Melbourne School of Population and Global Health, The University of Melbourne, Australia.
Melbourne School of Population and Global Health, The University of Melbourne, Australia.
Aust N Z J Public Health. 2024 Apr;48(2):100139. doi: 10.1016/j.anzjph.2024.100139. Epub 2024 Mar 5.
The objective of this study was to investigate cardiometabolic health markers among Aboriginal adolescents aged 10-24 years and relationships with age, gender, and body composition.
Baseline data (2018-2020) from the Next Generation Youth Wellbeing Cohort Study (Western Australia, New South Wales, and Central Australia) on clinically assessed body mass index, waist/height ratio, blood pressure, glycated haemoglobin (HbA1c), total and high-density lipoprotein cholesterol, total/high-density lipoprotein cholesterol ratio, and triglycerides were analysed.
Among 1100 participants, the proportion with individual health markers within the ideal range ranged from 59% for total cholesterol to 91% for HbA1c. Four percent had high blood pressure, which was more common with increasing age and among males; 1% had HbA1c indicative of diabetes. Healthier body composition (body mass index and waist/height ratio) was associated with having individual health markers in the ideal range and with an ideal cardiometabolic profile.
Most Aboriginal adolescents in this study had cardiometabolic markers within the ideal range, though markers of high risk were present from early adolescence. Ideal health markers were more prevalent among those with healthy body composition.
Specific screening and management guidelines for Aboriginal adolescents and population health initiatives that support maintenance of healthy body composition could help improve cardiometabolic health in this population.
本研究旨在调查 10-24 岁原住民青少年的心脏代谢健康指标及其与年龄、性别和身体成分的关系。
对来自下一代青年健康队列研究（西澳大利亚、新南威尔士和澳大利亚中部地区）的基线数据（2018-2020 年）进行分析，包括临床评估的体重指数、腰围/身高比、血压、糖化血红蛋白（HbA1c）、总胆固醇和高密度脂蛋白胆固醇、总/高密度脂蛋白胆固醇比值和甘油三酯。
在 1100 名参与者中，各项健康指标处于理想范围内的比例从总胆固醇的 59%到 HbA1c 的 91%不等。有 4%的人患有高血压，其发生率随年龄增长和男性而增加；1%的人 HbA1c 表明患有糖尿病。更健康的身体成分（体重指数和腰围/身高比）与各项健康指标处于理想范围以及理想的心脏代谢特征相关。
在本研究中，大多数原住民青少年的心脏代谢指标处于理想范围内，但从青春期早期就已经存在高风险的指标。健康的身体成分使更多的参与者达到了理想的健康指标。
针对原住民青少年的特定筛查和管理指南以及支持维持健康身体成分的人群健康倡议，可能有助于改善该人群的心脏代谢健康。
