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挪威肢端发育不全症成人的人体测量学、饮食和静息能量消耗。

Anthropometrics, diet, and resting energy expenditure in Norwegian adults with achondroplasia.

机构信息

Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway.

Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

出版信息

Am J Med Genet A. 2019 Sep;179(9):1745-1755. doi: 10.1002/ajmg.a.61272. Epub 2019 Jun 25.

Abstract

Individuals with achondroplasia have a high prevalence of obesity and increased risk of cardiovascular disease. Fat distribution, diet, and caloric intake are known risk factors, but the literature concerning diet and energy balance in achondroplasia is limited. The main aim of this study was to describe the anthropometrics, diet, and resting energy expenditure (REE) in a Norwegian adult achondroplasia population. Here, we present a descriptive cross-sectional study with the following variables: anthropometrics, the SmartDiet questionnaire, and dietary records. In addition, REE was measured and estimated using indirect calorimetry and prediction equations. A total of 33 adults with achondroplasia participated with a mean age of 40 years. Mean body mass index was 34.1 kg/m , and mean waist circumference was 94.1 cm for men and 82.2 cm for women. Their diets were classified as unhealthy (38%) or in need of improvement (62%). The mean REE values for the total group were 21 kcal/kg for the male (n = 15) and 20 kcal/kg for the female (n = 18). This study revealed a high frequency of central obesity and unhealthy dietary habits in Norwegian adults with achondroplasia. Mean energy intake was low and only 10% higher than the mean REE, and does not explain the high prevalence of abdominal obesity in our population.

摘要

患有软骨发育不全症的个体肥胖患病率高,心血管疾病风险增加。脂肪分布、饮食和热量摄入是已知的风险因素,但软骨发育不全症饮食和能量平衡的相关文献有限。本研究的主要目的是描述挪威成人群体中软骨发育不全症患者的人体测量学、饮食和静息能量消耗(REE)。在此,我们呈现了一项描述性横断面研究,其中包含以下变量:人体测量学、SmartDiet 问卷和饮食记录。此外,使用间接测热法和预测方程测量和估计 REE。共有 33 名患有软骨发育不全症的成年人参与了研究,平均年龄为 40 岁。男性的平均体重指数为 34.1kg/m²,平均腰围为 94.1cm;女性的平均腰围为 82.2cm。他们的饮食被归类为不健康(38%)或需要改进(62%)。总人群的平均 REE 值为男性(n=15)的 21kcal/kg 和女性(n=18)的 20kcal/kg。本研究显示,挪威成年软骨发育不全症患者中存在较高的中心性肥胖和不健康的饮食习惯。平均能量摄入较低,仅比平均 REE 高 10%,并不能解释我们人群中腹部肥胖的高发率。

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