日本成年男性自报体重循环史、节食与生物行为健康之间的关系。

Relation between self-reported weight cycling history, dieting and bio-behavioral health in Japanese adult males.

机构信息

Department of Preventive Medicine & Public Health, Tokyo Medical University, Japan, 6-1-1 Shinjuku, Shinjuku-ku, 160-8402, Tokyo, Japan.

出版信息

Environ Health Prev Med. 2002 Jan;6(4):248-55. doi: 10.1007/BF02897977.

DOI:10.1007/BF02897977

PMID:21432342

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2723476/

Abstract

BACKGROUND

Epidemiological findings suggest that weight fluctuations are associated with unfavorable health outcomes compared with stable weight. However, the interrelationship between the weight cycling history and dieting status in a non-clinical male trial on the risk for bio-behavioral health is unclear.

OBJECTIVE

The purpose of this study was to examine the relation between weight cycling history as a result of intentional weight loss and bio-behavioral health in Japanese adult males.

METHOD

A cross-sectional study was performed on a group of 146 Japanese working males (47.5±9.3 yr.). Each subject completed a series of self-reported questionnaires in which information about weight cycling history, current dieting practices, life-styles, and social background were assessed. Results of the physical check up were used to assess biological parameters. Self-reported weight cycling was defined as intentionally losing 10% of one's weight and regaining the lost weight.

RESULTS

Cyclers reported a significantly greater incidence of current dieting and recent weight gain compared with non-cyclers. Taking regular meals, eating breakfast everyday, and not eating snacks between meals every day were significantly less frequent among cyclers compared with non-cyclers after controlling for BMI. The adjusted odds ratio for AST abnormality was 5.46 (95% CI: 1.08-27.67), ALT abnormality was 3.31 (95% CI: 1.24-8.78), and γ-GTP was 3.38 (95% CI: 1.07-10.67) among cyclers, compared with noncyclers.

CONCLUSION

These findings suggest that a history of weight cycling in men, regardless of current weight status, is associated with adverse bio-behavioral health. The risk for several liver enzyme abnormalities associated with weight cycling history was substantial, independent of relative body weight and lifestyle factors.

摘要

背景

流行病学研究结果表明，与稳定体重相比，体重波动与不良健康结果相关。然而，在一项非临床男性试验中，体重循环史与节食状态之间的相互关系与生物行为健康风险之间的关系尚不清楚。

目的

本研究旨在探讨日本成年男性体重循环史作为体重减轻的结果与生物行为健康之间的关系。

方法

对 146 名日本在职男性（47.5±9.3 岁）进行了横断面研究。每位受试者完成了一系列自我报告问卷，评估了体重循环史、当前节食实践、生活方式和社会背景信息。体检结果用于评估生物学参数。自我报告的体重循环被定义为有意减轻体重的 10%并恢复失去的体重。

结果

与非循环者相比，循环者报告当前节食和近期体重增加的发生率明显更高。在控制 BMI 后，与非循环者相比，规律进餐、每天吃早餐和每天不在两餐之间吃零食的循环者明显较少。调整后的 AST 异常比值比为 5.46（95%CI：1.08-27.67），ALT 异常比值比为 3.31（95%CI：1.24-8.78），γ-GTP 异常比值比为 3.38（95%CI：1.07-10.67）。