Relation of Abdominal Height to Cardiovascular Risk Factors in Young Adults: The Bogalusa Heart Study
作者:J. Gustat、A. Elkasabany、S. Srinivasan、G. S. Berenson
DOI:10.1093/oxfordjournals.aje.a010292
日期:2000.5.1
Obesity and fat patterns are important predictors of coronary heart disease risk. The relations of abdominal height (sagittal diameter) and various obesity measures to coronary heart disease risk factors were examined in a community-based sample of 409 Blacks and 1, 011 Whites aged 20–38 years in Bogalusa, Louisiana (1995–1996). Obesity measures used included weight, waist circumference, waist: hip ratio, waist: height ratio, abdominal height, triceps and subscapular skinfold thicknesses, body mass index, and conicity index. Abdominal height was highly correlated with other obesity measures, especially waist circumference (0.937–0.944, p < 0.001), and was least correlated with height. In multivariate analysis, abdominal height was an independent predictor of levels of total cholesterol, triglycerides, very low density lipoprotein cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol, glucose, and insulin and of systolic and diastolic blood pressures (p < 0.05 to p < 0.001), with total R2 values ranging from 0.13 to 0.52. Abdominal height contributed more to the prediction of blood pressure than did other measures of central obesity. In canonical analysis, abdominal height was correlated more strongly with the coronary disease risk factor variables as a group than were other obesity measures. These results suggest that abdominal height adds another dimension to measures of obesity in that it may help to assess a component of visceral fat that other measures miss. Am J Epidemiol 2000; 151: 885-91.
肥胖和脂肪形态是冠心病风险的重要预测因素。我们在路易斯安那州博加卢萨市的一个社区样本中,对 409 名 20-38 岁的黑人和 1 011 名白人(1995-1996 年)的腹部高度(矢状径)和各种肥胖测量指标与冠心病风险因素的关系进行了研究。肥胖测量指标包括体重、腰围、腰围:臀围比、腰围:身高比、腹部高度、肱三头肌和肩胛下皮褶厚度、体重指数和锥体指数。腹部高度与其他肥胖测量指标高度相关,尤其是腰围(0.937-0.944,p < 0.001),而与身高的相关性最小。在多变量分析中,腹部高度是总胆固醇、甘油三酯、极低密度脂蛋白胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、葡萄糖和胰岛素水平以及收缩压和舒张压的独立预测因子(p < 0.05 至 p < 0.001),总 R2 值在 0.13 至 0.52 之间。腹部身高对预测血压的作用大于其他中心性肥胖的测量指标。在典型分析中,腹部身高与冠心病风险因素变量组的相关性比其他肥胖测量指标更强。这些结果表明,腹部高度为肥胖测量增添了另一个维度,因为它可能有助于评估内脏脂肪的一个组成部分,而其他测量方法却忽略了这一点。Am J Epidemiol 2000; 151: 885-91。