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是非中心肥胖是代谢上良性的吗? 从人口调查中对预防的影响
1Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
JAMA
|December 27, 1995
概括
腰部和部比例较低的整体肥胖症在代谢上是不安全的. 体重指数 (BMI) 在预测代谢风险方面与腰比 (WHR) 同样重要,这突显了减肥教育的必要性.
科学领域:
- 心血管健康 心血管健康
- 代谢综合征是代谢综合征的一种.
- 肥胖问题研究研究
背景情况:
- 中部肥胖症,以高腰比 (WHR) 表示,与不良的代谢状况有关.
- 低WHR患者的整体肥胖 (用体重指数,BMI测量) 的代谢影响需要进一步研究.
研究的目的:
- 调查总体肥胖但腰部和部比例较低的个体是否表现出不利的脂质样本,血压和葡萄糖状况.
- 为了比较BMI和WHR对代谢健康指标的预测能力.
主要方法:
- 从曼尼托巴心脏健康调查中对2,792名成年人 (18-74岁) 进行横截面研究.
- 临床检查包括测量血压,禁食血葡萄糖,总胆固醇,甘油三,高密度胆固醇和低密度胆固醇.
- 分析了数据,比较了BMI和WHR类别的代谢变量.
主要成果:
- 非中心肥胖 (低WHR的整体肥胖) 显示了非肥胖和中心肥胖个体之间的代谢特征.
- BMI和WHR都是大多数代谢变量的显著独立预测指标.
- 在预测模型中,BMI通常是比WHR更强的预测指标.
结论:
- 非中心肥胖症在代谢上不是良性的,并带有重大健康风险.
- 在预测代谢结果方面,整体肥胖 (BMI) 与中心肥胖 (WHR) 同样重要,有时甚至更重要.
- 对非中心肥胖个体来说,强调减肥的健康教育至关重要.
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