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成年人的代谢健康和体重指数表型
Tracey Bushnik1, Rachel Colley1, Joel Barnes1
1Health Analysis and Modelling Division, Statistics Canada.
Health reports
|October 1, 2025
概括
加拿大四分之一的成年人表现出代谢不健康 (MU) 现型,特别是那些肥胖或超重的人. 这些情况与较差的一般健康状况和增加的全身炎症有关,强调了有针对性的健康促进的必要性.
科学领域:
- 代谢健康 代谢健康
- 肥胖问题研究研究
- 公共卫生 公共卫生
背景情况:
- 肥胖和代谢健康的相互作用对于健康的分类至关重要.
- 联合表型将个人定义为在BMI类别中代谢健康 (MH) 或代谢不健康 (MU).
- 了解这些表型是解决肥胖相关健康问题的关键.
研究的目的:
- 检查加拿大成年人中MH/MU表型的流行率.
- 确定与这些表型相关的因素.
- 研究表型与不良健康结果之间的关系.
主要方法:
- 使用的加拿大健康措施调查数据 (2014-2019) 针对20-79岁的成年人.
- 根据五种代谢风险因素中的至少三种 (腰围,甘油三,高密度胆固醇,血压,禁食葡萄糖) 定义的MU.
- 通过将BMI (正常,超重,肥胖) 与MH/MU状态相结合,创建了六种联合表型;使用后勤回归分析了与健康状况和发病率的关联.
主要成果:
- 每四个加拿大成年人中就有一人呈现为肥胖或超重的MU.
- 现型的流行率随着年龄的增长而增加.
- 代谢不健康的肥胖成年人比代谢健康的肥胖成年人报告更糟糕的整体健康状况的可能性是1.8倍.
- 大人的MU (肥胖或超重) 显示系统性炎症比MH同行高1.2倍.
- 较高的BMI与系统性炎症的增加相关,无论代谢健康状况如何.
结论:
- 在加拿大成年人中,特别是老年人中,代谢不健康的表型很常见.
- 这些表型与自我报告的健康状况较差和系统性炎症升高有关.
- 研究结果强调,在风险评估和健康促进策略中考虑BMI和代谢健康的重要性.
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