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在生活在印度的亚洲印第安人中修订了肥胖的定义
Anoop Misra1, Naval K Vikram2, Amerta Ghosh3
1Fortis CDOC Center of Excellence for Diabetes, Metabolic Diseases and Endocrinology, New Delhi, India; National Diabetes Obesity and Cholesterol Foundation (N-DOC), New Delhi, India; Diabetes Foundation India, New Delhi, India.
Diabetes & metabolic syndrome
|January 15, 2025
概括
亚洲印第安人的新肥胖指南定义了基于肥胖和健康风险的两个阶段. 第1阶段涉及增加的体重指数 (BMI),而第2阶段包括额外的腰围和潜在的健康并发症,改善肥胖诊断.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 2009年关于亚洲印第安人肥胖的指南仅依赖身体质量指数 (BMI).
- 新的研究突出了亚洲印第安人的肥胖和早期出现的并发性疾病之间的联系.
- 在这个人群中准确诊断肥胖症时,BMI的局限性需要重新定义.
研究的目的:
- 为印度的亚洲印第安人重新定义肥胖标准.
- 提高肥胖诊断和风险评估的准确性.
- 为了促进肥胖的合理管理策略.
主要方法:
- 一个德尔菲过程,涉及印度肥胖专家.
- 通过电子邮件进行了五轮专家咨询.
- 通过谷歌表格管理的调查问题.
主要成果:
- 第1阶段 肥胖:脂肪增加 (BMI>23 kg/m2),没有器官功能或日常活动影响.
- 第2阶段 肥胖:高度的普遍和腹部肥胖影响身体和器官功能,导致功能限制和并发性疾病.
- 第二阶段标准:BMI>23 kg/m2加上腰围过大或腰与身高的比,和/或功能限制或并发症的症状.
结论:
- 改进的框架提高了确定亚洲印第安人肥胖和相关健康风险的准确性.
- 这一新的定义有助于促进肥胖的合理管理.
- 更新的标准与全球倡议对肥胖的新定义保持一致.
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