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古巴和巴巴多斯老年人肥胖和高血压的人体测量学指标。

Anthropometric indexes of obesity and hypertension in elderly from Cuba and Barbados.

机构信息

Nucleo de Pesquisa em Cineantropometria e Desempenho Humano, Universidade Federal de Santa Catarina - Campus Trindade - Florianopolis - SC - Brazil.

出版信息

J Nutr Health Aging. 2011 Jan;15(1):17-21. doi: 10.1007/s12603-011-0007-7.

DOI:10.1007/s12603-011-0007-7
PMID:21267516
Abstract

OBJECTIVE

To investigate the association between various anthropometric indexes of obesity with arterial hypertension in elderly from Barbados (Bridgetown) and Cuba (Havana).

DESIGN

Cross-sectional data were extracted from the Survey on Health, Aging and Well being in Latin America and the Caribbean (SABE).

SAMPLE SIZE

In Bridgetown and Havana, respectively, 1508 and 1905 subjects ( ≥ 60 years) were examined, and were selected by a controlled sampling design.

MEASUREMENTS

The occurrence of hypertension was assessed by self-report. Multiple measurements of adiposity were used including body mass index (BMI ≥ 28 kg/m(2)), waist hip ratio (WHR = > 0.95 men; > 0.80 women), waist to height ratio (W/ht. = > 0.50) and waist circumference - WC(L) ( > 88 cm, women; > 102 cm, men) e WC(OK) ( > 90.3 cm, women; > 91.3 cm, men). Binary logistic regression analyses (Odds Ratio) were used to measure strengths of relationships.

RESULTS

In the elderly of Bridgetown, the final design (adjusted for age, education, race, smoking, regular physical activity and diabetes) shows that, in men, WC(OK) and W/Ht were associated with hypertension, and in women, WCL and WCOK were the indexes associated. In the Cuban elderly, the final design shows that, with the exception of WHR, all indicators were associated with hypertension. WCOK and W/ht were the indexes most strongly associated with the outcome.

CONCLUSION

The explanatory power of anthropometric indicators when determining the outcome differed between men and women, as well as between cultural groups living in relative proximity (Barbadians and Cubans).

摘要

目的

探讨巴巴多斯(布里奇顿)和古巴(哈瓦那)老年人中各种肥胖人体测量指标与动脉高血压的关系。

设计

从拉丁美洲和加勒比健康、老龄化和福利调查(SABE)中提取横断面数据。

样本量

在布里奇顿和哈瓦那,分别检查了 1508 名和 1905 名(≥60 岁)受试者,并通过控制抽样设计进行了选择。

测量

高血压的发生通过自我报告评估。使用了多种肥胖测量方法,包括体重指数(BMI≥28kg/m2)、腰臀比(WHR>0.95 男性;>0.80 女性)、腰围与身高比(W/ht.>0.50)和腰围- WC(L)(女性>88cm,男性>102cm)和 WC(OK)(女性>90.3cm,男性>91.3cm)。采用二元逻辑回归分析(比值比)来衡量关系的强度。

结果

在布里奇顿的老年人中,最终设计(调整年龄、教育、种族、吸烟、有规律的体育活动和糖尿病)表明,在男性中,WC(OK)和 W/Ht 与高血压相关,而在女性中,WC(L)和 WC(OK)是相关指标。在古巴老年人中,最终设计表明,除了 WHR 之外,所有指标都与高血压相关。WCOK 和 W/ht 是与结果最密切相关的指标。

结论

在确定结果时,人体测量指标的解释力在男性和女性以及生活在相对接近地区的不同文化群体(巴巴多斯人)和古巴人)之间存在差异。

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