Department of Epidemiology and Biostatistics, New England Research Institutes, 480 Pleasant St., Watertown, MA 02472, United States of America.
Department of Epidemiology and Biostatistics, New England Research Institutes, 480 Pleasant St., Watertown, MA 02472, United States of America; Department of Environmental Health, Harvard School of Public Health, Boston, MA 02115, United States of America.
PLoS One. 2015 Apr 13;10(4):e0122808. doi: 10.1371/journal.pone.0122808. eCollection 2015.
The prevalence of obesity is disproportionately higher among African-Americans and Hispanics as compared to whites. We investigated the role of biogeographic ancestry (BGA) on adiposity and changes in adiposity in the Boston Area Community Health Survey.
We evaluated associations between BGA, assessed via Ancestry Informative Markers, and adiposity (body mass index (BMI), percent body fat (PBF), and waist-to-hip ratio (WHR)) and changes in adiposity over 7 years for BMI and WHR and 2.5 years for PBF, per 10% greater proportion of BGA using multivariable linear regression. We also examined effect-modification by demographic and socio-behavioral variables.
We observed positive associations between West-African ancestry and cross-sectional BMI (percent difference=0.62%; 95% CI: 0.04%, 1.20%), and PBF (β=0.35; 95% CI: 0.11, 0.58). We also observed significant effect-modification of the association between West-African ancestry and BMI by gender (p-interaction: <0.002) with a substantially greater association in women. We observed no main associations between Native-American ancestry and adiposity but observed significant effect-modification of the association with BMI by diet (p-interaction: <0.003) with inverse associations among participants with higher Healthy Eating Scores. No associations were observed between BGA and changes in adiposity over time.
Findings support that West-African ancestry may contribute to high prevalence of total body adiposity among African-Americans, particularly African-American women.
与白种人相比,非裔美国人和西班牙裔人群的肥胖患病率不成比例地更高。我们研究了生物地理祖先(BGA)对肥胖和肥胖变化的影响,该研究来自波士顿地区社区健康调查。
我们通过祖先信息标记评估了 BGA 与肥胖的相关性,使用多变量线性回归分析了 BGA 每增加 10%,与肥胖的相关性(体重指数(BMI)、体脂肪百分比(PBF)和腰臀比(WHR))以及 BMI 和 WHR 的 7 年和 PBF 的 2.5 年的变化。我们还检查了人口统计学和社会行为变量的影响修饰作用。
我们观察到西非祖源与横断面 BMI(百分比差异=0.62%;95%置信区间:0.04%,1.20%)和 PBF(β=0.35;95%置信区间:0.11,0.58)呈正相关。我们还观察到西非祖源与 BMI 之间的关联存在显著的性别效应修饰(p 交互作用:<0.002),女性的关联更为显著。我们没有观察到美洲原住民祖源与肥胖之间的主要关联,但观察到与 BMI 的关联存在饮食的显著效应修饰(p 交互作用:<0.003),健康饮食评分较高的参与者中存在反向关联。我们没有观察到 BGA 与随时间变化的肥胖之间存在关联。
研究结果支持西非祖源可能是导致非裔美国人,特别是非裔美国女性全身肥胖患病率较高的原因之一。