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Obesity Associated with Low Lean Mass and Low Bone Density Has Higher Impact on General Health in Middle-Aged and Older Adults 与低瘦体重和低骨密度相关的肥胖对中老年人群的总体健康影响较大
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-12-03 DOI: 10.1155/2020/8359616
N. A. D. de França, Barbara S. E. Peters, E. A. Dos Santos, Marcela M. S. Lima, R. Fisberg, L. Martini
It is believed that the phenomenon of simultaneous changes in body composition could have a higher negative impact on general health. Thus, we aimed to investigate the prevalence of concomitant body composition disturbances and evaluate the association with dietary intake, sedentary behaviour, muscle strength, and performance. This is a cross-sectional study with 218 community-dwelling adults, aged 63 (59–69) years, both sexes (52% female) recruited from the Health Survey of the City of Sao Paulo. Assessments include appendicular lean mass (LM), fat mass and bone mineral density (BMD) by DXA, grip strength, time spent sitting, and dietary intake. Subjects were clustered into 8 groups: (1) normal, (2) osteopenia (OP), (3) low LM, (4) obesity, (5) OP + low LM, (6) obesity + OP, (7) obesity + low LM, and (8) obesity + OP + low LM. Statistical analyses include ANCOVA, the chi-square test, and linear regression models. 52 (23%) individuals presented obesity associated with another body composition change, with 14 (6%) having the combination of the 3 conditions (obesity + OP + low LM). All groups with obesity showed lower protein intake ( ); however, those with obesity or obesity + low LM spent more time in a sitting position ( ), and the group with obesity + OP + low LM had the lowest grip strength. The combination of obesity with low LM and OP presented the aggravating factor of being associated with lower grip strength. In a context of demographic and nutrition transition, the findings represent a demand for longitudinal investigations.
据信,身体成分同时变化的现象可能对整体健康产生更大的负面影响。因此,我们的目的是调查伴随的身体成分紊乱的患病率,并评估其与饮食摄入、久坐行为、肌肉力量和运动表现的关系。这是一项横断面研究,从圣保罗市健康调查中招募了218名年龄在63(59-69)岁、男女(52%为女性)的社区居住成年人。评估包括通过DXA测量的阑尾瘦质量(LM)、脂肪质量和骨密度(BMD)、握力、静坐时间和饮食摄入量。受试者被分为8组:(1)正常,(2)骨质减少(OP),(3)低LM,(4)肥胖,(5)OP +低LM,(6)肥胖+ OP,(7)肥胖+低LM,(8)肥胖+ OP +低LM。统计分析包括方差分析、卡方检验和线性回归模型。52人(23%)表现出肥胖与另一种身体成分变化相关,14人(6%)同时存在3种情况(肥胖+ OP +低LM)。肥胖组蛋白质摄入量均较低();而肥胖组或肥胖+低LM组保持坐姿的时间更长(),肥胖+ OP +低LM组握力最低。肥胖合并低LM和低OP是与握力降低相关的加重因素。在人口和营养转变的背景下,研究结果表明需要进行纵向调查。
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引用次数: 4
Strength Training Reduces Fat Accumulation and Improves Blood Lipid Profile Even in the Absence of Skeletal Muscle Hypertrophy in High-Fat Diet-Induced Obese Condition 在高脂肪饮食诱导的肥胖条件下,即使在骨骼肌没有肥大的情况下,力量训练也能减少脂肪积累并改善血脂状况
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-11-20 DOI: 10.1155/2020/8010784
C. Contreiro, L. C. Caldas, B. Nogueira, A. Leopoldo, A. P. Lima-Leopoldo, L. Guimarães‐Ferreira
The aim was to investigate the effect of strength training on skeletal muscle morphology and metabolic adaptations in obese rats fed with unsaturated high-fat diet (HFD). The hypothesis was that strength training induces positive metabolic adaptations in obese rats despite impaired muscle hypertrophy. Male Wistar rats (n = 58) were randomized into two groups and fed a standard diet or a high-fat diet (HFD) containing 49.2% of fat. After induction and maintenance to obesity, the rats were divided into four groups: animals distributed in sedentary control (CS), control submitted to strength training protocol (CT), obese sedentary (ObS), and obese submitted to strength training protocol (ObT). The exercise protocol consisted of 10 weeks of training on a vertical ladder (three times a week) with a load attached to the animal’s tail. At the end of 10 weeks, strength training promoted positive changes in the body composition and metabolic parameters in obese animals. Specifically, ObT animals presented a reduction of 22.6% and 14.3% in body fat and adiposity index when compared to ObS, respectively. Furthermore, these rats had lower levels of triglycerides (ObT = 23.1 ± 9.5 vs. ObS = 30.4 ± 6.9 mg/dL) and leptin (ObT = 13.2 ± 7.2 vs. ObS = 20.5 ± 4.3 ng/mL). Training (ObT and CT) induced a greater strength gain when compared with the respective control groups. In addition, the weight of the flexor hallucis longus (FHL) muscle was higher in the ObT group than in the CT group, representing an increase of 26.1%. However, training did not promote hypertrophy as observed by a similar cross-sectional area of the FHL and plantar muscles. Based on these results, high-intensity strength training promoted an improvement of body composition and metabolic profile in obese rats that were fed a high-fat diet without skeletal muscle adaptations, becoming a relevant complementary strategy for the treatment of obesity.
目的是研究力量训练对喂食不饱和高脂肪饮食(HFD)的肥胖大鼠骨骼肌形态和代谢适应的影响。假设是力量训练诱导肥胖大鼠积极的代谢适应,尽管受损的肌肉肥大。雄性Wistar大鼠(n = 58)随机分为两组,分别饲喂含脂肪49.2%的高脂日粮和标准日粮。在诱导和维持肥胖后,将大鼠分为四组:久坐对照组(CS)、力量训练方案对照组(CT)、肥胖久坐组(ObS)和肥胖力量训练方案组(ObT)。运动方案包括在垂直梯子上进行10周的训练(每周三次),并在动物的尾巴上固定重物。在10周结束时,力量训练促进了肥胖动物的身体组成和代谢参数的积极变化。具体来说,与ObS相比,ObT动物的体脂和肥胖指数分别降低了22.6%和14.3%。此外,这些大鼠的甘油三酯(ObT = 23.1±9.5比ObS = 30.4±6.9 mg/dL)和瘦素(ObT = 13.2±7.2比ObS = 20.5±4.3 ng/mL)水平较低。与各自的对照组相比,训练(ObT和CT)诱导了更大的力量增加。此外,ObT组幻觉长屈肌(FHL)的重量高于CT组,增加了26.1%。然而,训练并没有促进肥大,正如FHL和足底肌肉相似的横截面积所观察到的那样。基于这些结果,高强度力量训练促进了喂食高脂肪饮食而不适应骨骼肌的肥胖大鼠的身体组成和代谢谱的改善,成为治疗肥胖的相关补充策略。
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引用次数: 2
Emerging Nutritional Problem of Adult Population: Overweight/Obesity and Associated Factors in Addis Ababa City Communities, Ethiopia-A Community-Based Cross-Sectional Study. 新出现的成人营养问题:埃塞俄比亚亚的斯亚贝巴城市社区超重/肥胖及相关因素——一项基于社区的横断面研究。
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-10-19 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6928452
Tsedeke Wolde Hailemariam, Samrawit Solomon Ethiopia, Andamlak Gizaw Alamdo, Haimanot Ewnetu Hailu

