Why are there race/ethnic differences in adult body mass index-adiposity relationships? A quantitative critical review.
Why are there race/ethnic differences in adult body mass index-adiposity relationships? A quantitative critical review.
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DOI：
10.1111/obr.12358
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发表时间：
2016-03
期刊：
影响因子：
--
通讯作者：
Schuna JM Jr
中科院分区：
文献类型：
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作者：
Heymsfield SB;Peterson CM;Thomas DM;Heo M;Schuna JM Jr
身体质量指数（BMI）现在是全球范围内最广泛使用的肥胖指标。然而，激烈的讨论集中在BMI作为不同种族和民族人群肥胖表型标志物的适当性上。BMI-肥胖关系似乎在不同种族/民族之间存在显著差异，但缺乏对这些影响的集体批判性分析，以确定其程度和潜在的体型/组成基础。因此，我们系统地审查了这些种族种族差异的大小，在非西班牙裔（NH）白色，NH黑人和墨西哥裔美国成年人，他们的解剖身体组成的基础和潜在的生物学联系的机制，使用早期的出版物和新的分析，从美国国家健康和营养检查调查。我们的集体观察提供了一个新的框架，用于批判性地评估BMI与不同种族和民族人群肥胖之间的定量关系;揭示了BMI作为成年人肥胖的衡量标准的新见解;确定了可以形成未来研究基础的知识差距，并为制定BMI相关的公共卫生建议创造了定量基础。
Body mass index (BMI) is now the most widely used measure of adiposity on a global scale. Nevertheless, intense discussion centers on the appropriateness of BMI as a phenotypic marker of adiposity across populations differing in race and ethnicity. BMI-adiposity relations appear to vary significantly across race/ethnic groups, but a collective critical analysis of these effects establishing their magnitude and underlying body shape/composition basis is lacking. Accordingly, we systematically review the magnitude of these race-ethnic differences across non-Hispanic (NH) white, NH black and Mexican American adults, their anatomic body composition basis and potential biologically linked mechanisms, using both earlier publications and new analyses from the US National Health and Nutrition Examination Survey. Our collective observations provide a new framework for critically evaluating the quantitative relations between BMI and adiposity across groups differing in race and ethnicity; reveal new insights into BMI as a measure of adiposity across the adult age-span; identify knowledge gaps that can form the basis of future research and create a quantitative foundation for developing BMI-related public health recommendations.