Mascie-Taylor C G
Department of Biological Anthropology, University of Cambridge, UK.
Ann Hum Biol. 2000 May-Jun;27(3):239-48. doi: 10.1080/030144600282127.
The relationship between five anthropometric measures (body mass index, waist to hip ratio, conicity index, waist circumference and waist to height ratio) and seven cardiovascular risk factors (total cholesterol, high and low density lipoprotein cholesterol, ratio of total cholesterol to high density lipoprotein and ratio of high density lipoprotein to low density lipoprotein cholesterol, systolic and diastolic blood pressure), were studied in 165 men and 202 women aged between 40 and 69 years living in an urban area of Cambridge, UK. Inter-correlations between the anthropometric measures varied between 0.34 and 0.92 and were generally higher in males than females. Tests of homogeneity of the five correlation coefficients for each risk factor revealed no significant heterogeneity for males, but significant differences for high density lipoprotein and ratio of total cholesterol to high density lipoprotein were found in females. Waist to hip ratio showed the highest correlations with the risk factors in women (3 out of 7), but no consistent pattern was found for males. Males had significantly lower cholesterol, low density lipoprotein cholesterol levels than females for any given waist to hip ratio and conicity index, waist circumference and waist to height ratio. In addition, men also had lower total cholesterol to high density lipoprotein cholesterol and high density lipoprotein cholesterol to low density lipoprotein cholesterol levels for waist to hip ratio or conicity index.
在英国剑桥市区生活的165名男性和202名年龄在40至69岁之间的女性中,研究了五项人体测量指标(体重指数、腰臀比、锥度指数、腰围和腰高比)与七种心血管危险因素(总胆固醇、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇、总胆固醇与高密度脂蛋白的比率以及高密度脂蛋白与低密度脂蛋白胆固醇的比率、收缩压和舒张压)之间的关系。人体测量指标之间的相互关联在0.34至0.92之间变化,且一般男性高于女性。对每个危险因素的五个相关系数进行的同质性检验显示,男性不存在显著的异质性,但女性在高密度脂蛋白以及总胆固醇与高密度脂蛋白的比率方面存在显著差异。腰臀比与女性的危险因素显示出最高的相关性(7项中有3项),但男性未发现一致的模式。对于任何给定的腰臀比、锥度指数、腰围和腰高比,男性的胆固醇、低密度脂蛋白胆固醇水平显著低于女性。此外,对于腰臀比或锥度指数,男性的总胆固醇与高密度脂蛋白胆固醇以及高密度脂蛋白胆固醇与低密度脂蛋白胆固醇水平也较低。