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超重和肥胖在转型中的北极因纽特土著社会中的 45 年趋势及时空趋势

Forty-five year trends in overweight and obesity in an indigenous arctic Inuit Society in transition and spatiotemporal trends.

机构信息

Arctic Health Research Centre, Aalborg University Hospital, Denmark; Department of Clinical Medicine, Aalborg University Hospital, Denmark; Department of Internal Medicine, Queen Ingrids Hospital, Nuuk, Greenland; Department of Geriatric Medicine, Aalborg University Hospital, Denmark.

出版信息

Am J Hum Biol. 2014 Jul-Aug;26(4):511-7. doi: 10.1002/ajhb.22556. Epub 2014 May 2.

DOI:10.1002/ajhb.22556
PMID:24796319
Abstract

OBJECTIVES

Overweight and obesity associate with increased morbidity and premature death. Westernization of societies heralds rising obesity rates. A steep increase in body mass index (BMI) and overweight in Greenland from 1963 to 1998 led us to follow-up on height, weight, BMI, and rates of overweight among populations in Greenland and assess time trends between different stages of transition.

METHODS

BMI was calculated from height and weight measured on Inuit and non-Inuit aged 50 through 69 years surveyed in 1963, 1998, and 2008 in Ammassalik district in East Greenland and in 1998 and 2008 in the capital Nuuk in West Greenland.

RESULTS

A total of 1,186 were surveyed in 1963 (52 men/63 women), 1998 (309/226), and 2008 (297/239). BMI increased with time (P < 0.001; 1963/1998/2008 23.3/24.3/26.2 kg/m(2) ). In addition, BMI increased with urbanization in Inuit men (P = 0.001; settlements/town/city, in 1998, 23.9/24.9/25.5 kg/m(2) ; in 2008, 25.0/26.0/27.0 kg/m(2) ) while not in Inuit women (P = 0.18). The number of overweight Inuit (BMI >27 kg/m(2) ) increased with time in men (4.0/25.6/33.2% in 1963/1998/2008, P = 0.001) and in women (13.6/30.7/37.3%, P = 0.001). BMI was above 30 kg/m(2) in 2.0/10.8/17.5% of all Inuit men in 1963/1998/2008 (P = 0.003) and in 8.3%/23.0/24.5% of all Inuit women (P = 0.02) respectively.

CONCLUSIONS

Overweight and obesity rates rise with time and with societal transition in Greenland. Settlements and town are catching up with the city where the rate of increase is diminishing, although there were gender differences.

摘要

目的

超重和肥胖与发病率和过早死亡的增加有关。社会的西化预示着肥胖率的上升。从 1963 年到 1998 年,格陵兰的体重指数(BMI)和超重急剧上升,这促使我们对格陵兰的人群的身高、体重、BMI 和超重率进行了随访,并评估了不同过渡阶段之间的时间趋势。

方法

BMI 是根据 1963 年、1998 年和 2008 年在东格陵兰的阿马萨利克区和 1998 年和 2008 年在西格陵兰的首都努克对 50 至 69 岁的因纽特人和非因纽特人进行的身高和体重测量计算得出的。

结果

1963 年共调查了 1186 人(52 名男性/63 名女性),1998 年为 309 人(226 名男性/226 名女性),2008 年为 297 人(239 名男性/239 名女性)。BMI 随时间增加(P<0.001;1963/1998/2008 分别为 23.3/24.3/26.2kg/m2)。此外,因纽特男性的 BMI 随城市化程度增加而增加(P=0.001;1998 年,定居点/城镇/城市,BMI 分别为 23.9/24.9/25.5kg/m2;2008 年,BMI 分别为 25.0/26.0/27.0kg/m2),而因纽特女性则没有增加(P=0.18)。超重的因纽特人(BMI>27kg/m2)的数量随时间而增加,男性(1963 年/1998 年/2008 年分别为 4.0/25.6/33.2%,P=0.001)和女性(13.6/30.7/37.3%,P=0.001)。1963 年/1998 年/2008 年,所有因纽特男性中 BMI 超过 30kg/m2 的比例分别为 2.0/10.8/17.5%(P=0.003),所有因纽特女性中 BMI 超过 30kg/m2 的比例分别为 8.3/23.0/24.5%(P=0.02)。

结论

超重和肥胖的比例随着时间的推移和格陵兰社会的转型而上升。尽管存在性别差异,但定居点和城镇正在赶上城市,城市的增长率正在下降。

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