van Lenthe F J, Snel J, Twisk J W, van Mechelen W, Kemper H C
Institute for Research in Extramural Medicine, Faculty of Medicine, Vrije Universiteit Amsterdam, The Netherlands.
Int J Obes Relat Metab Disord. 1998 Sep;22(9):861-8. doi: 10.1038/sj.ijo.0800673.
It has been suggested that coping behaviour, in particular a defeat reaction to stress, is a determinant of the central pattern of body fat. To verify this hypothesis, this study investigated if coping behaviour, and associated personality traits, are associated with a central pattern of body fat or total body fatness in a healthy population of males (n=83) and females (n=98) early in life.
Problem-focused, emotion-focused and type A behaviour were measured at the mean ages of 21 y and 27 y. Personality traits (inadequacy, social inadequacy, dominance, rigidity and debilitating anxiety), a central pattern of body fat (subscapular/triceps, (S/T) ratio) and total body fatness (sum of four skinfolds (SSF): biceps, triceps, subscapular, suprailiac) were measured six times between the ages of 13-27 y.
In both genders, no association was found between either coping strategy and a central pattern of body fat or total body fatness. In males, type A behaviour was significantly negatively correlated with the S/T ratio (r = -0.27, P=0.01) after adjustment for total body fatness, at the mean age of 27 y. In a longitudinal analysis, adjusted for total body fatness, dominance and rigidity were negatively associated with the S/T ratio (beta = -0.09, 95% confidence interval (95% CI) (-0.17; -0.00) and beta = -0.11, 95% CI (-.19; -0.02), respectively) between the ages of 13-21 y in males. These associations of type A behaviour, dominance and rigidity, with a central pattern of body fat, were weaker and did not reach statistical significance with total body fatness.
The results of this study justify further research on the association between coping behaviour, personality and the development of a central pattern of body fat.
有人提出应对行为，特别是对压力的挫败反应，是身体脂肪分布中心模式的一个决定因素。为验证这一假设，本研究调查了在生命早期的健康男性群体（n = 83）和女性群体（n = 98）中，应对行为及相关人格特质是否与身体脂肪分布中心模式或总体肥胖程度相关。
在平均年龄21岁和27岁时测量问题聚焦、情绪聚焦和A型行为。在13至27岁之间六次测量人格特质（不足感、社交不足感、支配性、刻板性和衰弱性焦虑）、身体脂肪分布中心模式（肩胛下/肱三头肌，(S/T) 比值）和总体肥胖程度（四个皮褶厚度之和 (SSF)：肱二头肌、肱三头肌、肩胛下、髂上）。
在男女两性中，未发现应对策略与身体脂肪分布中心模式或总体肥胖程度之间存在关联。在男性中，在平均年龄27岁时，调整总体肥胖程度后，A型行为与S/T比值显著负相关（r = -0.27，P = 0.01）。在一项纵向分析中，调整总体肥胖程度后，在13至21岁的男性中，支配性和刻板性与S/T比值呈负相关（β = -0.09，95%置信区间(95%CI)(-0.17;-0.00)和β = -0.11，95%CI(-0.19;-0.02)）。A型行为、支配性和刻板性与身体脂肪分布中心模式的这些关联，与总体肥胖程度的关联较弱且未达到统计学显著性。
本研究结果为进一步研究应对行为、人格与身体脂肪分布中心模式发展之间的关联提供了依据。
