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身高、腹围和体重指数能否预测未来肥胖人群可能存在的心脏代谢风险?

CAN STATURE, ABDOMINAL PERIMETER AND BMI INDEX PREDICT POSSIBLE CARDIOMETABOLIC RISKS IN FUTURE OBESITY?

作者信息

Lucas Ricardo Wallace das Chagas, Nassif Paulo Afonso Nunes, Tabushi Fernando Issamu, Nassif Denise Serpa Bopp, Ariede Bruno Luiz, Brites-Neto Jose, Malafaia Osvaldo

机构信息

Postgraduate Program in Principles of Surgery, Mackenzie Evangelical Faculty of Paraná/Medical Research Institute, Curitiba, PR, Brazil.

Paulo Nassif Institute, Curitiba, PR, Brazil.

出版信息

Arq Bras Cir Dig. 2020 Nov 20;33(2):e1529. doi: 10.1590/0102-672020200002e1529. eCollection 2020.

Abstract

BACKGROUND

Obesity changes the anatomy of the patient. In addition to the aesthetic change, the high percentage of fat determines evident functional changes. Anthropometric normality in measuring abdominal circumference and height can serve as a basis for measuring cardiometabolic risks of obesity.

AIM

To verify if it is possible to determine parameters of normality between waist and height in people with normal BMI and fat percentages, to serve as a basis for assessing risks for obesity comorbidities.

METHODS

A sample of 454 individuals with BMI and percentages of fat considered within the normal range was extracted. It was divided into age groups for both men and women between 18 and 25; 26 to 35; 36 to 45; 46 to 55; 56 to 65. A total of 249 men and 205 women were included.

RESULTS

Regarding the percentage of height as a measure of the abdominal perimeter, the total female sample had an average of 44.2±1.1% and the male 45.3%+1.5. For women, this percentage determined the equation of the waist-height ratio represented by X=(age+217) / 5.875, and for men X=(age+190.89) / 5.2222. "X" represents the percentage of the height measurement so that the individual falls into the category of adequate percentage of fat and BMI.

CONCLUSION

Between the stature of adult men and women with normal fat percentage and BMI, there is a common numerical relationship, with is on average 44% for women and 45% for men.

摘要

背景

肥胖会改变患者的解剖结构。除了美观上的变化外,高比例的脂肪还会导致明显的功能改变。测量腹围和身高时的人体测量正常情况可作为衡量肥胖相关心血管代谢风险的基础。

目的

验证对于体重指数(BMI)和脂肪百分比正常的人群,是否有可能确定腰围与身高之间的正常参数,以此作为评估肥胖合并症风险的基础。

方法

抽取了454名BMI和脂肪百分比在正常范围内的个体作为样本。将其按年龄组分为18至25岁、26至35岁、36至45岁、46至55岁、56至65岁的男性和女性。共纳入249名男性和205名女性。

结果

将身高百分比作为腹围的衡量指标,女性样本总体平均为44.2±1.1%,男性为45.3%+1.5。对于女性,该百分比确定了腰高比的公式为X=(年龄+217)/5.875,对于男性为X=(年龄+190.89)/5.2222。“X”代表身高测量的百分比,以便个体属于脂肪百分比和BMI合适的类别。

结论

在脂肪百分比和BMI正常的成年男性和女性的身高之间,存在一种共同的数值关系,女性平均为44%,男性平均为45%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae0d/7682149/9137f30552be/0102-6720-abcd-33-02-e1529-gf1.jpg

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