正常体重中心肥胖:对糖尿病的影响
Xueshan Jin1, Jiajun Liu2, Qiuyu Cao1
1Nephropathy Center, The Affiliated Jiangmen TCM Hospital of Jinan University, Jiangmen, China.
Frontiers in nutrition
|October 9, 2023
概括
中部肥胖,即使有正常的体重指数 (BMI),也显著增加了糖尿病 (DM) 的风险. 这强调了评估腰围对于代谢健康的重要性,而不仅仅是BMI.
科学领域:
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
- 公共卫生 公共卫生
背景情况:
- 目前的肥胖指南主要使用体重指数 (BMI),经常忽视中心肥胖症.
- 有限的研究存在于正常体重中心肥胖和糖尿病 (DM) 风险之间的联系.
研究的目的:
- 调查各种肥胖模式之间的关联,包括正常体重的中心肥胖,以及患糖尿病 (DM) 的风险.
主要方法:
- 分析了26825名参与国家健康和营养检查调查 (NHANES) 的数据.
- 使用加权多变量逻辑回归模型来评估肥胖模式和DM风险之间的关系.
主要成果:
- 与没有中心肥胖的正常体重个体相比,正常体重的中心肥胖与DM风险增加2.37倍有关.
- 在男性中,正常体重的中心肥胖,中心肥胖的肥胖和单独的中心肥胖显示出类似的DM风险升高.
- 没有中心肥胖的超重男性的风险增加了1.21倍,而没有中心肥胖的肥胖男性的风险降低了 (OR:0.53).
结论:
- 中部肥胖症对糖尿病有很大的风险,无论BMI是否正常.
- 临床评估应考虑中心肥胖指标 (例如腰围) 与BMI一起进行全面的风险评估.
- 进一步的研究和临床指导方针应强调控制中心肥胖对于预防糖尿病的重要性.
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