Background: Obesity is an emerging public health problem in developing countries. There is limited study conducted in Ethiopia to determine the prevalence of obesity and its associated factors among adult population. Therefore, this study aimed at determining the prevalence of overweight/obesity and the associated factors among adults aged 25-64 years in Addis Ababa city community residents, Ethiopia.

Methods: A community-based cross-sectional study was conducted from April 10, 2017, to May 20, 2017, in Addis Ababa. A total of 512 adults were recruited. A two-stage cluster followed by a systematic random sampling technique was used for sample selection. Data were collected using questionnaires and anthropometric measurements. The adjusted odds ratio (AOR) with a 95% CI was reported to show the strength of association. A P value < 0.05 was considered statistically significant.

Results: A total of 484 adults participated in the study with a response rate of 94.5%. The prevalence of overweight and obesity among study participants was found to be 99 (21.5%) and 14 (2.9%), respectively. Males were 90% less likely to be obese when compared to females (AOR = 0.10 (95% CI: 0.01-0.84)). Illiterate people were 94% less likely to be obese compared to those who were literate people (AOR = 0.06 (95% CI: 0.01-0.44)). Nonhypertensive individuals were 86% less likely to be obese when compared to hypertensive (AOR = 0.14 (95% CI: 0.03-0.69)).

Conclusion: The combined prevalence of overweight and obesity was found to be considerably high in Addis Ababa city residents compared to the national figure. Being female, literate, and presence of hypertension are independent predictors of overweight/obesity in the study population. Thus, the concerned bodies should initiate efforts to tackle the newly emerging public health problem of the country and promote healthy lifestyle behaviors in the inhabitants of city settings.

