Petrásová Darina, Bertková Izabela, Petrásová Miroslava, Hijová Emília, Mareková Mária, Babinská Ingrid, Jarcuska Peter, Pella Daniel, Gecková Andrea Madarasová
Cent Eur J Public Health. 2014 Mar;22 Suppl:S18-21. doi: 10.21101/cejph.a3896.
Obesity and overweight are major contributors to the global burden of chronic diseases and disability in both majority and minority populations.
Data from the cross-sectional population-based HepaMeta study conducted in Slovakia in 2011 were used. The sample comprised a total of 452 Roma. Measurements of special bioactive mediators were taken in final groups consisting of 63 male Roma respondents (mean age = 32.59; SD = 8.63) and 117 female Roma respondents (mean age = 34.55; SD = 8.35). Respondents were divided into three groups: those with normal weight, those with overweight and obese. Values for anthropometric parameters, lipids parameters, C-reactive protein, TNF-alpha, IL-6, leptin, and adiponectin were determined.
27.6% of examined Roma females and 26.9% of males were overweight. Obesity (BMI > 30.0 kg/m2) appeared in a higher proportion of males (28.8%) compared with female (26.5%). Mean levels of total cholesterol, triacylglycerol and LDL-cholesterol were significantly elevated in the overweight and obese subjects compared to normal-weight Roma respondents. The relation was reversed for HDL-C level, with significantly decreased levels in both male and female obese Roma (p < 0.001). The concentration of adiponectin was significantly lower in obese subjects of both genders versus non-obese (Roma male p < 0.001, Roma female p < 0.05). Plasma levels of leptin, IL-6, hs-CRP as well as TNF-alpha increased in Roma significantly with increasing BMI.
The study is the first one to provide data about selected biomarkers. Results may be useful in predicting obesity and its related diseases in the Roma population from the eastern part of Slovakia.
肥胖和超重是全球慢性病和残疾负担的主要促成因素,在多数和少数族裔人群中均如此。
使用了2011年在斯洛伐克进行的基于人群的横断面HepaMeta研究的数据。样本总共包括452名罗姆人。对由63名罗姆男性受访者(平均年龄 = 32.59;标准差 = 8.63)和117名罗姆女性受访者(平均年龄 = 34.55;标准差 = 8.35)组成的最终组进行了特殊生物活性介质的测量。受访者被分为三组:体重正常者、超重者和肥胖者。测定了人体测量参数、血脂参数、C反应蛋白、肿瘤坏死因子-α、白细胞介素-6、瘦素和脂联素的值。
27.6% 的受试罗姆女性和26.9% 的男性超重。肥胖(BMI > 30.0 kg/m²)在男性中的比例(28.8%)高于女性(26.5%)。与体重正常的罗姆受访者相比,超重和肥胖受试者的总胆固醇、三酰甘油和低密度脂蛋白胆固醇的平均水平显著升高。高密度脂蛋白胆固醇水平则相反,肥胖的罗姆男性和女性的水平均显著降低(p < 0.001)。肥胖受试者中脂联素的浓度显著低于非肥胖者(罗姆男性p < 0.001,罗姆女性p < 0.05)。罗姆人的瘦素、白细胞介素-6、高敏C反应蛋白以及肿瘤坏死因子-α 的血浆水平随BMI升高而显著增加。
该研究是首个提供有关选定生物标志物数据的研究。结果可能有助于预测斯洛伐克东部罗姆人群中的肥胖及其相关疾病。