2
1Department of Health Research, International Institute of Health Management Research, New Delhi 110075, India.
Nutrition, metabolism, and cardiovascular diseases : NMCD
|August 6, 2023
概括
在印度,正常体重中心肥胖 (NWCO) 与高血压风险有关. 这种在女性中很常见的情况,需要注意的不仅仅是身体质量指数 (BMI) 对于心血管健康.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 目前的肥胖指南侧重于身体质量指数 (BMI),经常忽视中心肥胖症.
- 正常体重中心肥胖 (NWCO) 是印度高血压的普遍但未被充分研究的危险因素.
- 中部肥胖症的特点是腹部脂肪过多,不论整体体重如何,都会给健康带来重大风险.
研究的目的:
- 为了确定印度人口中正常体重中心肥胖 (NWCO) 的患病率.
- 为了调查NWCO和高血压之间的关联.
- 为有针对性的公共卫生干预提供州特定数据.
主要方法:
- 采用印度长度衰老研究 (LASI, 2017-19) 的数据进行的横截面研究.
- 包括54,016名参与者 (22,438名男性,31,578名女性).
- 使用JNC-VIII指南评估高血压;通过人类测量确定NWCO;进行后勤回归分析.
主要成果:
- 女性 (33.9%) 的NWCO患病率高于男性 (17.8%).
- 男性的高血压患病率比女性 (43.8%) 高 (47.6%).
- 在两性中,NWCO与高血压风险的增加显著相关 (男性的aOR为1.57,女性为1.53).
结论:
- 正常体重个体的中心肥胖是高血压风险评估的关键因素.
- 公共卫生战略应该与BMI一起纳入中央肥胖评估.
- 关于NWCO患病率的州特定数据可以指导局部预防和管理高血压.
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