The new BMI criteria for Asians by the regional office for the Western Pacific Region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers
The new BMI criteria for Asians by the regional office for the Western Pacific Region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers
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DOI：
10.1539/joh.45.335
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发表时间：
2003-11-01
影响因子：
3
通讯作者：
Yamane, Y
中科院分区：
文献类型：
--
作者：
Anuurad, E;Shiwaku, K;Yamane, Y
世卫组织西太平洋区域办事处制定的亚洲人BMI新标准适用于日本老年工人超重筛查以预防代谢综合征：Erdembileg ANUURAD等。岛根大学医学院环境与预防医学系-日本人的肥胖发生率低于其他民族。糖耐量异常的人经常被发现有一种或多种其他心血管疾病的危险因素，如肥胖、高血压和高脂血症。这种聚类被称为代谢综合征（WHO, 1998）。据分析，被WHO（2000年）定义为体重正常（BMI低于25.0）的日本人患代谢综合征的趋势正在增加。我们的目的是分析BMI为23.0-24.9的日本工人的“超重”代谢综合征，并评估世界卫生组织关于肥胖的标准（WPRO标准，2000年）对西太平洋地区亚洲人的适用性。我们在工作场所进行了一项横断面研究，并根据性别和年龄组（18-44岁vs 45-60岁）调查了基于WPRO标准的BMI分类与代谢综合征之间的关系。379名日本男性和432名女性参与了这项研究。根据WPRO标准，BMI分为20%“超重”（23.0-24.9 BMI）， 20%“肥胖I”（25.0-29.9 BMI）和2%“肥胖II”（超过30.0 BMI）。在男女和年龄组中，BMI的分级增加与体脂率、腰围、臀围和腰臀比呈正相关。年龄在4560岁的老年人中，不论男女，BMI类别的逐渐增加与代谢综合征的构成参数呈正相关。根据WPRO标准，老年工人BMI等级的分级增加与代谢综合征的患病率呈正相关，“超重”的老年妇女代谢综合征的患病率明显更高。目前的调查基于BMI为23.0-24.9的“超重”风险的增加，表明WPRO标准适用于45岁以上的日本工人。
The New BMI Criteria for Asians by the Regional Office for the Western Pacific Region of WHO are Suitable for Screening of Overweight to Prevent Metabolic Syndrome in Elder Japanese Workers: Erdembileg ANUURAD, et al. Department of Environmental and Preventive Medicine, Shimane University School of Medicine - Obesity occurs less frequently in Japanese than in various other ethnic populations. A person with abnormal glucose tolerance is often found to have one or more of the other cardiovascular disease risk factors, such as obesity, hypertension and hyperlipidemia. This clustering has been labeled as metabolic syndrome (WHO, 1998). It was suggested that Japanese, categorized as having normal weight (BMI of less than 25.0), as defined by the WHO (2000), have an increasing tendency toward metabolic syndrome. Our objective was to analyze metabolic syndrome in "Overweight" with BMI of 23.0-24.9 in Japanese workers, and to assess the suitability for Asians of the Regional Off ice for the Western Pacific Region of WHO criteria pertaining to obesity (WPRO criteria, 2000). We conducted a cross-sectional study in the workplace setting and investigated the relationship between BMI classification based on WPRO criteria and metabolic syndrome by gender and age group (18-44 yr vs. 45-60 yr). Three hundred seventy-nine men and 432 women Japanese workers participated in this study. BMI were categorized as 20% "Overweight" (23.0-24.9 BMI), 20% "Obese I" (25.0-29.9 BMI) and 2% "Obese II" (over 30.0 BMI), based on WPRO criteria. Graded increases in BMI were positively associated with body fat percentage, waist circumference, hip circumference and waist/hip ratio in both genders and age groups. A progressively increasing BMI category in the elder group aged 4560 yr in both genders was positively related with parameters constituting metabolic syndrome. Graded increases in BMI classes in elder workers based on WPRO criteria were positively associated with prevalence of metabolic syndrome, and "Overweight" elder women had significantly higher prevalence of metabolic syndrome. The present investigation, based on the increasing risks of "Overweight" with a BMI of 23.0-24.9, suggests that WPRO criteria are suitable for Japanese workers aged over 45 yr.