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人体测量学指标及其与营养正常个体内皮功能和动脉僵硬度的关系,以及与超重的关系。

Anthropometric measurements and their association with endothelial function and arterial stiffness of eutrophic individuals and with overweight.

机构信息

Programa de Pós-graduação em Gerontologia, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brasil.

Departamento de Clínica Médica, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brasil.

出版信息

Arch Endocrinol Metab. 2023 May 25;67(5):e000617. doi: 10.20945/2359-3997000000617.

Abstract

OBJECTIVE

The objective of the study was to assess the association of anthropometric measurements with endothelial function and arterial stiffness of eutrophic individuals and with overweight.

SUBJECTS AND METHODS

A cross-sectional study was carried out with individuals with body mass index (BMI) between 18.5 kg/m and < 30 kg/m, low to intermediate global cardiovascular risk scores, and aged ≥ 18 and < 60 years. We assessed the sociodemographic data, anthropometric variables (body weight, height, circumferences of the waist [WC], neck [NC], hip [HC], sagittal abdominal diameter [SAD], [BMI], waist-to-hip ratio [WHR], and waist-to-height ratio [WHtR]), biochemical parameters (lipid profile and nitric oxide), endothelial function (flow-mediated dilation [FMD], by ultrasound), and arterial stiffness (pulse wave velocity [PWV] and the amplification index [AIx@75] by oscillometry). Thirty-six individuals were included, 18 eutrophic and 18 with overweight, with a mean age of 37.5 ± 10.2 years, mostly at low cardiovascular risk (86.1%), female (80.6%), single (52.8%), employed with formal contracts (44.4%), and with over twelve years of education (88.9%).

RESULTS

The PWV presented positive and moderate correlation with the WC (r = 0.584; P = 0.001), WHR (r = 0.513; P = 0.001), and WHtR (r = 0.590; P = 0.001), and positive and low correlation with the NC (r = 0.372; P = 0.013) and SAD (r = 0.356; P = 0.033). Moreover, no anthropometric parameter presented a correlation with the AIx@75 or the FMD percentage in the total sample.

CONCLUSION

Our findings show that in eutrophic individuals and with overweight the WC, WHR, WHtR, SAD, and NC were positively correlated with the PWV but not to the endothelial function in the overall sample. These are hypothesis-generating findings and they should be replicated in other studies.

摘要

目的

本研究旨在评估人体测量学指标与营养良好个体和超重者的内皮功能和动脉僵硬度的相关性。

受试者和方法

这是一项横断面研究,纳入了身体质量指数(BMI)在 18.5 kg/m 至<30 kg/m 之间、低至中危整体心血管风险评分、年龄在 18 至<60 岁之间的个体。我们评估了社会人口统计学数据、人体测量学变量(体重、身高、腰围[WC]、颈围[NC]、臀围[HC]、矢状腹部直径[SAD]、[BMI]、腰臀比[WHR]和腰围身高比[WHtR])、生化参数(血脂谱和一氧化氮)、内皮功能(超声检测血流介导的舒张功能[FMD])和动脉僵硬度(脉搏波速度[PWV]和振荡法检测的放大指数[AIx@75])。共纳入 36 名个体,18 名营养良好,18 名超重,平均年龄为 37.5±10.2 岁,大多数处于低心血管风险(86.1%),女性(80.6%),单身(52.8%),有正式合同的雇员(44.4%),受教育程度超过十二年(88.9%)。

结果

PWV 与 WC(r=0.584;P=0.001)、WHR(r=0.513;P=0.001)和 WHtR(r=0.590;P=0.001)呈正相关且呈中度相关,与 NC(r=0.372;P=0.013)和 SAD(r=0.356;P=0.033)呈正相关且呈低度相关。此外,在总样本中,没有人体测量学参数与 AIx@75 或 FMD%呈相关性。

结论

我们的研究结果表明,在营养良好的个体和超重者中,WC、WHR、WHtR、SAD 和 NC 与 PWV 呈正相关,但与整体样本中的内皮功能无关。这些发现是产生假说的结果,应在其他研究中得到复制。

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