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超重和肥胖女性中与代谢综合征相关的人体测量和生活方式因素的年龄差异:一项横断面研究。

Age-Related Differences in Anthropometric and Lifestyle Factors Linked to Metabolic Syndrome in Women with Overweight and Obesity: A Cross-Sectional Study.

作者信息

Łuszczki Edyta, Zielińska Magdalena, Oleksy Łukasz, Stolarczyk Artur, Dereń Katarzyna

机构信息

Department of Dietetics, Faculty of Health Sciences and Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, 35-959, Poland.

Faculty of Health Sciences, Department of Physiotherapy, Jagiellonian University Medical College Krakow, Krakow, 31-008, Poland.

出版信息

Diabetes Metab Syndr Obes. 2025 May 28;18:1765-1781. doi: 10.2147/DMSO.S520553. eCollection 2025.

Abstract

PURPOSE

The aim of this cross-sectional study was to examine the relationship between age, degree of overweight and obesity, and the prevalence of metabolic syndrome (MetS) in women with excess body weight. The study also examined age-related differences in anthropometric parameters, body composition, and lifestyle factors. To our knowledge, this is the first study in Poland to investigate the relationship between dietary patterns and MetS in women with overweight and obesity.

PATIENTS AND METHODS

A total of 141 women aged 23-85 years with overweight or obesity were included. The study was conducted in 2023 in south-eastern Poland. Participants were divided into two age groups: under 65 years and 65 years and older. Anthropometric, biochemical and blood pressure measurements were taken. The lifestyle analysis included frequency of food consumption, physical activity and sedentary behaviours, sleep duration, smoking and alcohol consumption.

RESULTS

The prevalence of MetS was higher in women with obesity, especially in women aged 65 years and older. Older women had a higher waist-to-hip ratio (WHR) and a lower fat-free mass (FFM) with no significant differences in body fat percentage. The younger women were more physically active. Women aged 65 years and older consumed honey more frequently. They were less likely than younger women to consume fresh legumes and canned vegetables, nuts and seeds, wholemeal bread, as well as sugar-sweetened beverages, energy drinks, and mayonnaise and dressings. No significant age-related differences were found in smoking, alcohol consumption, or sleep duration.

CONCLUSION

The study suggests that obesity has a stronger impact on MetS prevalence than age alone. Differences in body composition and lifestyle patterns between age groups highlight the need for early, targeted interventions aimed at weight management and healthy behaviours, especially in younger women. Preventive strategies should be tailored to age-specific needs to effectively address metabolic risk.

摘要

目的

本横断面研究旨在探讨超重和肥胖女性的年龄、超重和肥胖程度与代谢综合征(MetS)患病率之间的关系。该研究还考察了人体测量参数、身体成分和生活方式因素的年龄相关差异。据我们所知,这是波兰第一项调查超重和肥胖女性饮食模式与代谢综合征之间关系的研究。

患者与方法

共纳入141名年龄在23 - 85岁之间的超重或肥胖女性。该研究于2023年在波兰东南部进行。参与者被分为两个年龄组:65岁以下和65岁及以上。进行了人体测量、生化和血压测量。生活方式分析包括食物消费频率、身体活动和久坐行为、睡眠时间、吸烟和饮酒情况。

结果

肥胖女性中代谢综合征的患病率更高,尤其是65岁及以上的女性。老年女性的腰臀比(WHR)更高,无脂肪质量(FFM)更低,而体脂百分比无显著差异。年轻女性身体活动更多。65岁及以上的女性更频繁地食用蜂蜜。与年轻女性相比,她们食用新鲜豆类、罐装蔬菜、坚果和种子、全麦面包以及含糖饮料、能量饮料、蛋黄酱和调味料的可能性更小。在吸烟、饮酒或睡眠时间方面未发现显著的年龄相关差异。

结论

该研究表明,肥胖对代谢综合征患病率的影响比年龄单独作用更强。年龄组之间身体成分和生活方式模式的差异凸显了针对体重管理和健康行为进行早期、有针对性干预的必要性,尤其是在年轻女性中。预防策略应根据特定年龄的需求进行调整,以有效应对代谢风险。

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