Kromhout D, Saris W H, Horst C H
Institute of Social Medicine, University of Leiden, The Netherlands.
Am J Clin Nutr. 1988 Apr;47(4):668-74. doi: 10.1093/ajcn/47.4.668.
In 1965 within the Zutphen Study information on several possible determinants of body fatness (eg, energy intake, energy expenditure, alcohol intake, coffee consumption, tea consumption, and smoking) was collected. Univariate analyses showed that for 525 men aged 45-64 y and free from cardiovascular diseases, indicators of body fatness were inversely related to the difference between energy intake and expenditure, physical activity per kilogram body weight, smoking, and coffee consumption. Alcohol intake was directly related to Quetelet index, and tea consumption was not related to indicators of body fatness. Inverse associations between indicators of body fatness and the difference between energy intake and expenditure, physical activity per kilogram body weight, and smoking were confirmed in multivariate analyses. The inverse association between body fatness and the difference between energy intake and expenditure may be due to the underestimation of energy intake by obese subjects. In lean people this association may be explained by a thermogenic effect of smoking.
1965年，在祖特芬研究中收集了有关身体肥胖若干可能决定因素的信息（如能量摄入、能量消耗、酒精摄入、咖啡饮用、茶饮用和吸烟情况）。单因素分析表明，对于525名年龄在45 - 64岁且无心血管疾病的男性，身体肥胖指标与能量摄入和消耗的差值、每千克体重的身体活动量、吸烟及咖啡饮用呈负相关。酒精摄入与克托莱指数呈正相关，茶饮用与身体肥胖指标无关。多因素分析证实了身体肥胖指标与能量摄入和消耗的差值、每千克体重的身体活动量及吸烟之间的负相关关系。身体肥胖与能量摄入和消耗的差值之间的负相关关系可能是由于肥胖受试者对能量摄入的低估。在瘦人当中，这种关联可能由吸烟的产热效应来解释。
