Generalised and abdominal adiposity are important risk factors for chronic disease in older people: Results from a nationally representative survey
Generalised and abdominal adiposity are important risk factors for chronic disease in older people: Results from a nationally representative survey
复制标题
DOI：
10.1007/s12603-011-0051-3
复制
发表时间：
2011-06-01
影响因子：
5.8
通讯作者：
Hirani, V.
中科院分区：
文献类型：
--
作者：
Hirani, V.
来看看普遍的(身体质量指数(BMI)千分之25公斤/米(2))和腹型肥胖症(腰围102厘米，男性；英国健康调查(HSE)对全国具有代表性的横断面人口调查的分析。非医疗机构男性和女性的年龄为65岁(在2005年健康调查中，男性为1512人，女性为1747人)。身高、体重、腰围和血压的测量是根据标准化的健康调查方案进行的。收集的社会人口、健康行为和医生诊断的健康状况的信息。从1993年到2008年，男性和女性的普遍肥胖症和腹型肥胖症有所增加。2005年，HSE 2005的重点是老年人。65岁以上的男性中有72%，女性中有68%超重或肥胖。女性腰围升高的患病率(58%)高于男性(46%)。在普遍肥胖的男女人群中，糖尿病和关节炎的患病率更高。如果男性只是超重，他们更有可能接受关节置换手术，中风的患病率也更高，而女性只有在肥胖(13%)并有更高的跌倒风险的情况下才更有可能接受关节置换手术。WC升高的慢性病患病率也有类似的规律。多变量分析显示，在男性和女性中，全身性肥胖和腹型肥胖与高血压、糖尿病和关节炎的风险独立相关。仅在女性中，一般肥胖与过去一年体重下降有关(OR：1.5)，腹型肥胖与关节置换有关(OR：1.9，p=0.01)。肥胖的并发症，如糖尿病、高血压和关节炎，在超重或肥胖的65岁以上的男性和女性以及腰围升高的人中更为常见。这些情况会影响发病率和死亡率，并对保健服务产生成本影响，而且已知即使在老年，体重减轻也会有所改善。针对这些情况的治疗策略，如体重管理和预防超重和肥胖，即使在老年人中也很重要。有必要确保老年人得到关于保持身体活动和合理饮食的适当建议。
To look at the trends in prevalence of generalised (body mass index (BMI) a parts per thousand yen25 kg/m(2)) and abdominal obesity (waist circumference (WC) > 102cm, men; > 88cm, women) among older people from 1993 to 2008, prevalence of chronic disease by overweight/obesity and WC categories in England 2005 and evaluate the association of these measures with chronic diseases.Analyses of nationally representative cross-sectional population surveys, the Health Survey for England (HSE).Non-institutionalised men and women aged a parts per thousand yen 65years (in HSE 2005, 1512 men and 1747 women).Height, weight, waist circumference, blood pressure measurements were taken according to standardised HSE protocols. Information collected on socio-demographic, health behaviour and doctor diagnosed health conditions.Generalised obesity and abdominal obesity increased among men and women from 1993 to 2008. In 2005, the HSE 2005 focussed on older people. 72% of men and 68% of women aged over 65 were either overweight or obese. Prevalence of raised WC was higher in women (58%) than in men (46%). The prevalence of diabetes and arthritis was higher in people with generalised obesity in both sexes. Men were more likely to have had a joint replacement and had a higher prevalence of stroke if they were overweight only but women were more likely to have had a joint replacement only if they were obese (13%) and had a higher risk of falls with generalised obesity. The pattern was similar for the prevalence of chronic diseases by raised WC. Multivariate analysis showed that generalised and abdominal obesity was independently associated with risk of hypertension, diabetes and arthritis in both men and women. In women only, there was an association between generalised obesity and having a fall in the last year (OR: 1.5), and between abdominal obesity and having a joint replacement (OR: 1.9, p=0.01).Complications of obesity such as diabetes, hypertension and arthritis, are more common in men and women aged over 65 who are overweight or obese, as well as in those with a raised WC. These conditions impact on morbidity, mortality and have cost implications for the health service and are known to improve with weight loss even in old age. Treatment strategies to address these conditions such as weight management and prevention of overweight and obesity are important even in older people. There is a need to ensure that older people are given appropriate advice about keeping physically active and eating sensibly.