Body mass index and hyperuricemia differences between aboriginal and non-aboriginal children in Taiwan.

F T Chang, S J Chang, Y Y Wu, T N Wang, Y C Ko
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Abstract

To explore the relationship between the body mass index (BMI) and uric acid in different races before growing up into adulthood, we selected a total of 1236 five to 14 year-old children in the period from March to December 1994. The children originated from three Aboriginal tribes (the Bunun, and the Paiwan tribes--classified as South-Aborigines and Atayal tribe as North-Aborigines) and two non-Aboriginal tribes (Fukein-Taiwanese and Hakka), all of whom are from the following four countries: Chien-Shih, Sandimen, Gaushuh and Sanmin. The results showed that the percentage of hyperuricemia (> or = 7.5 mg/dl) was 28.5% (352/1236) and of obesity (BMI > or = 22 kg/m2) was 9.5% (118/1236). Increased uric acid concentration was found to be related to age, sex, BMI, race, triglyceride (TG) and cholesterol levels in both the primary analysis and after the adjusted logistic regression model. Obesity did not vary with sex (OR = 1.0; 95% CI = 0.7-1.5), or with Aborigines in north Taiwan as compared with non-Aborigines (OR = 1.0, 95% CI = 0.6-1.6), but the logistic regression model adjusted for age indicated large BMI values for children with high serum uric acid concentration, triglyceride levels and the Aborigines who originated from south Taiwan. It was concluded from this study that both of the North-Aborigines and South-Aborigines made an important influence on serum uric acid concentration in children, especially the South-Aborigines made difference to BMI as compared with non-Aborigines and North-Aborigines.

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台湾原住民与非原住民儿童体重指数与高尿酸血症之差异。
为了探讨不同种族成年前体质指数(BMI)与尿酸的关系,我们在1994年3月至12月期间选取了1236名5 - 14岁的儿童。这些孩子来自三个土著部落(布农部落和排湾部落——被归类为南土著,泰雅族部落被归类为北土著)和两个非土著部落(福建台湾部落和客家部落),他们都来自以下四个国家:建世、三地门、Gaushuh和三民。结果显示,高尿酸血症(>或= 7.5 mg/dl)占28.5%(352/1236),肥胖(BMI >或= 22 kg/m2)占9.5%(118/1236)。在初始分析和调整后的logistic回归模型中发现,尿酸浓度升高与年龄、性别、BMI、种族、甘油三酯(TG)和胆固醇水平有关。肥胖无性别差异(OR = 1.0;95% CI = 0.7-1.5)或台湾北部原住民与非原住民比较(or = 1.0, 95% CI = 0.6-1.6),但经年龄调整后的logistic回归模型显示,血清尿酸浓度、甘油三酯水平高的儿童和台湾南部原住民的BMI值较大。本研究得出结论,南北原住民对儿童血清尿酸浓度都有重要影响,尤其是南原住民对BMI的影响与非原住民和北原住民有差异。
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