多重肥胖指数表明肥胖和便秘之间存在密切关系:来自NHANESES的证据
Nengjun Xiang1, Lulu Xu2, Haihua Qian3
1Department of Anorectal Surgery, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
BMC public health
|May 9, 2024
概括
肥胖会增加便秘的风险,特别是在较高的BMI,腰身高度比和脂质积累产品的情况下. 减少这些肥胖指标可能会降低便秘风险,而更高的体重调整腰部指数显示出保护作用.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 肥胖医学 肥胖医学
背景情况:
- 便秘是一种普遍的胃肠道问题,影响了相当一部分成年人群.
- 肥胖是一个日益严重的公共卫生问题,有许多相关的并发症.
- 肥胖和便秘之间的关系需要进一步调查,以确定特定的风险因素.
研究的目的:
- 调查各种肥胖指数与美国成年人便秘患病率之间的关联.
- 确定与便秘风险增加或降低相关的特定肥胖指标.
主要方法:
- 利用来自国家健康和营养检查调查 (NHANES) 的数据进行大规模分析.
- 采用多变量逻辑回归,子组分析和受限立方线来评估相关性.
- 研究了身体质量指数 (BMI),腰身高比 (WSR),脂质积累产物 (LAP) 和体重调整腰部指数 (WWI) 与便秘之间的关系.
主要成果:
- 便秘的加权流行率为9.42%.
- 便秘风险增加与BMI>28 kg/m2,WSR在58.3-64.8或>64.8之间,LAP在50.8-90.1.1之间相关.
- 降低便秘风险与第一次世界大战之间的0.015-0.020或>0.020有关,并且没有中心肥胖症. 在BMI,WSR,LAP和便秘之间观察到非线性关系.
结论:
- 减少BMI,WSR,LAP和腰围可能会降低便秘的风险.
- 较高的WWI与较低的便秘风险有关,独立于其他变量.
- 这项研究强调了肥胖指标和便秘之间的复杂相互作用,为有针对性的干预提供了见解.
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