Kirchengast S, Gruber D, Sator M, Hartmann B, Knogler W, Huber J
Institute for Human Biology, University of Vienna, Austria.
Ann Hum Biol. 1997 Jan-Feb;24(1):45-54. doi: 10.1080/03014469700004762.
The aim of the present study was to describe and quantify the typical changes in fat patterning from premenopause to postmenopause. The absolute and relative fat and lean body mass were estimated using dual-energy X-ray absorptiometry in 461 healthy non-obese females between the ages of 18 and 64 years (x = 43.2). Significant differences (p < 0.001) in absolute and relative fat mass, body weight and body mass index between pre-, peri- and postmenopausal females were observed. Postmenopausal women were significantly heavier (BMI, x = 26.8) than perimenopausal (BMI, x = 24.4) and younger and older premenopausal women (BMI, x = 22.8) and showed significantly higher fat percentages (fat% x = 38.1) in comparison to perimenopausal (x = 36.8) and premenopausal females (x = 31.4). Three indices, upper body composition index, lower body composition index and fat distribution index were calculated. Typical differences in fat distribution patterns between females of differential menopausal status were found. During the premenopausal phase a more gynoid type of fat distribution prevailed, during the postmenopausal phase a more android kind of fat distribution occurred predominantly. The fat distribution during the perimenopause can be interpreted as less gynoid than during the premenopause.
本研究的目的是描述和量化从绝经前到绝经后脂肪分布模式的典型变化。使用双能X线吸收法对461名年龄在18至64岁之间（平均年龄 = 43.2岁）的健康非肥胖女性的绝对和相对脂肪及瘦体重进行了估计。观察到绝经前、围绝经期和绝经后女性在绝对和相对脂肪量、体重和体重指数方面存在显著差异（p < 0.001）。绝经后女性的体重（BMI，平均 = 26.8）显著高于围绝经期女性（BMI，平均 = 24.4）以及年轻和年长的绝经前女性（BMI，平均 = 22.8），并且与围绝经期女性（平均 = 36.8）和绝经前女性（平均 = 31.4）相比，脂肪百分比显著更高（脂肪%平均 = 38.1）。计算了三个指数，即上身成分指数、下身成分指数和脂肪分布指数。发现不同绝经状态女性的脂肪分布模式存在典型差异。在绝经前阶段，更倾向于女性型脂肪分布，在绝经后阶段，主要出现男性型脂肪分布。围绝经期的脂肪分布可解释为比绝经前更不具有女性型特征。
