Landaeta-Jiménez Maritza, Pérez Betty M, Escalante Ynay
Fundacredesa, Instituto de Investigaciones Económicas y Sociales, FACES, UCV, Caracas, Venezuela.
Arch Latinoam Nutr. 2002 Jun;52(2):128-36.
Adiposity and distribution of body fat are important issues in the prediction of degenerative diseases. Measurements of weight, height, circumferences of thigh, waist and hip; triceps, biceps, subscapular and suprailiac skinfolds; body mass index (BMI), centripetal index (CI), waist/hip (WHR), waist/thigh (WTR) ratios and sigma skinfold thickness (sigma SK) were performed in 836 youths (373 males, 463 females) aged 11, 13 and 15 years. Analysis method included Student t test, ANOVA, Principal Component Analysis and simple linear regression model, with sigma skinfold thickness as independent variable. The sample was divided in two groups (A and B) according with Graffar-Méndez Castellano methodology. Sexual dimorphism in adiposity and differences in body fat distribution were found with a tendency towards peripherical distribution for girls and centripetal for boys. Group A (higher stratum) showed higher values of skinfolds in both trunk and extremities, and a more peripherical distribution than his peers from group B. First component from extremity/trunk and second component from upper/inferior trunk distribution explained 40.2% and 32.7% of the variability respectively. CI and WHR appear dependent from BMI, WHR showed independence from BMI, although significant differences was found by social stratum, reflecting differences in fat topography in boys and girls from group B. These results confirm more adiposity in group A and a tendency towards central distribution in group B. Studies of body fat distribution during these age should include waist/thigh ratio.
肥胖及体脂分布是预测退行性疾病的重要问题。对836名11岁、13岁和15岁的青少年(373名男性,463名女性)进行了体重、身高、大腿、腰围和臀围测量;肱三头肌、肱二头肌、肩胛下和髂上皮肤褶皱测量;身体质量指数(BMI)、向心性指数(CI)、腰臀比(WHR)、腰大腿比(WTR)以及皮褶厚度总和(sigma SK)测量。分析方法包括学生t检验、方差分析、主成分分析和以皮褶厚度总和为自变量的简单线性回归模型。根据格拉法尔 - 门德斯·卡斯特利亚诺方法将样本分为两组(A组和B组)。发现肥胖方面存在性别差异以及体脂分布差异,女孩有外周分布倾向,男孩有向心性分布倾向。A组(较高阶层)在躯干和四肢的皮褶值更高,且比B组同龄人有更外周的分布。来自四肢/躯干的第一成分和来自上/下躯干分布的第二成分分别解释了40.2%和32.7%的变异性。CI和WHR似乎依赖于BMI,WHR显示出与BMI的独立性,尽管按社会阶层发现了显著差异,这反映了B组男孩和女孩脂肪分布情况的差异。这些结果证实A组肥胖程度更高,B组有向心性分布倾向。在这些年龄段对体脂分布的研究应包括腰大腿比。