背景:肥胖是发展中国家一个新兴的公共卫生问题。在埃塞俄比亚进行了有限的研究,以确定成年人中肥胖的患病率及其相关因素。因此,本研究旨在确定埃塞俄比亚亚的斯亚贝巴城市社区居民中25-64岁成年人超重/肥胖的患病率及其相关因素。方法:2017年4月10日至5月20日,在亚的斯亚贝巴开展基于社区的横断面研究。总共招募了512名成年人。采用两阶段聚类,然后采用系统随机抽样技术进行样本选择。通过问卷调查和人体测量收集数据。经校正的优势比(AOR) (95% CI)显示了相关性的强度。结果:共有484名成人参与研究,有效率为94.5%。研究参与者中超重和肥胖的患病率分别为99(21.5%)和14(2.9%)。与女性相比,男性肥胖的可能性要低90% (AOR = 0.10 (95% CI: 0.01-0.84))。与识字的人相比,不识字的人肥胖的可能性要低94% (AOR = 0.06 (95% CI: 0.01-0.44))。与高血压患者相比,非高血压患者发生肥胖的可能性要低86% (AOR = 0.14 (95% CI: 0.03-0.69))。结论:与全国相比,亚的斯亚贝巴市居民超重和肥胖的综合患病率相当高。在研究人群中,女性、识字和高血压是超重/肥胖的独立预测因素。因此,有关机构应开始努力解决国家新出现的公共卫生问题,并在城市环境中促进健康的生活方式行为。
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引用次数: 4
Reproducibility of Bioelectrical Impedance Analysis in Pregnancy and the Association of Body Composition with the Risk of Gestational Diabetes: A Substudy of MUMS Cohort. 妊娠期生物电阻抗分析的可重复性以及身体成分与妊娠期糖尿病风险的关系:一项MUMS队列的亚研究
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-09-22 eCollection Date: 2020-01-01 DOI: 10.1155/2020/3128767
Michelle Bai, Daniella Susic, Anthony J O'Sullivan, Amanda Henry

Introduction: Bioelectrical impedance analysis (BIA) is a rapid and noninvasive method of body composition analysis; however, reproducibility between BIA instruments in pregnancy is uncertain. Adverse maternal body composition has been linked to pregnancy complications including gestational diabetes mellitus (GDM). This study aimed to evaluate the reproducibility of three BIA instruments in pregnancy and analyse the relationship between the body composition and the GDM risk.

Methods: A prospective cohort (n = 117) of women with singleton pregnancies participating in the Microbiome Understanding in Maternity Study (MUMS) at St. George Hospital, Sydney, Australia. Anthropometric measurements and BIA body composition were measured at ≤13 weeks (T1), 20-24 weeks (T2), and 32-36 weeks (T3) of gestation. Body fat percentage (BFP), total body water (TBW), and impedance were estimated by three BIA instruments: Bodystat 1500, RJL Quantum III, and Tanita BC-587. GDM status was recorded after 75 g oral glucose tolerance test was performed at 28 weeks or earlier. Agreement between BIA instruments was assessed using Bland-Altman analysis. Logistic regression modelling explored associations of BFP with GDM.

Results: Method comparison reproducibility between Bodystat and RJL was stronger than between Bodystat and Tanita for both BFP and TBW% at all three time points. RJL overestimated BFP on average by 3.3% (p < 0.001), with limits of agreement within ±5% for all trimesters. Average BFP was not significantly different between Tanita and Bodystat although limits of agreement exceeded ±5%. GDM diagnosis was independently associated with increased BFP in T1 (adjusted OR 1.117 per 1% increase; 95% CI 1.020-1.224; p=0.017) and in T2 (adjusted OR 1.113 per 1% increase; 95% CI 1.010-1.226; p=0.031) and with Asian ethnicity in all models (OR 7.4-8.1).

Conclusion: Reproducibility amongst instruments was moderate; therefore, interchangeability between instruments, particularly for research purposes, cannot be assumed. In this cohort, GDM risk was modestly associated with increasing BFP and strongly associated with Asian ethnicity.

