Association between menopause status and central adiposity measured at different cutoffs of waist circumference and waist-to-hip ratio
Association between menopause status and central adiposity measured at different cutoffs of waist circumference and waist-to-hip ratio
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DOI：
10.1097/01.gme.0000177907.32634.ae
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发表时间：
2006-03-01
影响因子：
2.7
通讯作者：
Spritzer, PM
中科院分区：
文献类型：
--
作者：
Donato, GB;Fuchs, SC;Spritzer, PM
目的：评估更年期状态与使用腰围和腰臀比的两种不同临界值测量的中心性肥胖之间的关联，同时控制体重指数和其他混杂因素。设计：对来自巴西南部帕索丰多的358名女性的代表性人群样本进行横断面研究。医学生在监督下进行标准化访谈和人体测量。绝经状态被分类为绝经前的那些没有改变月经频率或流量;绝经过渡的那些谁有这些变化;和绝经后12个月的闭经或双侧卵巢切除术后。肥胖定义为体重指数（BMI）等于或大于2 30 kg/m2，而中心性肥胖定义为腰围等于或大于80或88 cm，腰臀比等于或大于0.80或0.86。人体测量评估显示，与绝经后女性相比，绝经前女性更高，腰围更细，腰臀比更低。绝经后妇女患中心性肥胖的几率是绝经前妇女的五倍，即使在控制了BMI和其他混杂因素后也是如此。在绝经过渡期的妇女有一个增加的BMI，但没有独立的关联与中心obesity.Conclusion：绝经后妇女是在更大的风险中心肥胖检测腰围和腰臀比。
Objective: To assess the association between menopause status and central adiposity measured using two different cutoffs of waist circumference and waist-to-hip ratio, while controlling for body mass index and other confounding factors.Design: Cross-sectional study of a representative population-based sample of 358 women from Passo Fundo, Southern Brazil. Medical students performed standardized interviews and anthropometric measurements under supervision. Menopause status was categorized as premenopausal for those with no change in menstrual frequency or flow; menopause transition for those who had these changes; and postmenopausal after 12 months of amenorrhea or bilateral oophorectomy. Obesity was defined by body mass index (BMI) equal to or greater than 2 30 kg/m(2), whereas central adiposity was defined as a waist circumference equal to or greater than 80 or 88 cm and a waist-to-hip-ratio equal to or greater than 0.80 or 0.86.Results: The anthropometric assessment showed that compared with postmenopausal women, premenopausal women were taller, had a thinner waist circumference, and had a lower waist-to-hip ratio. Postmenopausal women had five times the chance of having central adiposity than premenopausal women, even after controlling for BMI and other confounding factors. Women in the menopause transition had an increased BMI, but there was no independent association with central obesity.Conclusion: Postmenopausal women are at greater risk of central adiposity as detected by both waist circumference and waist-to-hip ratio.