Galić Biljana Srdić, Pavlica Tatjana, Udicki Mirjana, Stokić Edita, Mikalački Milena, Korovljev Darinka, Čokorilo Nebojša, Drvendžija Zorka, Adamović Dragan
Department of Anatomy, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Department of Biology and Ecology, Faculty of Sciences, University of Novi Sad, Novi Sad, Serbia.
Arch Endocrinol Metab. 2016 Feb;60(1):60-5. doi: 10.1590/2359-3997000000159.
Obesity is a well known risk factor for the development of metabolic abnormalities. However, some obese people are healthy and on the other hand some people with normal weight have adverse metabolic profile, therefore it can be assumed that there is a difference in physical characteristics amongst these people. The aim of this study was to establish whether there are somatotype differences between metabolically healthy and metabolically obese women who are obese or of normal weight.
Study included 230 women aged 44.76 ± 11.21y. Metabolic status was assessed according to IDF criteria, while somatotype was obtained using Heath & Carter method.
Significant somatotype differences were observed in the group of women with normal-weight: metabolically healthy women had significantly lower endomorphy, mesomorphy and higher ectomorphy compared to metabolically obese normal-weight women (5.84-3.97-2.21 vs. 8.69-6.47-0.65). Metabolically healthy obese women had lower values of endomorphy and mesomorphy and higher values of ectomorphy compared to 'at risk' obese women but the differences were not statistically significant (7.59-5.76-0.63 vs. 8.51-6.58-0.5). Ectomorphy was shown as an important determinant of the favorable metabolic profile (cutoff point was 0.80).
We concluded that, in addition to fat mass, metabolic profile could be predicted by the structure of lean body mass, and in particular by body linearity.
肥胖是代谢异常发展的一个众所周知的风险因素。然而，一些肥胖者身体健康，另一方面，一些体重正常的人却有不良的代谢状况，因此可以推测这些人在身体特征上存在差异。本研究的目的是确定肥胖或体重正常的代谢健康女性与代谢性肥胖女性之间是否存在体型差异。
研究纳入了230名年龄在44.76±11.21岁的女性。根据国际糖尿病联盟（IDF）标准评估代谢状况，同时使用希思&卡特方法获得体型数据。
在体重正常的女性组中观察到显著的体型差异：与代谢性肥胖的体重正常女性相比，代谢健康的女性在内胚层体型、中胚层体型方面显著更低，在外胚层体型方面更高（5.84 - 3.97 - 2.21对比8.69 - 6.47 - 0.65）。与“有风险”的肥胖女性相比，代谢健康的肥胖女性在内胚层体型和中胚层体型方面数值更低，在外胚层体型方面数值更高，但差异无统计学意义（7.59 - 5.76 - 0.63对比8.51 - 6.58 - 0.5）。外胚层体型被证明是良好代谢状况的一个重要决定因素（截断点为0.80）。
我们得出结论，除了脂肪量外，代谢状况还可以通过瘦体重的结构来预测，特别是通过身体的线性度。