生物电阻抗分析(BIA)是一种快速、无创的身体成分分析方法;然而,BIA器械在妊娠期的重复性尚不确定。不良的母体身体成分与妊娠并发症有关,包括妊娠糖尿病(GDM)。本研究旨在评估三种BIA仪器在妊娠期的可重复性,并分析体成分与GDM风险的关系。方法:一项前瞻性队列研究(n = 117)单胎妊娠妇女参加了澳大利亚悉尼圣乔治医院的产妇微生物组研究(MUMS)。分别在妊娠≤13周(T1)、20-24周(T2)和32-36周(T3)测量人体测量值和BIA体成分。采用Bodystat 1500、RJL Quantum III和Tanita BC-587三种BIA仪器测量体脂率(BFP)、全身水分(TBW)和阻抗。在28周或更早进行75 g口服葡萄糖耐量试验后记录GDM状态。使用Bland-Altman分析评估BIA仪器之间的一致性。Logistic回归模型探讨了BFP与GDM的关系。结果:Bodystat和RJL在三个时间点的BFP和TBW%的方法比较重现性强于Bodystat和Tanita。RJL平均高估了BFP 3.3% (p < 0.001),所有妊娠期的一致性限制在±5%以内。平均BFP在Tanita和Bodystat之间没有显着差异,尽管一致性限制超过±5%。GDM诊断与T1期BFP升高独立相关(调整OR为1.117 / 1%;95% ci 1.020-1.224;p=0.017)和T2(每增加1%调整OR为1.113;95% ci 1.010-1.226;p=0.031),所有模型均与亚洲种族相关(OR 7.4-8.1)。结论:各仪器的重复性为中等;因此,不能假定仪器之间的互换性,特别是用于研究目的。在这个队列中,GDM风险与BFP的增加有一定的相关性,与亚洲种族有很强的相关性。
{"title":"Reproducibility of Bioelectrical Impedance Analysis in Pregnancy and the Association of Body Composition with the Risk of Gestational Diabetes: A Substudy of MUMS Cohort.","authors":"Michelle Bai, Daniella Susic, Anthony J O'Sullivan, Amanda Henry","doi":"10.1155/2020/3128767","DOIUrl":"10.1155/2020/3128767","url":null,"abstract":"<p><strong>Introduction: </strong>Bioelectrical impedance analysis (BIA) is a rapid and noninvasive method of body composition analysis; however, reproducibility between BIA instruments in pregnancy is uncertain. Adverse maternal body composition has been linked to pregnancy complications including gestational diabetes mellitus (GDM). This study aimed to evaluate the reproducibility of three BIA instruments in pregnancy and analyse the relationship between the body composition and the GDM risk.</p><p><strong>Methods: </strong>A prospective cohort (<i>n</i> = 117) of women with singleton pregnancies participating in the Microbiome Understanding in Maternity Study (MUMS) at St. George Hospital, Sydney, Australia. Anthropometric measurements and BIA body composition were measured at ≤13 weeks (T1), 20-24 weeks (T2), and 32-36 weeks (T3) of gestation. Body fat percentage (BFP), total body water (TBW), and impedance were estimated by three BIA instruments: Bodystat 1500, RJL Quantum III, and Tanita BC-587. GDM status was recorded after 75 g oral glucose tolerance test was performed at 28 weeks or earlier. Agreement between BIA instruments was assessed using Bland-Altman analysis. Logistic regression modelling explored associations of BFP with GDM.</p><p><strong>Results: </strong>Method comparison reproducibility between Bodystat and RJL was stronger than between Bodystat and Tanita for both BFP and TBW% at all three time points. RJL overestimated BFP on average by 3.3% (<i>p</i> < 0.001), with limits of agreement within ±5% for all trimesters. Average BFP was not significantly different between Tanita and Bodystat although limits of agreement exceeded ±5%. GDM diagnosis was independently associated with increased BFP in T1 (adjusted OR 1.117 per 1% increase; 95% CI 1.020-1.224; <i>p</i>=0.017) and in T2 (adjusted OR 1.113 per 1% increase; 95% CI 1.010-1.226; <i>p</i>=0.031) and with Asian ethnicity in all models (OR 7.4-8.1).</p><p><strong>Conclusion: </strong>Reproducibility amongst instruments was moderate; therefore, interchangeability between instruments, particularly for research purposes, cannot be assumed. In this cohort, GDM risk was modestly associated with increasing BFP and strongly associated with Asian ethnicity.</p>","PeriodicalId":16628,"journal":{"name":"Journal of Obesity","volume":"2020 ","pages":"3128767"},"PeriodicalIF":3.3,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/3128767","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38465444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
The Association of General and Central Obesity with Dietary Patterns and Socioeconomic Status in Adult Women in Botswana. 博茨瓦纳成年妇女的全身性和中心性肥胖与饮食模式和社会经济地位的关系。
IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-09-01 eCollection Date: 2020-01-01 DOI: 10.1155/2020/4959272
Boitumelo Motswagole, Jose Jackson, Rosemary Kobue-Lekalake, Segametsi Maruapula, Tiyapo Mongwaketse, Lemogang Kwape, Tinku Thomas, Sumathi Swaminathan, Anura V Kurpad, Maria Jackson

