两个新的腹部脂肪指标在慢性腹中的独立作用
Shiming Chen1,2, Jingxia Zhang1,2, Yingxue Niu1,2
1College of Nursing, Anhui University of Chinese Medicine, Hefei, China.
Frontiers in medicine
|August 13, 2025
概括
新的研究表明,身体形状指数 (ABSI) 和身体圆形指数 (BRI) 可能预测慢性腹风险. 这些新的肥胖指标显示出比传统的BMI更强烈的关联.
科学领域:
- 肥胖和代谢健康研究研究.
- 胃肠道疾病流行病学
- 生物识别分析和健康预测
背景情况:
- 肥胖是慢性腹的已知危险因素之一.
- 内脏脂肪的积累,而不仅仅是总体脂肪,越来越多地与肠道功能障碍有关.
- 传统的身体质量指数 (BMI) 无法捕捉脂肪分布,限制了其在与肥胖相关的研究中的实用性.
研究的目的:
- 调查新型人体指数,身体形状指数 (ABSI) 和身体圆形指数 (BRI) 与慢性腹之间的关联.
- 评估ABSI和BRI作为评估肥胖相关腹风险的潜在临床工具.
- 在慢性腹的背景下,探索ABSI和BRI超越传统BMI的预测价值.
主要方法:
- 利用美国国家健康检查调查 (NHANES) 肠道健康问卷 (BHQ) (2005-2010) 的数据.
- 定义的慢性腹使用布里斯托尔便尺度类型6和7.
- 使用加权后勤回归,趋势分析,灵活的限制立方线 (RCS) 模型和接收器运行特征 (ROC) 曲线来分析关联和预测性能.
主要成果:
- 在较高的身体圆化指数 (BRI) 百分位数和慢性腹发病率增加 (OR=1.13每单位增加) 之间观察到显著的剂量反应关系.
- 更高的身体形状指数 (ABSI) 也与慢性腹的风险增加有关 (OR=1.35每0.01单位增加).
- 亚组分析显示,BRI或ABSI与年龄,性别,种族或常见的并发症 (心血管疾病,糖尿病,高血压) 没有显著的相互作用效应.
结论:
- 身体形状指数 (ABSI) 和身体圆形指数 (BRI) 被确定为慢性腹的潜在有价值的临床预测指标.
- 与BMI相比,这些新型指标可以更好地评估腹部和内脏脂肪,从而预测腹风险.
- 这些发现表明,在与肥胖相关的胃肠道疾病中,临床风险评估的新途径.
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