Abdominal adiposity in US adults: prevalence and trends, 1960-2000
Abdominal adiposity in US adults: prevalence and trends, 1960-2000
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DOI：
10.1016/j.ypmed.2004.01.023
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发表时间：
2004-07-01
影响因子：
5.1
通讯作者：
Dever, GEA
中科院分区：
文献类型：
--
作者：
Okosun, IS;Chandra, KMD;Dever, GEA
背景有大量的流行病学证据将腹部肥胖与心血管疾病联系起来。腹部肥胖是胰岛素抵抗综合征的重要组成部分。调查美国成年人群中腹部肥胖的患病率和趋势。设计，设置/参与者。具有全国代表性的横断面调查，包括面对面访谈和腰围测量;使用1960-1962年美国国家调查[第一次国家健康检查调查（NHES I）]的数据对23，654名20-79岁的成年人进行了检查，1988-1994年[第三次全国健康和营养调查（NHANES 111）]和1999 - 2000年[全国健康和营养调查（NHANES 1999-2000）]。腹部肥胖定义为腰围大于或等于102厘米（>40英寸）。男性大于或等于88 cm（>35 in.）结果。在1960-1962年、1988-1994年和1999-2000年这三个时期，男性和女性的腰围都有增加的趋势。1960- 1962年、1988 -1994年和1999-2000年男性平均腰围分别为89、95和99 cm。女性的相应值分别为77、92和94 cm。从1960年到2000年，在男性和女性中也观察到腹部肥胖的患病率呈上升趋势。在男性中，1960-1962年、1988-1994年和1999-2000年经年龄调整的腹型肥胖患病率分别为12.7%、29%和38.3%。在女性中，类似值分别为19.4%、38.8%和59.9%。在使用体重指数（BMI）定义的正常体重、体重不足和肥胖受试者中观察到腰围增加和腹部肥胖的相似趋势。在这三个时间段内，随着BMI的增加，腹部肥胖的趋势也在增加。1960-1962年和1999-2000年之间美国腹部肥胖患病率的增加对整个人群，特别是正常体重受试者的公共卫生产生了不祥的影响。有一个迫切需要描述一个公共卫生战略，早期发现腹部肥胖。在美国，一级预防肥胖，包括腹部肥胖，应该是一个主要的公共卫生优先事项。(C)2004年癌症预防研究所和爱思唯尔公司。All rights reserved.
Background. There is a large body of epidemiologic evidence linking abdominal obesity to cardiovascular diseases. Abdominal adiposity is an important component of insulin resistance syndrome.Objective. To investigate prevalence and trends in abdominal obesity in U.S. adult population.Design, setting/participants. Nationally representative cross-sectional surveys with an in-person interview and measurement of waist circumference; 23,654 adults aged 20-79 years were examined using data from U.S. National Surveys of 1960-1962 [the first National Health Examination Survey (NHES I)], 1988-1994 [the third National Health and Nutrition Examination Survey (NHANES 111)] and 19992000 [National Health and Nutrition Examination Survey (NHANES 1999-2000)]. Abdominal obesity was defined as waist circumference greater than or equal to102 cm (>40 in.) in men and greater than or equal to88 cm (>35 in.) in women.Results. There was a gradient of increasing waist circumference over the three periods of 1960-1962, 1988-1994 and 1999-2000 in both men and women. In men, the mean waist circumferences were 89,95 and 99 cm for 1960-1962,1988-1994 and 1999-2000, respectively. The corresponding values in women were 77, 92 and 94 cm, respectively. A gradient of increasing prevalence of abdominal obesity from 1960 to 2000 was also observed in men and women. In men, the overall age-adjusted prevalences of abdominal obesity were 12.7%, 29% and 38.3% in 1960-1962, 1988-1994 and 1999-2000, respectively. In women, the analogous values were 19.4%, 38.8% and 59.9%, respectively. Similar trends of increasing waist circumference and abdominal obesity were observed in normal weight, underweight and obese subjects defined using body mass index (BMI). Trends of increasing abdominal obesity with increasing BMI over the three time periods were also observed.Conclusions. The increase in the prevalence of abdominal obesity in the United States between 1960-1962 and 1999-2000 has ominous public health implications across entire population, particularly among normal weight subjects. There is an urgent need to describe a public health strategy for early identification of abdominal obesity. Primary prevention of obesity, including abdominal obesity, should be a major public health priority in the United States. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.