Dietary patterns and their association with general and central obesity among adult women were studied using a cross-sectional survey with multistage cluster sampling in urban and rural areas nationwide in Botswana. The participants in the study were adult women (N = 1019), 18-75 years old. The dietary patterns were identified using principal component analysis, and their associations with the body mass index and the weight-for-height ratio were examined. Factor analysis with varimax rotation was used to identify six dietary patterns (fast foods, refined carbohydrates, vegetables and fruits, fish and nuts, Botswana traditional foods, and organ and red meat dietary pattern). Overall, 24.5% of the women were overweight (BMI 25.0-29.99 kg/m2) and 24.5% were obese (BMI > 30 kg/m2). A waist-to-height ratio greater than 0.5 was observed for 42.2% of the women. With adjustment for age and education, individuals in the highest tertile of the Botswana traditional food pattern had a significantly higher risk of general obesity (RR = 1.40, 95% CI: 1.07-1.84) and central obesity (RR = 1.20, 95% CI: 0.97-1.48). With respect to the fish and nut pattern, a significant association was observed with central obesity only (RR = 1.43, 95% CI: 1.18-1.72). The Botswana traditional food pattern, characterised by a high carbohydrate intake, was found to be associated with a high risk of obesity in this study. However, more research is required to assess other factors contributing to obesity in women so that appropriate intervention programs can be put in place to help control this epidemic.

我们在博茨瓦纳全国的城市和农村地区采用多阶段分组抽样的横断面调查方法,对成年女性的饮食模式及其与全身性和中心性肥胖的关系进行了研究。研究对象为 18-75 岁的成年女性(N = 1019)。通过主成分分析确定了膳食模式,并研究了它们与体重指数和体重身高比的关系。利用变异旋转因子分析确定了六种膳食模式(快餐、精制碳水化合物、蔬菜和水果、鱼和坚果、博茨瓦纳传统食品以及内脏和红肉膳食模式)。总体而言,24.5% 的妇女超重(体重指数为 25.0-29.99 kg/m2),24.5% 的妇女肥胖(体重指数大于 30 kg/m2)。42.2%的女性腰围与身高的比率大于 0.5。在对年龄和教育程度进行调整后,博茨瓦纳传统食物模式最高三分位数的人患一般肥胖症(RR = 1.40,95% CI:1.07-1.84)和中心性肥胖症(RR = 1.20,95% CI:0.97-1.48)的风险明显较高。至于鱼和坚果模式,仅观察到与中心性肥胖有显著关联(RR = 1.43,95% CI:1.18-1.72)。本研究发现,以高碳水化合物摄入量为特征的博茨瓦纳传统食物模式与高肥胖风险有关。不过,还需要进行更多的研究,以评估导致妇女肥胖的其他因素,从而制定适当的干预计划,帮助控制这一流行病。
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引用次数: 0
Lipid-Induced Mechanisms of Metabolic Syndrome. 脂质诱导代谢综合征的机制。
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-08-26 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5762395
Yulia K Denisenko, Oxana Yu Kytikova, Tatyana P Novgorodtseva, Marina V Antonyuk, Tatyana A Gvozdenko, Tatyana A Kantur

Metabolic syndrome (MetS) has a worldwide tendency to increase and depends on many components, which explains the complexity of diagnosis, approaches to the prevention, and treatment of this pathology. Insulin resistance (IR) is the crucial cause of the MetS pathogenesis, which develops against the background of abdominal obesity. In light of recent evidence, it has been shown that lipids, especially fatty acids (FAs), are important signaling molecules that regulate the signaling pathways of insulin and inflammatory mediators. On the one hand, the lack of n-3 polyunsaturated fatty acids (PUFAs) in the body leads to impaired molecular mechanisms of glucose transport, the formation of unresolved inflammation. On the other hand, excessive formation of free fatty acids (FFAs) underlies the development of oxidative stress and mitochondrial dysfunction in MetS. Understanding the molecular mechanisms of the participation of FAs and their metabolites in the pathogenesis of MetS will contribute to the development of new diagnostic methods and targeted therapy for this disease. The purpose of this review is to highlight recent advances in the study of the effect of fatty acids as modulators of insulin response and inflammatory process in the pathogenesis and treatment for MetS.

