Shah M, Jeffery R W, Hannan P J, Onstad L
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55455.
Eur J Clin Nutr. 1989 Sep;43(9):583-96.
The relationship between socio-demographic and behaviour variables and body mass index (BMI: weight/height2) adjusted for age were studied in a population with high-normal blood pressure who participated in the Hypertension Prevention Trial. The BMI of the participants ranged from 19.1 to 35.1 kg/m2 in men and from 16.0 to 35.1 kg/m2 in women. The prevalence of obesity (BMI greater than or equal to 25.0 kg/m2) was 77 per cent in men and 61 per cent in women, with prevalence of severe obesity (BMI greater than or equal to 30.0 kg/m2) being 23 per cent and 19 per cent respectively. Stepwise regression was carried out to identify the most important correlates of BMI. In men, they were family income (+), occupation (-), leisure time exercise frequency (-), number of meals eaten out (-), alcohol intake (-), smoking (-), caffeinated drink intake (+), and meal planner. Men who planned meals with their partners had a higher BMI than men who planned their own meals or had someone else plan their meals. Correlates of little importance were marital status, race, education, number of members in household, energy intake, percentage of total calories from fat, occupation activity level, and vitamin/mineral supplement intake. In women the most important correlates of BMI were alcohol intake (-), caffeinated drink intake (+), and race. Black women had a higher mean BMI than white women. The important socio-demographic and behaviour variables in both men and women accounted for about 20 per cent of the variance in BMI which leaves about 80 per cent of the variation unexplained. This indicates the presence of other factor(s) which may be determining body weight.
在参与高血压预防试验的血压略高于正常水平的人群中,研究了社会人口统计学和行为变量与经年龄调整的体重指数(BMI:体重/身高²)之间的关系。男性参与者的BMI范围为19.1至35.1kg/m²,女性为16.0至35.1kg/m²。肥胖(BMI大于或等于25.0kg/m²)的患病率男性为77%,女性为61%,重度肥胖(BMI大于或等于30.0kg/m²)的患病率分别为23%和19%。进行逐步回归以确定BMI的最重要相关因素。在男性中,这些因素包括家庭收入(+)、职业(-)、休闲时间锻炼频率(-)、外出就餐次数(-)、酒精摄入量(-)、吸烟(-)、含咖啡因饮料摄入量(+)以及膳食计划者。与伴侣一起计划膳食的男性比自己计划膳食或由他人计划膳食的男性BMI更高。不太重要的相关因素包括婚姻状况、种族、教育程度、家庭人口数量、能量摄入、脂肪占总热量的百分比、职业活动水平以及维生素/矿物质补充剂摄入量。在女性中,BMI的最重要相关因素是酒精摄入量(-)、含咖啡因饮料摄入量(+)和种族。黑人女性的平均BMI高于白人女性。男性和女性中重要的社会人口统计学和行为变量约占BMI方差的20%,这意味着约80%的变异无法解释。这表明存在其他可能决定体重的因素。