Socioeconomic deprivation and waist circumference in men and women: The Scottish MONICA surveys 1989-1995
Socioeconomic deprivation and waist circumference in men and women: The Scottish MONICA surveys 1989-1995
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DOI：
10.1007/s10654-004-4498-y
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发表时间：
2005-02-01
影响因子：
13.6
通讯作者：
Tunstall-Pedoe, H
中科院分区：
文献类型：
--
作者：
Chen, RL;Tunstall-Pedoe, H
在1989年至1995年对2,233名男性和2,516名女性进行的三次苏格兰莫尼卡横断面调查中，测量了社会经济贫困和腰围，年龄在25-之间。腰围、腰臀比(WHR)和体重指数(BMI)的平均值随剥夺程度的增加(用卡斯泰尔指数衡量)，女性比男性更显著，不吸烟者比现在吸烟者更显著。他们的肥胖病例由传统的临界点定义，表现出类似的与剥夺有关的模式。与腰臀比和体重指数在第90百分位数以上的患病率相比，大腰围和剥夺的男女患病率似乎有更明显、更一致和更显著的增加。此外，无论男女，腰围随着时间的推移都有比腰围和体重指数更显著的增加趋势。控制身高的剩余病例对照分析显示，剥夺与腰围之间存在“剂量-反应”关系。与最富裕的人(卡斯泰尔评分的第一个三分位数)相比，经年龄、调查年份和吸烟状况调整后，中间组(第二个三分位数)男性的优势比为1.37(95%可信区间1.10-1.70)，最贫穷的男性(第三个三分位数)的优势比为1.46(1.17-1.82)；女性的优势比为1.22(0.99-1.50)和1.81(1.47-2.23)。这项研究表明，日益普遍的大腰围与社会经济贫困有直接关系，应该更多地关注社会贫困者的腰围增加。
Socioeconomic deprivation and waist circumference were measured in three Scottish MONICA cross-sectional surveys of 2233 men and 2516 women aged 25-64 years in 1989-1995. Means of waist circumference, waist/hip ratio (WHR) and body mass index (BMI) increased with level of deprivation (measured by the Carstairs index) more significantly in women than in men, and more significantly in non-smokers than in current-smokers. Their obesity cases defined by conventional cut-points showed similar patterns of relation to deprivation. There appeared to be more obviously consistent and significant increases in the prevalence of large waist circumference with deprivation for both sexes than in the prevalence of WHR and BMI above the 90th centile. Also there was a more significant trend of increase in waist circumference over time than there was in WHR and BMI for both sexes. Residual case-control analysis, controlling for height, showed a `dose-response' relationship between deprivation and waist circumference. Compared to the most affluent (the first tertile of the Carstairs score), odds ratio for men in the middle group ( the second tertile) adjusted for age, survey year and smoking status was 1.37 (95% CI 1.10-1.70) and in the most deprived (the third tertile) 1.46 (1.17-1.82); and for women 1.22 (0.99-1.50) and 1.81 (1.47-2.23). The study suggests that large waist circumference, increasingly prevalent, is directly related to socioeconomic deprivation, and greater attention should be paid to increasing girth in the socially deprived.