代谢综合征(MetS)在世界范围内有增加的趋势,这取决于许多因素,这解释了这种病理的诊断、预防和治疗方法的复杂性。胰岛素抵抗(Insulin resistance, IR)是met发病的重要原因,是在腹部肥胖的背景下发展起来的。根据最近的证据,脂质,特别是脂肪酸(FAs)是调节胰岛素和炎症介质信号通路的重要信号分子。一方面,体内缺乏n-3多不饱和脂肪酸(PUFAs)会导致葡萄糖运输的分子机制受损,形成无法解决的炎症。另一方面,游离脂肪酸(FFAs)的过度形成是MetS中氧化应激和线粒体功能障碍发展的基础。了解FAs及其代谢物参与MetS发病的分子机制将有助于开发新的诊断方法和靶向治疗方法。这篇综述的目的是强调脂肪酸作为胰岛素反应和炎症过程的调节剂在MetS的发病机制和治疗中的作用的最新研究进展。
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引用次数: 28
Overweight and Obesity Coexist with Thinness among Lao's Urban Area Adolescents. 老挝城市青少年超重、肥胖与消瘦并存。
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-08-14 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5610834
Katiya Ivanovitch, Sonemany Keolangsy, Nontiya Homkham

Introduction: In recent decades, the developing countries of Southeast Asia, including the Lao People's Democratic Republic (Lao PDR), have experienced a rapid growth of their urban population. Partly as a result of that, issues of undernutrition and overnutrition became a significant public health problem.

Objective: To examine the prevalence of overweight and obesity and their related factors, among the school-attending adolescents in the Lao capital of Vientiane.

Methods: A cross-sectional data on 300 adolescents aged 15-19 were collected during the months of March, April, and May 2018 by means of a self-administrated questionnaire. Anthropometric measurements were used to obtain data on height and weight. Pearson's chi-squared test, Fisher exact tests, and univariable and multivariable logistic regressions were applied in the course of the statistical analysis.

Results: The study found a high prevalence of overweight/obesity (23.3%) and thinness (10.3%). Poor eating habits were noted in 67.0% of adolescents, even though 78.0% of them had a good knowledge of nutrition. Factors significantly associated with the overweight/obesity were low physical activities (aOR = 18.3; 95% CI: 5.51-60.66) and adolescents living with their guardians (aOR = 0.25; 95% CI: 0.08-0.79). Results also indicated that, in 47.3% of the cases, teachers, acting as a source of health and nutrition information, can prevent the risk of adolescents' overweight/obesity (aOR = 2.05, 95% CI = 1.11-3.80) but not their thinness (aOR = 0.4, 95% CI = 0.17-0.88).

Conclusions: Laotian adolescents are facing the spectrum of malnutrition in urban areas. To improve adolescents' nutritional status, there is a need for a collaborative approach of public health agencies that would address the issues of an effective food and nutrition policy. The school curricula should also include programs on nutrition and physical education.

