在澳大利亚原住民和托雷斯海峡岛民中,正常体重的中心肥胖和心脏代谢障碍
Kedir Y Ahmed1,2, Utpal K Mondal3, M Mamun Huda3
1Rural Health Research Institute, Charles Sturt University, Orange, NSW, 2800, Australia. kahmed@csu.edu.au.
BMC medicine
|February 21, 2025
概括
大约12%的正常体重指数 (BMI) 的澳大利亚土著人患有中心肥胖症,这是心脏代谢疾病的关键因素. 公共卫生战略必须识别和支持这些人,以便有效的早期干预.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 心脏代谢障碍是澳大利亚土著居民死亡率和健康差异的主要原因.
- 中心肥胖是代谢综合征的主要驱动因素.
- 这项研究研究了与中心肥胖相关的因素及其与澳大利亚土著人的心脏代谢状况的关联.
研究的目的:
- 调查与澳大利亚土著人中中心肥胖相关的因素.
- 确定正常体重中心肥胖和心脏代谢障碍之间的联系.
- 为了解决肥胖和相关疾病的公共卫生干预措施.
主要方法:
- 利用了2018-2019年全国原住民和托雷斯海峡岛民健康调查数据集.
- 包括4864个加权的土著成年人 (18岁以上).
- 通过正常的BMI和高腰围 (男性≥102厘米,女性≥88厘米) 定义正常体重的中心肥胖症;使用多级逻辑回归分析了与2型糖尿病,高血压,高胆固醇和心脏病的关联.
主要成果:
- 中部肥胖的发病率在男性中为46.2%,在女性中为67.7%.
- 身体不活动与男性中枢肥胖相关 (OR=1.34);饮料饮料消费与女性中枢肥胖相关 (OR=1.35).
- 正常体重中心肥胖症与女性高血压和高胆固醇的风险更高,男性2型糖尿病的风险更高.
结论:
- 大约有12%的正常BMI的澳大利亚土著人表现出中心肥胖.
- 仅仅身体质量指数 (BMI) 不足以识别患心脏代谢疾病高风险的人.
- 公共卫生倡议应针对具有正常BMI但中心肥胖症的个人进行早期干预.
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