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通过人体测量指标预测腹部脂肪:身高的影响。

Predicting intra-abdominal fatness from anthropometric measures: the influence of stature.

作者信息

Han T S, McNeill G, Seidell J C, Lean M E

机构信息

Department of Medicine and Therapeutics, University of Aberdeen, Foresterhill.

出版信息

Int J Obes Relat Metab Disord. 1997 Jul;21(7):587-93. doi: 10.1038/sj.ijo.0800446.

DOI:10.1038/sj.ijo.0800446
PMID:9226490
Abstract

OBJECTIVE

To investigate the influence of height on the relationships between the intra-abdominal fat and anthropometric measures.

SUBJECTS

Twenty healthy female volunteers aged 20-51 y from Aberdeen, and 71 men and 34 women aged 19-85 y from Nijmegen, The Netherlands.

OUTCOME MEASURES

Intra-abdominal fat volumes by magnetic resonance imaging (MRI) in Aberdeen and cross-sectional areas at L4-L5 level by computerised tomography (CT) in Nijmegen, height, body mass index (BMI), waist circumference, waist sagittal and transverse diameters, waist to hip ratio, and skinfolds.

RESULTS

In the MRI study the women with BMI 20-33 kg/m2, waist circumference 62-97 cm, height 148-172 cm, and intra-abdominal fat volume 0.07-2.66 kg, waist circumference gave the highest correlation of simple indices with intra-abdominal fat volume, explaining 77.8% of variance. Single cross-sectional MRI cuts predicted volume with r = 0.94-0.99. Height in various levels of index power was not related to waist circumference, waist diameters, BMI, or skinfolds and did not improve prediction of intra-abdominal fat volume or of cross-sectional intra-abdominal fat area at any level. The CT study of men and women with BMI 18-32 kg/m2 and 19-38 kg/m2, waist circumference 71-112 cm and 74-125 cm, height 158-197 cm and 151-182 cm, and intra-abdominal fat area 13-274 cm2 and 19-221 cm2 respectively, height also had little influence on the relationships of intra-abdominal fat area with waist circumference or with any other indices of adiposity in linear or quadratic models. Compared to younger subjects, intra-abdominal fat area was higher in older subjects for a given waist circumference.

CONCLUSIONS

Height does not importantly influence the differences in measures of adiposity or intra-abdominal fat volume in women, or intra-abdominal fat area in both sexes. Age does influence the prediction of intra-abdominal fat from waist circumference, but waist circumference alone has a predictable simple relationship with intra-abdominal fat volume or area, which is likely to relate to the prediction of health risk for health promotion.

摘要

目的

研究身高对腹内脂肪与人体测量指标之间关系的影响。

对象

来自阿伯丁的20名年龄在20 - 51岁的健康女性志愿者,以及来自荷兰奈梅亨的71名男性和34名年龄在19 - 85岁的女性。

观察指标

在阿伯丁通过磁共振成像(MRI)测量腹内脂肪体积,在奈梅亨通过计算机断层扫描(CT)测量L4 - L5水平的横截面面积、身高、体重指数(BMI)、腰围、腰矢状径和横径、腰臀比以及皮褶厚度。

结果

在MRI研究中,对于BMI为20 - 33kg/m²、腰围62 - 97cm、身高148 - 172cm且腹内脂肪体积为0.07 - 2.66kg的女性,腰围与腹内脂肪体积的简单指标相关性最高,可解释77.8%的变异。单个MRI横截面切片预测体积的相关系数r = 0.94 - 0.99。在不同指数幂水平下,身高与腰围、腰径、BMI或皮褶厚度均无关,且在任何水平下都不能改善对腹内脂肪体积或腹内脂肪横截面面积的预测。在CT研究中,对于BMI分别为18 - 32kg/m²和19 - 38kg/m²、腰围分别为71 - 112cm和74 - 125cm、身高分别为158 - 197cm和151 - 182cm且腹内脂肪面积分别为13 - 274cm²和19 - 221cm²的男性和女性,在直线或二次模型中,身高对腹内脂肪面积与腰围或其他肥胖指标之间的关系影响也很小。与年轻受试者相比,在给定腰围的情况下,老年受试者的腹内脂肪面积更高。

结论

身高对女性肥胖测量指标或腹内脂肪体积以及男女腹内脂肪面积的差异影响不大。年龄确实会影响根据腰围预测腹内脂肪的结果,但仅腰围与腹内脂肪体积或面积之间存在可预测的简单关系,这可能与健康促进中健康风险的预测有关。

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