导言:近几十年来,东南亚发展中国家,包括老挝人民民主共和国,经历了城市人口的快速增长。部分由于这个原因,营养不良和营养过剩问题成为一个重大的公共卫生问题。目的:了解老挝首都万象学龄期青少年超重和肥胖的患病率及其相关因素。方法:采用自填问卷的方式,于2018年3月、4月和5月对300名15-19岁青少年进行横断面调查。使用人体测量来获得身高和体重的数据。在统计分析过程中采用Pearson卡方检验、Fisher精确检验、单变量和多变量logistic回归。结果:研究发现超重/肥胖(23.3%)和瘦(10.3%)的患病率很高。67.0%的青少年注意到不良的饮食习惯,尽管其中78.0%的青少年有良好的营养知识。与超重/肥胖显著相关的因素是低体力活动(aOR = 18.3;95% CI: 5.51-60.66)和青少年与监护人一起生活(aOR = 0.25;95% ci: 0.08-0.79)。结果还表明,在47.3%的案例中,教师作为健康和营养信息的来源,可以预防青少年超重/肥胖的风险(aOR = 2.05, 95% CI = 1.11-3.80),但不能预防青少年的消瘦(aOR = 0.4, 95% CI = 0.17-0.88)。结论:老挝青少年在城市地区面临着一系列营养不良问题。为了改善青少年的营养状况,需要公共卫生机构采取合作办法,解决有效的粮食和营养政策问题。学校课程还应包括营养和体育课程。
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引用次数: 3
Optimal Cutoff Values for Anthropometric Adiposity Measures of Sri Lankan Adult Women 斯里兰卡成年妇女人体测量肥胖测量的最佳截断值
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-08-01 DOI: 10.1155/2020/5748720
N. Rathnayake, G. Alwis, J. Lenora, S. Lekamwasam
Anthropometric adiposity measures (AAMs) such as body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) are used to evaluate obesity status. Country-specific cutoff values of AAMs would provide more accurate estimation of obesity prevalence. This cross-sectional study was designed to determine the optimal cutoff values for AAMs, BMI, WC, hip circumference (HC), and WHR, of Sri Lankan adult women. The study was conducted in Galle, Sri Lanka, with 350 healthy community-dwelling middle-aged women aged 30–60 years, divided into two groups (Group A, n = 175 and Group B, n = 175). Total body fat percentage (TBFP) (kg) was measured with DXA. Body weight (kg), height (m), and WC and HC (cm) were measured. BMI (kg/m2) and WHR were calculated. Optimal cutoff values were determined by area under curve (AUC) in Receiver-Operating Characteristic (ROC) curve analysis using TBFP as the criterion at the TBFP level of 33% and 35% using the women in Group A. Then, the prevalence of obesity was determined in Group B while comparing the prevalence based on the cutoff values recommended by the World Health Organization (WHO) for Asians and the newly developed cutoff values for Sri Lankan women. Optimal cutoff values of AAMs which correspond to TBFP 33% are BMI, 24.5 kg/m2; WC, 80 cm; HC, 95 cm; and WHR, 0.83. TBFP 35% corresponds to the optimal cutoff values of BMI, 25.0 kg/m2; WC, 85 cm; HC, 100 cm; and WHR, 0.83. Prevalence of obesity (number, %) according to the WHO and newly defined cutoff values that correspond to TBFP 33% and 35% were as follows: BMI = 83 (47.4%), 98 (56.0%), 83 (47.4%); WC = 106 (60.6%), 106 (60.6%), 72 (41.1%); and WHR = 140 (80.0%), 106 (60.6%), 106 (60.6%). The observed cutoff values of BMI and WC in this study were within the ranges of those described by the WHO for Asian populations which correspond to the 33% and 35% TBFP levels, respectively. However, the WHR cutoff value of WHO (Asians) is lower when compared to the newly determined value for Sri Lankan females while overestimating the prevalence. More studies are needed to confirm these values before clinical use.
人体测量肥胖测量(AAMs),如身体质量指数(BMI)、腰围(WC)和腰臀比(WHR)被用来评估肥胖状况。国家特定的aam截断值将提供更准确的肥胖患病率估计。本横断面研究旨在确定斯里兰卡成年女性的AAMs、BMI、WC、臀围(HC)和WHR的最佳临界值。该研究在斯里兰卡加勒进行,350名30-60岁的健康社区中年妇女被分为两组(A组,n = 175, B组,n = 175)。用DXA测定体脂率(TBFP) (kg)。测量体重(kg)、身高(m)、腰围(WC)和身高(cm)。计算BMI (kg/m2)和WHR。a组妇女在TBFP水平为33%和35%时,以TBFP为标准,采用ROC曲线分析中的曲线下面积(AUC)确定最佳截断值。B组比较世界卫生组织(WHO)推荐的亚洲妇女肥胖截断值和新开发的斯里兰卡妇女肥胖截断值,确定肥胖发生率。与TBFP 33%对应的AAMs的最佳临界值为BMI, 24.5 kg/m2;WC, 80厘米;HC, 95厘米;WHR为0.83。TBFP 35%对应BMI的最佳临界值为25.0 kg/m2;WC, 85厘米;HC, 100厘米;WHR为0.83。根据世界卫生组织和新定义的TBFP 33%和35%的临界值对应的肥胖患病率(人数,%)如下:BMI = 83 (47.4%), 98 (56.0%), 83 (47.4%);Wc = 106(60.6%)、106(60.6%)、72 (41.1%);WHR = 140(80.0%)、106(60.6%)、106(60.6%)。本研究中观察到的BMI和WC的截止值在WHO对亚洲人群描述的范围内,分别对应33%和35%的TBFP水平。然而,世卫组织(亚洲)的WHR临界值与斯里兰卡女性的新确定值相比较低,同时高估了患病率。在临床应用之前,需要更多的研究来证实这些价值。
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引用次数: 0
