Ghosh Arnab
Biomedical Research Laboratory, Department of Anthropology, Visva Bharati University, Santiniketan, West Bengal, India.
Anthropol Anz. 2009 Mar;67(1):83-93. doi: 10.1127/0003-5548/2009/0010.
The present investigation was aimed to compare anthropometric, metabolic and dietary fatty acids profiles in lean and obese postmenopausal diabetic Asian Indian women. A total of 125 postmenopausal Asian Indian women (Group I: lean postmenopausal control, n = 50; Group II: lean postmenopausal diabetic, n = 40 and Group III: obese postmenopausal diabetic, n = 35) aged 40 years and above were studied. Anthropometric [height, weight, waist (WC) and hip circumference] metabolic [total cholesterol (TC), triglyceride (TG), high (HDL), low density lipoprotein (LDL) and fasting plasma glucose (FPG)] and dietary profiles were collected from each participant. Body mass index (BMI), waist-hip ratio (WHR) and conicity index (CI) were subsequently computed. Obesity was defined as women having a BMI > or = 25 kg/m2. An open-ended 24 h food recall schedule was used to collect nutrient information from each participant. Daily intake of nutrients including saturated (SFA), monounsaturated (MUFA) and polyunsaturated fatty acids (PUFA) were also estimated on weekly and monthly basis. Group I had significantly lower mean than both Group II and Group III for WC, WHR, CI, TC, TG, LDL, FPG and total carbohydrates. On the other hand, Group I had significantly greater mean than both Group II and Group III for UFA/SFA, MUFA/SFA and PUFA/SFA. Discriminant analysis had revealed that overall 88% of all cases were correctly (positively) classified in three groups using fatty acids and their ratios. It seems reasonable to argue that while dealing with postmenopausal diabetic women, clinicians should consider obesity measures, lipids and dietary fatty acids simultaneously to better comprehend clinical assessments and risk stratification.
本研究旨在比较绝经后亚洲印度裔糖尿病女性中消瘦和肥胖者的人体测量学、代谢及膳食脂肪酸谱。共研究了125名40岁及以上的绝经后亚洲印度裔女性(第一组:消瘦绝经后对照组,n = 50;第二组:消瘦绝经后糖尿病组,n = 40;第三组:肥胖绝经后糖尿病组,n = 35)。收集了每位参与者的人体测量学数据[身高、体重、腰围(WC)和臀围]、代谢数据[总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)和空腹血糖(FPG)]以及膳食数据。随后计算了体重指数(BMI)、腰臀比(WHR)和锥度指数(CI)。肥胖定义为BMI≥25 kg/m²。采用开放式24小时食物召回计划收集每位参与者的营养信息。还每周和每月估算包括饱和脂肪酸(SFA)、单不饱和脂肪酸(MUFA)和多不饱和脂肪酸(PUFA)在内的每日营养素摄入量。第一组的WC、WHR、CI、TC、TG、LDL、FPG和总碳水化合物的平均水平显著低于第二组和第三组。另一方面,第一组的不饱和脂肪酸/饱和脂肪酸(UFA/SFA)、单不饱和脂肪酸/饱和脂肪酸(MUFA/SFA)和多不饱和脂肪酸/饱和脂肪酸(PUFA/SFA)的平均水平显著高于第二组和第三组。判别分析显示,总体而言,88%的病例使用脂肪酸及其比例可正确(阳性)分为三组。有理由认为,在处理绝经后糖尿病女性时,临床医生应同时考虑肥胖指标、血脂和膳食脂肪酸,以便更好地理解临床评估和风险分层。