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停止权衡:在NHANES中,当前吸烟者的脂肪增加
Alejandra Ellison-Barnes1, Hsin-Chieh Yeh1, Craig E Pollack1
1Department of Medicine, Johns Hopkins University, Baltimore, MD, United States of America.
Preventive medicine
|September 27, 2023
概括
在1976年至2018年期间,吸烟者中肥胖率显著增加. 体重管理策略对于成功戒烟至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管健康 心血管健康
背景情况:
- 肥胖率的上升可能与吸烟相互作用,这是由于共同的心血管风险和戒烟期间体重增加.
- 了解肥胖和吸烟流行病之间的相互作用对于公共卫生干预至关重要.
研究的目的:
- 为了评估随着时间的推移,当前吸烟者身体质量指数 (BMI),肥胖率和中心脂肪率的变化.
- 将这些趋势与以前和从未吸烟的人进行比较,以阐明肥胖和吸烟之间的关系.
主要方法:
- 利用了1976-2018年国家健康和营养检查调查 (NHANES) 数据.
- 根据吸烟状况对BMI,肥胖类别和中心脂肪度进行了员工调查加权,内部标准化分析.
- 通过使用非参数统计测试,评估了随时间的趋势.
主要成果:
- 在NHANES II和2017-2018之间,目前吸烟者的肥胖率从11.6%增加到36.3%.
- 当前吸烟者的平均BMI从24.7公斤/平方米上升到28.5公斤/平方米,而中心脂肪率从34.3%上升到54.1%.
- 尽管增加了,但目前的吸烟者与前吸烟者和从未吸烟者相比,肥胖和中心脂肪率较低.
结论:
- 从1976年到2018年,吸烟率下降,而所有吸烟群体 (现有,前任,从未吸烟) 的肥胖和脂肪增加.
- 目前超过三分之一的吸烟者符合肥胖标准,超过一半的人腰围升高.
- 将体重管理纳入戒烟计划是必不可少的.
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