Does the Frequency of Watching Television Matters on Overweight and Obesity among Reproductive Age Women in Ethiopia? 看电视频率对埃塞俄比亚育龄妇女超重和肥胖有影响吗?
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-08-01 eCollection Date: 2020-01-01 DOI: 10.1155/2020/9173075
Mohammed Ahmed, Abdu Seid, Adnan Kemal
Background Studies in developed countries have revealed an association of different magnitudes between watching television and the risk of being overweight and obese among reproductive age women. Even so, there is no evidence of such an association in the context of the Ethiopian population. Hence, the study aimed to assess the association between watching television with overweight and obesity in a nationally representative sample of Ethiopian women. Methods A cross-sectional study was conducted by using secondary data analysis from 2016 Ethiopia demographic and health survey among women aged from 15 to 49 years. The samples were selected using a two-stage stratified cluster sampling technique. A total of 10,074 women were included in the analysis. The outcome variables were both overweight and obesity, whereas the main exposure variable was the frequency of watching television. Multivariate logistic regression analysis was performed for adjusting potential confounders. Adjusted odds ratio (AOR) with 95% confidence intervals was used to declare a statistically significant association. Results The study found that watching television at least once a week was significantly associated with both overweight (AOR: 1.79; 95% CI: 1.20–2.73) and obesity (AOR: 3.76; 95% CI: 2.04–6.95). The study also divulged that the odds of overweight were higher among women aged 25–39 years (AOR: 2.17; 95% CI: 1.25–3.77) and 40–49 years (AOR: 2.69; 95% CI: 1.45–5.00), urban residents (AOR: 1.76; 95% CI:1.17–2.65), attended higher education (AOR:2.11; 95% CI: 1.22–3.65), and richest in the wealth index (AOR: 2.83; 95% CI:1.71–4.68). Similarly, the odds of obesity were higher among women aged 25–39 years and 40–49 years, attended higher education, and the richest in wealth index. Conclusions The results from this study demonstrated that watching television at least once a week is associated with obesity among reproductive age women in Ethiopia. Therefore, a social behavioral change communication campaign needs to be taken to improve awareness regarding the harmful consequences of watching television for long hours. Further research studies should be conducted among men and adolescents to determine whether this positive association exists among that target population as well.
背景:发达国家的研究表明,在育龄妇女中,看电视与超重和肥胖风险之间存在不同程度的关联。即便如此,在埃塞俄比亚人口的背景下,也没有证据表明这种联系。因此,该研究旨在评估在全国代表性的埃塞俄比亚妇女样本中,看电视与超重和肥胖之间的关系。方法:利用2016年埃塞俄比亚15 ~ 49岁女性人口与健康调查的二次数据分析进行横断面研究。使用两阶段分层整群抽样技术选择样本。共有10074名女性参与了分析。结果变量是超重和肥胖,而主要的暴露变量是看电视的频率。对潜在混杂因素进行多因素logistic回归分析。采用95%置信区间的校正优势比(AOR)来宣布统计学上显著的相关性。结果:研究发现,每周至少看一次电视与超重(AOR: 1.79;95% CI: 1.20-2.73)和肥胖(AOR: 3.76;95% ci: 2.04-6.95)。该研究还透露,25-39岁的女性超重的几率更高(AOR: 2.17;95% CI: 1.25-3.77)和40-49岁(AOR: 2.69;95% CI: 1.45-5.00),城市居民(AOR: 1.76;95% CI:1.17-2.65),接受过高等教育(AOR:2.11;95% CI: 1.22-3.65),财富指数最富有(AOR: 2.83;95%置信区间:1.71—-4.68)。同样,25-39岁和40-49岁、受过高等教育、财富指数最高的女性患肥胖症的几率更高。结论:本研究结果表明,在埃塞俄比亚育龄妇女中,每周至少看一次电视与肥胖有关。因此,需要开展一场改变社会行为的宣传运动,以提高人们对长时间看电视有害后果的认识。应在男子和青少年中进行进一步的研究,以确定这一目标人群中是否也存在这种积极的联系。
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引用次数: 4
Erratum to "Maximum Phonation Time in People with Obesity Not Submitted or Submitted to Bariatric Surgery". “未接受或接受减肥手术的肥胖患者的最大发声时间”的勘误。
IF 3.3 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2020-07-31 eCollection Date: 2020-01-01 DOI: 10.1155/2020/5616713
Ana Laura Ferreira Fonseca, Wilson Salgado, Roberto Oliveira Dantas

[This corrects the article DOI: 10.1155/2019/5903621.].

[这更正了文章DOI: 10.1155/2019/5903621.]
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引用次数: 0
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Journal of Obesity
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