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亚太裔人群的婴儿身体成分。

Infant Body Composition in an Asian Pacific Islander Population.

机构信息

University of Hawaii Department of Pediatrics, John A Burns School of Medicine and Kapiolani Medical Center for Women and Children, 1319 Punahou St, Honolulu, HI, 96826, USA.

University of Hawaii Department of Biostatistics, John A Burns School of Medicine, Honolulu, HI, USA.

出版信息

J Racial Ethn Health Disparities. 2023 Dec;10(6):2663-2669. doi: 10.1007/s40615-022-01444-x. Epub 2022 Nov 10.

DOI:10.1007/s40615-022-01444-x
PMID:36357640
Abstract

BACKGROUND

Normative infant body composition data using air displacement plethysmography (ADP) are from primarily Caucasian populations. Racial differences may exist.

OBJECTIVES

To describe body composition in Asian and Pacific Islander infants and compare them to previously published data on Caucasian infants.

DESIGN

Body composition was measured using ADP with the PEA POD® Infant Body Composition System in 249 healthy full-term newborns in a predominately Asian and Pacific Islander population in Hawaii within the first 3 days of life and compared to published data on Caucasian infants with multiple t-tests adjusted for false discovery rate.

RESULTS

There were no differences in percent body fat between Asian, Pacific Islander, or mixed race Asian Pacific Islander infants. Both Asian and Pacific Islander infants had significantly higher percent body fat than Caucasians from Italy in Europe (13.2% and 11.8% vs 8.9%, p < 0.01 among males, 15.3% and 15.6% vs 8.7%, p < 0.01 among females) but not when compared to Caucasians from New York.

CONCLUSIONS

Racial and geographical differences in body composition exist at birth between Asian and Pacific Islanders and other Caucasian cohorts. Previously published ADP nomograms must be interpreted with caution. Future studies are needed to investigate the impact of environmental, perinatal, and genetic factors on infant body composition and its relationship to future cardiometabolic morbidity. Efforts to address racial disparities in cardiometabolic disease measures must also address pre-conceptual maternal health, which may have long-term implications on future body composition in offspring.

摘要

背景

使用空气置换体积描记法(ADP)的正常婴儿体成分数据主要来自白种人群体。可能存在种族差异。

目的

描述亚洲和太平洋岛屿婴儿的体成分,并将其与之前发表的白种婴儿数据进行比较。

设计

在夏威夷的一个以亚洲和太平洋岛屿为主的人群中,在出生后 3 天内,使用 PEA POD®婴儿体成分系统通过 ADP 对 249 名健康足月新生儿进行体成分测量,并与欧洲意大利的白种婴儿发表数据进行比较,使用多重 t 检验并调整错误发现率。

结果

亚洲、太平洋岛屿或混合种族的亚洲太平洋岛屿婴儿的体脂肪百分比没有差异。亚洲和太平洋岛屿婴儿的体脂肪百分比均显著高于欧洲意大利的白种婴儿(男性为 13.2%和 11.8%,比 8.9%高,p<0.01;女性为 15.3%和 15.6%,比 8.7%高,p<0.01),但与纽约的白种婴儿相比则没有差异。

结论

亚洲和太平洋岛屿婴儿与其他白种婴儿在出生时的体成分存在种族和地理差异。之前发表的 ADP 体型图必须谨慎解读。需要进一步研究环境、围产期和遗传因素对婴儿体成分及其与未来心血管代谢发病率的关系。解决心血管代谢疾病指标的种族差异问题也必须解决孕前产妇健康问题,这可能对后代未来的体成分产生长期影响。

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