Eck L H, Pascale R W, Klesges R C, Ray J A, Klesges L M
Universities Prevention Center, University of Memphis, Tennessee 38152, USA.
Int J Obes Relat Metab Disord. 1995 Nov;19(11):765-9.
To identify predictors of a change in waist circumference in a group of healthy young adults.
Caucasian, 121 women and 109 men, participating in a longitudinal investigation of cardiovascular risk factors in parents and their young children.
Evaluations of body weight, waist and hip circumferences, dietary intake, physical activity, cigarette smoking, and alcohol intake were performed annually. Age was recorded and family history of disease was assessed.
For women, covariates and modifiable predictors accounted for 67% of the variance in waist circumference change from Year 1 to Year 3. Women with lower baseline waist girths, lower baseline hip girths, higher baseline body weight, and a greater change in body weight had larger increases in waist girth. For men, covariates and modifiable predictors accounted for 72% of the variance in waist circumference change. Men with lower baseline waist girth, a greater change in hip girth, higher baseline body weight, greater increases in body weight, and less percent of fat in the diet at baseline had larger increases in waist girth. Other non-modifiable variables did not predict change in either gender.
Reducing excess body weight and decreasing weight gain appear to be the most important factors in preventing the accumulation of upper body fat.
确定一组健康年轻成年人腰围变化的预测因素。
参与父母及其幼儿心血管危险因素纵向调查的121名白种女性和109名白种男性。
每年对体重、腰围和臀围、饮食摄入、身体活动、吸烟及饮酒情况进行评估。记录年龄并评估疾病家族史。
对于女性，协变量和可改变的预测因素占第1年到第3年腰围变化方差的67%。基线腰围较低、基线臀围较低、基线体重较高且体重变化较大的女性腰围增加幅度更大。对于男性，协变量和可改变的预测因素占腰围变化方差的72%。基线腰围较低、臀围变化较大、基线体重较高、体重增加较多且基线饮食中脂肪百分比较低的男性腰围增加幅度更大。其他不可改变的变量在两种性别中均不能预测变化情况。
减轻超重体重并减少体重增加似乎是预防上身脂肪堆积的最重要因素。
