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葡萄牙青少年的体重指数、腰围和体型指数与静息血压之间的关联。

Associations between body mass index, waist circumference and body shape index with resting blood pressure in Portuguese adolescents.

作者信息

Duncan Michael J, Mota Jorge, Vale Susana, Santos Maria Paula, Ribeiro Jose Carlos

机构信息

Sport and Exercise Applied Research Group, Faculty of Health and Life Sciences, Coventry University, Coventry, UK.

出版信息

Ann Hum Biol. 2013 Mar;40(2):163-7. doi: 10.3109/03014460.2012.752861. Epub 2013 Jan 18.

DOI:10.3109/03014460.2012.752861
PMID:23327095
Abstract

BACKGROUND

Elevated blood pressure (BP) in childhood and adolescence is associated with overweight and obesity. Recently a body shape index (ABSI) has been suggested as superior to body mass index (BMI, kg/m(2)) and waist circumference (WC) as a measure of disease risk.

OBJECTIVE

To examine the association between ABSI, BMI, WC and BP in Portuguese adolescents and to consider the role of ABSI, BMI and WC when examining this issue in adolescents.

METHODS AND PROCEDURES

Height, body mass, WC and resting blood pressure were assessed in 445 Portuguese adolescents (252 girls and 193 boys) aged 10-17 years.

RESULTS

ABSI, BMI and WC were all significantly related to both SBP and DBP (all p = 0.001 or better). ABSI, BMI and WC were all significant predictors of SBP and DBP for the whole sample and when analysed in separate gender groups (p = 0.001 or better in all cases). However, in all cases ABSI was a better predictor of BP than BMI or WC.

CONCLUSIONS

Although BMI and WC significantly predict resting BP in adolescents, the use of ABSI explained a greater amount of the variance in BP in this population. When examining the effect of weight status on BP, researchers should consider use of ABSI alongside BMI.

摘要

背景

儿童和青少年时期血压升高与超重及肥胖有关。最近,一种体型指数(ABSI)被认为在衡量疾病风险方面优于体重指数(BMI,kg/m²)和腰围(WC)。

目的

研究葡萄牙青少年中ABSI、BMI、WC与血压之间的关联,并探讨在青少年中研究此问题时ABSI、BMI和WC的作用。

方法与步骤

对445名年龄在10 - 17岁的葡萄牙青少年(252名女孩和193名男孩)进行身高、体重、腰围和静息血压评估。

结果

ABSI、BMI和WC均与收缩压(SBP)和舒张压(DBP)显著相关(所有p = 0.001或更佳)。ABSI、BMI和WC在整个样本以及按性别分组分析时,都是SBP和DBP的显著预测指标(所有情况p = 0.001或更佳)。然而,在所有情况下,ABSI比BMI或WC对血压的预测性更好。

结论

虽然BMI和WC能显著预测青少年的静息血压,但使用ABSI能解释该人群中血压更多的变异。在研究体重状况对血压的影响时,研究人员应考虑同时使用ABSI和BMI。

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