Santorelli Gillian, West Jane, Yang Tiffany, Wright John, Bryant Maria, Lawlor D A
Bradford Institute for Health Research, Bradford, BD9 6RJ, UK.
Department of Health Sciences and the Hull York Medical School, York, YO10 5DD, UK.
Wellcome Open Res. 2022 Apr 1;6:65. doi: 10.12688/wellcomeopenres.16659.3. eCollection 2021.
: Body mass index (BMI) is commonly used as a proxy to determine excess adiposity, though this may underestimate fat mass (FM) in individuals of South Asian (SA) heritage. SA tend to have greater central adiposity than white people, which is associated with a higher risk of cardiometabolic disease. In this cross-sectional study, we aimed to determine the differences in total and regional FM using Dual-energy X-ray absorptiometry (DXA), and to see if any differences in FM varied by BMI category in UK-born white and SA children aged ~9 years. : Anthropometric measurements and DXA scans were undertaken from 225 white and 269 SA children from the Born in Bradford cohort study. Linear regression was used to assess ethnic differences in total body fat percent and total and regional FM. : Although mean BMI was similar, compared to white children, the proportion of SA children who were overweight or obese was ~10% higher, and the proportion with > 35% total body fat (TBF) was 22% and 16% higher in boys and girls respectively. Mean TBF% was greater in SA children compared to white children in the same BMI category. Fat mass index (FMI) was higher in all body regions in SA children in all BMI categories; as was total and truncal FMI in healthy and overweight, but not obese, SA children. : Greater TBF% and total and regional FM in SA children suggests they may be at greater risk of future cardiometabolic disease at a BMI level below the obesity threshold. However, our sample size was small, and results may be influenced by selection bias and confounding; our findings need to be replicated in a larger study.
体重指数(BMI)通常被用作确定肥胖程度的指标,不过这可能会低估南亚裔个体的脂肪量(FM)。南亚裔往往比白人有更多的中心性肥胖,这与心血管代谢疾病的较高风险相关。在这项横断面研究中,我们旨在使用双能X线吸收法(DXA)确定总体和局部FM的差异,并观察在英国出生的9岁左右的白人和南亚裔儿童中,FM的差异是否因BMI类别而异。:对来自布拉德福德出生队列研究的225名白人儿童和269名南亚裔儿童进行了人体测量和DXA扫描。使用线性回归来评估全身脂肪百分比以及总体和局部FM的种族差异。:尽管平均BMI相似,但与白人儿童相比,超重或肥胖的南亚裔儿童比例高出约10%,全身脂肪(TBF)>35%的男孩和女孩比例分别高出22%和16%。在相同BMI类别的儿童中,南亚裔儿童的平均TBF%高于白人儿童。在所有BMI类别的南亚裔儿童中,所有身体部位的脂肪量指数(FMI)都更高;健康和超重但不肥胖的南亚裔儿童的总体和躯干FMI也是如此。:南亚裔儿童中更高的TBF%以及总体和局部FM表明,在BMI低于肥胖阈值的水平下,他们未来患心血管代谢疾病的风险可能更高。然而,我们的样本量较小,结果可能受到选择偏倚和混杂因素的影响;我们的研究结果需要在更大规模的研究中进行重复验证。