Seidell J C, Cigolini M, Charzewska J, Ellsinger B M, Deslypere J P, Cruz A
Department of Human Nutrition, Wageningen University, The Netherlands.
Int J Obes Relat Metab Disord. 1992 Jan;16(1):17-22.
It has been proposed that subcutaneous fat patterning assessed by skinfolds is measuring different aspects of fat distribution compared to circumferences and circumference ratios. In this study in 510 men born in 1950 selected from six European towns we compared the associations between five skinfolds, eight circumferences and several skinfold and circumference ratios and metabolic risk factors after adjustment for body mass index (BMI). All skinfolds were independently of BMI positively related to diastolic blood pressure. Waist circumferences at most levels were independently of BMI positively related to blood pressure and triglycerides and negatively to HDL-cholesterol. Circumferences at the levels of chest, hips, thigh and arm were not related to any of the risk factors studied. Waist/thigh ratios were generally more strongly and more consistently related to risk factors than waist/hip ratios. The partial correlations of anthropometric variables with risk factors were relatively weak and never exceeded r = 0.20. The results give an indication, however, that subcutaneous fat patterning is related to different risk factors compared to waist/hip ratios. Moreover, waist/thigh and waist circumference alone (measured either as the minimal circumference or midway between the lower rib margin and the iliac crest) were stronger correlates of cardiovascular risk factors compared to waist/hip ratio.
有人提出，通过皮褶厚度评估的皮下脂肪分布模式与通过周长及周长比评估的脂肪分布方面不同。在这项对来自欧洲六个城镇的510名1950年出生男性的研究中，我们比较了五项皮褶厚度、八项周长以及几项皮褶厚度与周长比和代谢风险因素之间在调整体重指数（BMI）后的关联。所有皮褶厚度均独立于BMI与舒张压呈正相关。大多数水平的腰围独立于BMI与血压和甘油三酯呈正相关，与高密度脂蛋白胆固醇呈负相关。胸部、臀部、大腿和手臂水平的周长与所研究的任何风险因素均无关联。腰/大腿比通常比腰/臀比与风险因素的关联更强且更一致。人体测量变量与风险因素的偏相关性相对较弱，从未超过r = 0.20。然而，结果表明，与腰/臀比相比，皮下脂肪分布模式与不同的风险因素相关。此外，与腰/臀比相比，单独的腰/大腿比和腰围（测量为最小周长或下肋缘与髂嵴之间的中点）与心血管风险因素的相关性更强。
