Wadden T A, Stunkard A J, Johnston F E, Wang J, Pierson R N, Van Itallie T B, Costello E, Peña M
Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia 19104.
Am J Clin Nutr. 1988 Feb;47(2):229-34. doi: 10.1093/ajcn/47.2.229.
This study examined changes in body fat distribution in 68 women who lost an average of 12.3 kg from an initial weight of 103.6 kg. Weight reduction was accompanied by a small but statistically significant reduction of 1.2% in the waist-to-hip ratio, suggestive of a reduction in upper-body obesity. Subjects with greater upper-body obesity tended to achieve greater reductions in the waist-to-hip ratio. Changes in five circumference measures were highly correlated with losses of fat and showed that subjects with lower-body obesity tended to lose large amounts of fat from both their upper and lower fat depots while subjects with upper-body obesity lost fat primarily from their upper depots. Women with lower-body obesity tended to lose more total body fat than did women with upper body obesity (r = -0.26, p less than 0.04).
本研究调查了68名女性身体脂肪分布的变化情况，这些女性初始体重为103.6千克，平均减重12.3千克。体重减轻的同时，腰臀比出现了虽小但具有统计学意义的1.2%的下降，这表明上身肥胖有所减轻。上身肥胖程度较高的受试者腰臀比下降幅度往往更大。五项围度测量值的变化与脂肪减少高度相关，结果显示，下身肥胖的受试者上、下脂肪储存部位的脂肪均大量减少，而上身肥胖的受试者主要是上脂肪储存部位的脂肪减少。下身肥胖的女性往往比上身肥胖的女性减掉更多的全身脂肪（r = -0.26，p小于0.04）。
