Gender-ethnic disparity in BMI and waist circumference distribution shifts in US adults.

Gender-ethnic disparity in BMI and waist circumference distribution shifts in US adults.
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DOI:
10.1038/oby.2008.492
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发表时间:
2009-01
期刊:
影响因子:
6.9
通讯作者:
Wang, Youfa
Wang, Youfa
中科院分区:
医学2区
文献类型:
--
作者:
Beydoun, May A.;Wang, Youfa

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虽然肥胖在美国一直在增加,但人们对最近BMI和腰围(WC)在社会人口统计学群体中的分布变化知之甚少。我们评估了BMI和WC分布的变化,比较了过去十年的组间差异,并利用1988-1994年和1999-2004年国家健康与营养调查(NHANES)的数据预测了未来BMI和WC分布以及肥胖和中央性肥胖的患病率。比较各组间BMI/WC的总体和百分位数分布变化。计算了年平均位移,并用于预测未来的分布和流行程度。体重指数和腰围在最高百分位数分布中都有所增加,但在女性中,体重指数向最高百分位数的变化有所下降。在过去的十年里,体重较重的美国人肥胖程度更高。种族(非西班牙裔(NH)白人与黑人)在平均BMI和WC上的差异变得更大。在调查期间,男性和女性的平均BMI分别增加了1.3个单位和1.8个单位,而WC分别增加了4.2厘米和4.8厘米。年轻人的增幅最大。女性的身高变化在第25 - 75百分位数之间保持稳定,但在身高较高时加快了速度,而女性和男性的体重指数和身高变化呈线性增长。NH黑人妇女的变化最大,到2020年中心肥胖和肥胖患病率将分别为90.8%和70.7%。BMI和WC分布的变化在不同年龄、性别和种族群体中有所不同。预计肥胖症和中心性肥胖症患病率未来会上升,但会因人口群体而异。
While obesity has been increasing in the United States, little is known about the variation in recent BMI and waist circumference (WC) distribution shifts across socio-demographic groups. We assessed shifts in BMI and WC distributions and compared between-group differences over the past decade, and projected future BMI and WC distributions and prevalence of obesity and central obesity using National Health and Nutrition Examination Survey (NHANES) 1988–1994 and 1999–2004 data. BMI/WC distributional shifts overall and in percentiles were compared across groups. Average yearly shift was calculated and used for projecting future distributions and prevalence. Both BMI and WC increased more in their uppermost percentile distribution, though BMI shift declined toward the uppermost percentiles among women. Heavier Americans gained more adiposity over the past decade. Ethnic (non-Hispanic (NH) white vs. black) disparities in mean BMI and WC became wider. Over the survey period, mean BMI increased by 1.3 units vs. 1.8 units among men and women, whereas WC, by 4.2 cm vs. 4.8 cm. Young adults had the largest increase. Shift in women’s WC was stable between the 25th and 75th percentiles, but gained pace at higher WC, while women’s BMI and men’s BMI and WC shifts increased linearly. NH black women had the largest shifts and would have central obesity and obesity prevalence of 90.8 and 70.7% by 2020. Shifts in BMI and WC distribution varied across age-, gender-, and ethnic groups. Future rise in the obesity and central obesity prevalence rates are expected, but would vary by demographic groups.
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