Obesity in minority populations: an epidemiologic assessment.
Obesity in minority populations: an epidemiologic assessment.
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少数民族人群的肥胖：流行病学评估。
DOI：
10.1002/j.1550-8528.1994.tb00644.x
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Shiriki K. Kumunyika
中科院分区：
文献类型：
--
作者：
Shiriki K. Kumunyika
本文综述了美国少数民族人群肥胖的患病率、健康影响、预防和治疗前景等问题。对少数群体肥胖问题的兴趣日益增加，反映了人们认识到黑人、西班牙裔、亚洲人和太平洋岛民以及美洲土著人肥胖症的高发率，以及对少数群体健康问题的兴趣普遍增加。此外，少数民族肥胖的某些方面与白人不同，这一事实表明，从研究不同人群的肥胖中可能会获得新的见解。然而，还有许多方法上的问题需要克服，包括一些由少数群体的定义方式引起的问题。假设所有的肥胖症都是由于一段时间内个人能量持续正平衡的结果，那么从流行病学的角度来解释少数群体在人口水平上的过度肥胖似乎是显而易见的。在现代化和经济发展的早期阶段，由于食物供应和身体活动的长期变化，导致肥胖促进力量过剩和肥胖抑制力量不足。少数民族人群中肥胖的高患病率可以被视为这些长期变化的斜率和时间的函数。遗传易感性、文化态度和在子宫内暴露于母体肥胖和糖尿病可能是增强因素。在这种情况下，针对个人的干预措施似乎不可避免地会使种族和少数民族群体走上与大多数白色人口相同的体重控制危机的道路。这表明，社会能量平衡问题的根本原因必须在人口水平上解决，以便为肥胖患病率高的少数群体开发有效的临床方法。
This article reviews issues relating to the prevalence, health implications, and prevention and treatment perspectives of obesity in U.S racial and ethnic minority groups. The growing interest in obesity in minority populations reflects an awareness of the high prevalence of obesity among black, Hispanic, Asian and Pacific Islander and Native Americans as well as a generally increased interest in minority health. In addition, the fact that some aspects of obesity among minorities differ from those in whites suggests that new insights may be gained from studying obesity in diverse populations. However, there are many methodological problems to be overcome, including some that arise from the way minority groups are defined. Under the assumption that all obesity results from a period of sustained positive energy balance at the individual level, an epidemiologic explanation for the excess of obesity in minorities at the population level seems readily apparent. A surplus of obesity-promoting forces and a deficit of obesity-inhibiting forces, caused by secular changes in food availability and physical activity, accompany the early phases of modernization and economic advancement. The high prevalence of obesity in minority populations can be viewed as a function of the slope and timing of these secular changes. Genetic predisposition, cultural attitudes, and exposure to maternal obesity and diabetes in utero may be potentiating factors. In this context, interventions targeting individuals would seem inevitably to put racial and ethnic minority groups on the path toward the same weight control crisis now observed in the majority white population. This suggests that the underlying causes of the societal energy balance problem must be addressed at the population level in order for effective clinical approaches to be developed for minority populations with a high obesity prevalence.
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DOI：
10.1093/ajcn/46.3.411
发表时间：
1987
期刊：
The American journal of clinical nutrition
影响因子：
--
作者：
Trowbridge,FL;Marks,JS;LopezdeRomana,G;Madrid,S;Boutton,TW;Klein,PD
通讯作者：
Klein,PD
影响因子：
7.1
作者：
SLATTERY, ML;MCDONALD, A;LIU, K
通讯作者：
LIU, K
混合人群中的“独特”等位基因：确定疾病频率“遗传”人群差异的策略。
影响因子：
3.2
作者：
Chakraborty,R;Kamboh,MI;Ferrell,RE
通讯作者：
Ferrell,RE
皮马印第安人的肥胖问题。
DOI：
--
发表时间：
1992
期刊：
International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Price,RA;Lunetta,K;Ness,R;Charles,MA;Saad,MF;Ravussin,E;Bennett,PH;Pettitt,DJ;Knowler,WC
通讯作者：
Knowler,WC
肥胖间接测量在血压种族比较中的效用。
影响因子：
7.2
作者：
Ballew,C;Liu,K;Savage,P;Oberman,A;Smoak,C
通讯作者：
Smoak,C