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饮酒与腹型肥胖:巴西 ELSA 研究的横断面分析。

Consumption of alcoholic beverages and abdominal obesity: cross-sectional analysis of ELSA-Brasil.

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo. Av. Marechal Campos, 1.468, Bonfim. 29047-105 Vitória ES Brasil.

Nutrition Science, Department of Health Sciences, University of the Americas Puebla. Puebla México.

出版信息

Cien Saude Colet. 2022 Feb;27(2):737-746. doi: 10.1590/1413-81232022272.02282021. Epub 2021 Feb 20.

DOI:10.1590/1413-81232022272.02282021
PMID:35137828
Abstract

The objective was to analyze the association between alcohol consumption and abdominal adiposity in adults. Cross-sectional study conducted at baseline data from ELSA-Brasil (2008- 2010). The sample consisted of 15,065 civil servants from six education and research institutions (35 to 74 years old, both sexes). To identify central adiposity by measuring waist circumference (WC) and waist-to-hip ratio (WHR), the cutoff points recommended by the World Health Organization were used. Poisson regression models adjusted for potentially confounding variables were tested. About 40% of the sample had elevated WC and WHR. The probability of having elevated WC was 5% and 3% higher in the most exposed group of beer consumption in men and women when compared to the reference group [PR= 1.05 (95% CI 1.02-1.08) and P R= 1.03 (95% CI 1.00-1.07)]. A higher probability of having a high WHR was also found among the highest beer consumers [PR = 1.03 (95% CI 1.00-1.07) in men and PR = 1.10 (95% CI 1.04-1.15) in women]. A greater number of doses/week of alcoholic drink increased the probability of occurrence of high WC and WHR, with the beer contribution being more important.

摘要

目的

分析成年人饮酒与腹部肥胖的相关性。这是一项横断面研究,数据来自于巴西 ELSA 研究(2008-2010 年)的基线资料。该研究样本由六所教育和研究机构的 15065 名公务员组成(年龄 35-74 岁,男女不限)。为了通过测量腰围(WC)和腰臀比(WHR)来确定中心性肥胖,采用了世界卫生组织推荐的切点值。采用 Poisson 回归模型对可能的混杂因素进行了调整。约 40%的样本存在 WC 和 WHR 升高。与参考组相比,男性和女性中啤酒消耗量最高组的 WC 升高的概率分别高出 5%和 3%[PR=1.05(95%CI 1.02-1.08)和 PR=1.03(95%CI 1.00-1.07)]。在最高啤酒消费组中,WHR 升高的概率也更高[男性 PR=1.03(95%CI 1.00-1.07)和女性 PR=1.10(95%CI 1.04-1.15)]。每周饮酒剂量/次数的增加增加了 WC 和 WHR 升高的概率,而啤酒的影响更为重要。

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