Agyemang Priscilla, Powell-Wiley Tiffany M
Cardiovascular and Pulmonary Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, 10 Center Drive, MSC 1454. Building 10 CRC - Room 5E3340, Bethesda, MD 20892; - 3735; - 0888.
Curr Cardiovasc Risk Rep. 2013 Oct 1;7(5):378-386. doi: 10.1007/s12170-013-0328-7.
Black women in the United States are disproportionately affected by obesity, with almost two-thirds considered obese based on body mass index. Obesity has been directly linked to cardiovascular morbidity and mortality in black women. Therefore, understanding contributors to the genesis of obesity in black women is imperative. While biologic differences likely result in varying obesity prevalence across racial/ethnic groups, behaviors such as post-partum weight retention and limited leisure-time physical activity, may especially contribute to obesity in black women. Black women also appear to be particularly susceptible to cultural, psychosocial, and environmental factors that can promote weight gain. Therapeutic interventions are being tailored to specifically address these social determinants of health and to foster lifestyle modification; however, more work is needed to understand barriers to behavior change for black women. Knowledge gaps also remain in identifying mechanisms by which pharmacologic and surgical treatments for obesity modify cardiovascular risk in black women.
美国黑人女性受肥胖影响的比例过高，根据体重指数，近三分之二的黑人女性被认为肥胖。肥胖与黑人女性的心血管发病率和死亡率直接相关。因此，了解黑人女性肥胖成因的影响因素至关重要。虽然生物学差异可能导致不同种族/族裔群体的肥胖患病率有所不同，但产后体重滞留和休闲时间体育活动有限等行为，可能尤其会导致黑人女性肥胖。黑人女性似乎也特别容易受到会促进体重增加的文化、心理社会和环境因素的影响。正在制定针对性的治疗干预措施，以专门解决这些健康的社会决定因素，并促进生活方式的改变；然而，还需要做更多工作来了解黑人女性行为改变的障碍。在确定肥胖的药物和手术治疗改变黑人女性心血管风险的机制方面，也仍然存在知识空白。
