McCarthy S N, Harrington K E, Kiely M, Flynn A, Robson P J, Livingstone M B, Gibney M J
Department of Clinical Medicine, Trinity Centre for Health Sciences, St. James's Hospital, Dublin, Ireland.
Public Health Nutr. 2001 Oct;4(5A):1099-106. doi: 10.1079/phn2001191.
To obtain measured anthropometric data for weight, height and other parameters not previously measured in the Irish population such as waist and hip circumferences and body composition.
A cross-sectional survey. Weight, height, waist circumference, hip circumference and body composition were measured according to standard procedures.
Northern Ireland and the Republic of Ireland, 1997-1999.
Random representative sample of 1379 adults aged 18-64 years.
With the exception of body fat, all anthropometric values were significantly higher for men than women (P<0.001). All measurements were significantly higher in the 36-50-year-old age group compared with 18-35 year olds. Height was the exception, which decreased significantly with age (P<0.05). Weight, height and body mass index (BMI) have increased in Ireland since last measured in 1988 and in 1990. Over the last decade, obesity has increased in men 2.5 fold from 8% to 20% and in women by 1.25 fold from 13% to 16%. Significantly more women have a normal BMI than men (50.4% vs. 33.3%; P<0.05). Cut-off points for a high waist circumference and high waist-to-hip ratio identified 47% and 33% of the population, respectively, to be at an increased risk for cardiovascular disease. Social class did not have any significant effect on mean BMI. Location of residence influenced BMI but not in any consistent manner. Ex-smokers had a significantly higher BMI than non-smokers and smokers (P<0.05).
A revision of current recommendations for combating obesity is warranted to improve the health of the Irish population. Further research is needed to identify the factors that have contributed to the dramatic increase in the prevalence of obesity in men over the last decade and have resulted in a higher prevalence of obesity in men than in women.
获取爱尔兰人群中体重、身高以及其他此前未测量过的参数(如腰围、臀围和身体成分)的实测人体测量数据。
横断面调查。按照标准程序测量体重、身高、腰围、臀围和身体成分。
北爱尔兰和爱尔兰共和国,1997 - 1999年。
1379名年龄在18 - 64岁的成年人的随机代表性样本。
除体脂外,所有人体测量值男性均显著高于女性(P<0.001)。与18 - 35岁年龄组相比,36 - 50岁年龄组的所有测量值均显著更高。身高是个例外,随年龄增长显著下降(P<0.05)。自1988年和1990年上次测量以来,爱尔兰的体重、身高和体重指数(BMI)有所增加。在过去十年中,男性肥胖率从8%增至20%,增长了2.5倍,女性肥胖率从13%增至16%,增长了1.25倍。BMI正常的女性显著多于男性(50.4%对33.3%;P<0.05)。高腰围和高腰臀比的切点分别确定47%和33%的人群心血管疾病风险增加。社会阶层对平均BMI没有显著影响。居住地点影响BMI,但无一致规律。已戒烟者的BMI显著高于非吸烟者和吸烟者(P<0.05)。
有必要修订当前对抗肥胖的建议,以改善爱尔兰人群的健康状况。需要进一步研究以确定导致过去十年男性肥胖患病率急剧上升且男性肥胖患病率高于女性的因素。