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贝宁农村妇女的季节性体重减轻和代谢适应:与体重指数的关系

Seasonal weight loss and metabolic adaptation in rural Beninese women: the relationship with body mass index.

作者信息

Schultink J W, Van Raaij J M, Hautvast J G

机构信息

Section of Nutrition and Food Science, Faculty of Agricultural Sciences, Benin National University, Cotonou.

出版信息

Br J Nutr. 1993 Nov;70(3):689-700. doi: 10.1079/bjn19930164.

DOI:10.1079/bjn19930164
PMID:8297907
Abstract

A large variation in seasonal weight loss between individuals exists in rural communities in developing countries. Therefore, it was investigated whether some individuals show a metabolic adaptation and, through that, prevent large body-weight losses during the preharvest season. Basal metabolic rate (BMR), energy intake and physical activity level (PAL) of rural Beninese women were measured in three seasons. Groups of subjects were: women with a body mass index (BMI) < 18 (n 18), and a BMI > 23 (n 16), and women who had shown small (n 18) and large (n 15) preharvest weight loss. All groups of subjects decreased energy intake during the preharvest season by 0.66-1.09 MJ/d. PAL did not show significant seasonal changes in any of the four groups. Only subjects with a BMI < 18 decreased BMR during the preharvest season with 2.9 (SD 6.7) J/kg per min (P < 0.05), with a decrease of 0.8 (SD 1.4) kg (P < 0.05) in body weight. In very thin women with a BMI < 17 (n 5) BMR expressed per unit body weight decreased even more during the preharvest season (by 12%).

摘要

在发展中国家的农村社区,个体间季节性体重减轻存在很大差异。因此,研究人员调查了是否有些个体表现出代谢适应性,并借此在收获前季节防止体重大幅下降。在三个季节中测量了贝宁农村妇女的基础代谢率(BMR)、能量摄入量和身体活动水平(PAL)。研究对象分组如下:体重指数(BMI)<18的女性(n = 18)、BMI>23的女性(n = 16),以及收获前体重减轻较少(n = 18)和较多(n = 15)的女性。所有研究对象组在收获前季节能量摄入量均减少了0.66 - 1.09兆焦/天。四组中的任何一组PAL均未表现出明显的季节性变化。只有BMI<18的研究对象在收获前季节基础代谢率每分钟每千克降低了2.9(标准差6.7)焦耳(P<0.05),体重下降了0.8(标准差1.4)千克(P<0.05)。在BMI<17的极瘦女性(n = 5)中,收获前季节每单位体重的基础代谢率下降得更多(下降了12%)。

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