巴耶尔萨州体重指数和腹部肥胖分布与相关白介素-2基因表达

F. Ogbole, Evans Egereghe Sanugba
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摘要

目的:本研究的目的是评估尼日利亚巴耶尔萨州肥胖、超重和腹部肥胖的分布、患病率和决定因素,以及相关的IL-2基因表达。研究设计:采用基于社区的横断面研究设计,随机选择420名参与者(18 - 65岁)进行研究。研究方法:研究参与者根据身体质量指数(BMI)分为正常肥胖、超重肥胖和一般肥胖,根据腰围分为正常肥胖和腹部肥胖。分别用磅秤、米尺和卷尺测量体重、身高和腰围。Real time PCR检测IL-2基因表达。结果:巴耶尔萨州成人BMI分布与平均值(27.25±4.12)呈对称分布。平均腰围95.27±15.92(男性97.51±12.38;女性(93.41±18.15 cm)。肥胖、超重和腹部肥胖患病率为26.2%(男性10.7%;女性15.5%,35.2%(男性16.4%;女性占18.8%),男性占62.9%(女性占28.1%,34.8%)。与正常组比较,超重组、一般肥胖组和腹型肥胖组IL-2基因表达均显著上调(p < 0.05)。发现下列决定因素与肥胖有显著关联:两性、年龄36 - 55岁、中小型企业企业家和公务员。56 - 65岁年龄组和女性与腹部肥胖相关。结论:本研究发现巴耶尔萨州超重、一般性肥胖和腹部肥胖的患病率较高,并伴有IL-2基因的过表达。研究结果可能对基于IL-2的生物标志物和药物开发具有启示意义。本研究强调巴耶尔萨州降低BMI和腰围的干预措施。
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Distribution of Body Mass Index and Abdominal Obesity in Bayelsa State with Associated Interleukin-2 Gene Expression
Aims: The aim of the present study was to evaluate the distribution, prevalence and determinants of obesity, overweight and abdominal obesity in Bayelsa State, Nigeria as well as associated IL-2 gene expression. Study Design: A community based cross sectional study design was employed to randomly select 420 participants (aged 18 – 65 years) for the study. Methodology: The study participants were grouped into normal, overweight and general obesity based on their body mass index (BMI) and sub-grouped into normal and abdominal obesity based on their waist circumference. Weighing scale, metre rule and measuring tape were used to measure weight, height and waist circumference respectively. Real time PCR was used to quantify IL-2 gene expression. Results: The BMI distribution of adults in Bayelsa State was symmetrical around the mean (27.25 ± 4.12). Mean waist circumference was 95.27 ± 15.92 (men 97.51 ± 12.38; women 93.41 ± 18.15 cm).  The prevalence of obesity, overweight and abdominal obesity were 26.2% (male, 10.7%; females, 15.5%), 35.2% (males, 16.4%; female, 18.8%), and 62.9% (males, 28.1% females, 34.8%) respectively. Compared with the normal group, a significant upregulation of IL-2 gene expression was found in the overweight, general obesity and abdominal obesity groups (p < 0.05). Significant association of the following determinants with obesity was found: both sexes, age group 36 - 55 years, working as small and medium scale business entrepreneurs and civil servants. Age group 56 – 65 years and female sex were associated with abdominal obesity. Conclusion: The present study found a high prevalence of overweight, general obesity and abdominal obesity in Bayelsa State and associated over expression of IL-2 gene. Findings may have implication for IL-2 based biomarker and drug development. Interventions to reduce BMI and waist circumference in Bayelsa State is emphasized in the present study.
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