加那利群岛某社区的肥胖患病率。与2型糖尿病的关联：吉亚研究

Prevalence of obesity in a Canarian community. Association with type 2 diabetes mellitus: the Guía Study.

作者信息

De Pablos-Velasco P L, Martínez-Martín F J, Rodríguez-Pérez F

机构信息

Department of Endocrinology, Hospital Dr Negrín, Las Palmas de Gran Canaria, Spain.

出版信息

Eur J Clin Nutr. 2002 Jun;56(6):557-60. doi: 10.1038/sj.ejcn.1601401.

DOI:10.1038/sj.ejcn.1601401

PMID:12032657

Abstract

OBJECTIVE

We sought to estimate the prevalence of obesity and central obesity, and their association with type 2 diabetes mellitus in the Canarian community of Guía.

DESIGN AND SETTING

Population-based study.

SUBJECTS

A random sample of 691 subjects over 30 y old (stratified by age and sex) was studied. DATA AND MEASURES: Age, sex, family history of diabetes and medication use were obtained, height, weight and waist circumference were measured and standard oral glucose tolerance tests were performed

RESULTS

The prevalences of obesity/central obesity were 36.5%/66.5% (women) and 23.6%/32.0% (men). The prevalence of diabetes was 21.0% (women) and 18.4% (men). These rank among the highest in Europe. Bivariate analyses show a strong association of both obesity and central obesity with diabetes mellitus (P<0.001), but in a multivariate model, waist circumference (P<0.001) but not body mass index (P=0.212) was retained as an independent predictor of diabetes.

CONCLUSION

The prevalences of obesity, central obesity and diabetes in our community are extremely high, and central obesity is a better predictor of diabetes than obesity.

摘要

目的

我们试图估算在瓜伊亚加那利人群体中肥胖症和中心性肥胖症的患病率，以及它们与2型糖尿病的关联。

设计与研究地点

基于人群的研究。

研究对象

对691名30岁以上的受试者（按年龄和性别分层）进行随机抽样研究。数据与测量指标：记录年龄、性别、糖尿病家族史和用药情况，测量身高、体重和腰围，并进行标准口服葡萄糖耐量试验。

结果

肥胖症/中心性肥胖症的患病率在女性中为36.5%/66.5%，在男性中为23.6%/32.0%。糖尿病的患病率在女性中为21.0%，在男性中为18.4%。这些患病率在欧洲位居前列。双变量分析显示，肥胖症和中心性肥胖症均与糖尿病有很强的关联（P<0.001），但在多变量模型中，腰围（P<0.001）而非体重指数（P=0.212）被保留为糖尿病的独立预测因子。