在老年人中评估肉类肥胖症和3年死亡率的身体组成:一项比较研究
Yavuz Sultan Selim Akgul1, Sibel Akin1, Burcu Eren Cengiz1
1Division of Geriatrics, Department of Internal Medicine, Erciyes School of Medicine, Erciyes University, Kayseri, Türkiye.
JPEN. Journal of parenteral and enteral nutrition
|February 24, 2024
概括
肥胖症 (SO) 的定义各不相同,但体重指数 (BMI) 和身体脂肪百分比 (BF%) 有效地预测了老年人的死亡率. 在这项研究中,腰围 (WC) 与死亡率没有显著关联.
科学领域:
- 老年学是一门学科.
- 代谢疾病 代谢疾病
- 流行病学 流行病学
背景情况:
- 巨型肥胖症 (SO) 缺乏通用定义,导致患病率模两可.
- 了解SO对死亡率的影响对于老年护理至关重要.
研究的目的:
- 通过使用不同的定义,调查老年人中SO的患病率.
- 为了确定哪个SO定义最好预测所有原因的死亡率.
主要方法:
- 对584名年龄≥60岁的门诊患者的未来纵向随访.
- 根据EWGSOP2标准定义的肉类;按BMI (≥30 kg/m2),腰围 (WC) 或身体脂肪百分比 (BF%) 的肥胖.
- SO定义的比较及其与三年全因死亡率的关联.
主要成果:
- 麻症的流行率为38.5%. 这种疾病的患病率各不相同:15.3% (BMI),16.4% (WC) 和10.5% (BF%).
- 按BMI和BF%定义的SO显著预测了3年死亡率 (调整后的OR分别为2.73和1.43).
- 根据WC定义的SO与死亡率没有显著相关 (调整后OR为0.78).
结论:
- 体重指数 (BMI) 和体脂百分比 (BF%) 是定义老年门诊成年人的肥胖症的适当措施.
- 这些定义有助于识别死亡风险较高的个体.
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