Trends in waist circumference among US adults
Trends in waist circumference among US adults
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DOI：
10.1038/oby.2003.168
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发表时间：
2003-10-01
期刊：
影响因子：
--
通讯作者：
Giles, WH
中科院分区：
文献类型：
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作者：
Ford, ES;Mokdad, AH;Giles, WH
目的：腰围已被提出作为肥胖的衡量标准或作为确定肥胖的其他人体测量指标的辅助指标。我们的目的是研究美国成年人腰围的时间趋势。研究方法和程序：我们使用了来自全国健康与营养调查（NHANES） 111（1988年至1994年）的15454名20岁参与者和来自1999年至2000年全国健康与营养调查的4024名20岁参与者的数据。结果：未调整腰围男性从95.3（年龄调整，96.0 cm）增加到98.6（年龄调整，98.9 cm） cm，女性从88.7（年龄调整，88.9 cm）增加到92.2（年龄调整，92.1 cm） cm。这两项调查的百分位数表明，腰围分布的大部分已经发生了变化。除30至59岁的男性、40至59岁和70岁的女性以及墨西哥裔美国人或“其他”种族或族裔的女性外，所有年龄组和种族或族裔的死亡率均有统计学上的显著上升。讨论：这些结果表明，在美国成年人中，肥胖，尤其是腹部肥胖的人数迅速增加。除非采取措施减缓肥胖的增长或扭转肥胖流行的进程，否则美国与肥胖相关的发病率和死亡率的负担预计将在未来几年大幅增加。
Objective: Waist circumference has been proposed as a measure of obesity or as an adjunct to other anthropometric measures to determine obesity. Our objective was to examine temporal trends in waist circumference among adults in the U.S.Research Methods and Procedures: We used data from 15,454 participants 20 years old in National Health and Nutrition Examination Survey (NHANES) 111 (1988 to 1994) and 4024 participants :20 years old from National Health and Nutrition Examination Survey 1999 to 2000.Results: The unadjusted waist circumference increased from 95.3 (age-adjusted, 96.0 cm) to 98.6 (age-adjusted, 98.9 cm) cm among men and from 88.7 (age-adjusted 88.9 cm) to 92.2 (age-adjusted 92.1 cm) cm among women. The percentiles from the two surveys suggest that much of the waist circumference distribution has shifted. Statistically significant increases occurred among all age groups and racial or ethnic groups except men 30 to 59 years old, women 40 to 59 and 70 years old, and women who were Mexican American or of "other" race or ethnicity.Discussion: These results demonstrate the rapid increase in obesity, especially abdominal obesity, among U.S. adults. Unless measures are taken to slow the increase in or reverse the course of the obesity epidemic, the burden of obesity-associated morbidity and mortality in the U.S. can be expected to increase substantially in future years.