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加拿大第一民族和欧洲血统人群中的肥胖及相对皮下脂肪分布情况。

Obesity and relative subcutaneous fat distribution among Canadians of First Nation and European ancestry.

作者信息

Katzmarzyk P T, Malina R M

机构信息

Department of Kinesiology and Health Science, York University, North York, Ontario, Canada.

出版信息

Int J Obes Relat Metab Disord. 1998 Nov;22(11):1127-31. doi: 10.1038/sj.ijo.0800739.

Abstract

OBJECTIVE

To compare Canadians of Aboriginal (First Nation, FN) and European ancestry (EA), with respect to obesity, subcutaneous fatness and relative subcutaneous fat distribution.

DESIGN

Cross-sectional comparison.

SUBJECTS

118 First Nation and 472 European ancestry Canadians from Northern Ontario, youth (5-19 y) and adults (20-75 y).

MEASUREMENTS

Stature, mass and skinfold thicknesses at the triceps, biceps, medial calf, subscapular, suprailiac and abdominal sites.

ANALYSIS

Prevalence of obesity was determined using the 85th percentile of body mass index (BMI) from NHANES II as the cut-off. Principal components (PC) analyses were performed on the six skinfolds. The first component (PC1) represented a trunk-extremity skinfold contrast. Differences in mean component scores between FN and EA were assessed using independent samples t-tests.

RESULTS

Prevalence of obesity among FN was high, ranging from 29% in youth to 60% in adult females. FN demonstrated greater subcutaneous adiposity and greater values for PC1, with the exception of adult males, where the difference is in the expected direction, but is not significant. The direction of the differences indicates that the FN have a greater centralization of subcutaneous fat.

CONCLUSIONS

FN Canadians generally have a greater prevalence of obesity, greater subcutaneous fatness and a more centralized distribution of body fat than those of European ancestry.

摘要

目的

比较原住民(第一民族,FN)和欧洲血统(EA)的加拿大人在肥胖、皮下脂肪厚度及相对皮下脂肪分布方面的差异。

设计

横断面比较。

研究对象

来自安大略省北部的118名第一民族和472名欧洲血统的加拿大人,包括青少年(5 - 19岁)和成年人(20 - 75岁)。

测量指标

身高、体重以及肱三头肌、肱二头肌、小腿内侧、肩胛下、髂上和腹部部位的皮褶厚度。

分析

采用美国国家健康和营养检查调查(NHANES II)中第85百分位数的体重指数(BMI)作为切点来确定肥胖患病率。对六个皮褶厚度进行主成分(PC)分析。第一主成分(PC1)代表躯干 - 四肢皮褶厚度对比。使用独立样本t检验评估FN和EA在平均成分得分上的差异。

结果

FN人群中的肥胖患病率较高,青少年中为29%,成年女性中为60%。除成年男性外,FN人群表现出更高的皮下脂肪含量和更高的PC1值,成年男性中差异虽符合预期方向,但不显著。差异方向表明FN人群皮下脂肪分布更集中。

结论

与欧洲血统的加拿大人相比,FN加拿大人总体上肥胖患病率更高、皮下脂肪更厚且身体脂肪分布更集中。

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