在腹部肥胖和正常体重指数的成年人中心脏代谢结果
Kedir Y Ahmed1,2, Setognal B Aychiluhm1,3, Subash Thapa1
1Rural Health Research Institute, Charles Sturt University, Orange, New South Wales, Australia.
JAMA network open
|October 17, 2025
概括
全球有超过1/5的正常体重指数 (BMI) 的成年人患有腹部肥胖. 这凸显了评估腰围的必要性,以确定除了BMI之外的心脏代谢风险.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 心脏病学 心脏病学
背景情况:
- 心脏代谢障碍是全球死亡率和残疾的主要原因.
- 腹部肥胖是这些情况的重要贡献者.
- 关于正常体重腹部肥胖及其心脏代谢关联的数据有限.
研究的目的:
- 为了确定正常体重腹部肥胖的全球患病率.
- 调查正常体重腹部肥胖和心脏代谢结果之间的关联.
主要方法:
- 采用世界卫生组织从91个国家的STEPwise调查 (2000-2020) 进行的横截面研究.
- 包括471,228名年龄在15-69岁或18-69岁之间的成年人.
- 正常体重腹部肥胖症定义为正常的BMI (18.5-24.9) 和高腰围;通过后勤回归评估结果.
主要成果:
- 在全球范围内,21.7%的正常BMI个体患有腹部肥胖,区域差异 (15.3%西太平洋至32.6%东地中海).
- 流行率因国家而异 (黎巴嫩58.4%,莫桑比克6.9%).
- 在正常体重的腹部肥胖与高血压 (OR 1.29),糖尿病 (OR 1.81),高胆固醇 (OR 1.39) 和高甘油三 (OR 1.56) 相关.
结论:
- 全球有超过1/5的正常BMI的成年人表现出腹部肥胖.
- 单独的BMI不足以识别高心脏代谢风险的个体.
- 调查结果为全球卫生战略提供信息,以预防非传染性疾病.
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