甘肃东乡族成人身体脂肪含量及分布随年龄变化特点
Changing characteristics with age of body fat mass and distribution of Dongxiang nationality adults in Gansu
目的 利用生物电阻抗法,分析甘肃东乡族成人脂肪含量及分布随年龄变化特点。方法 采用横断面整群分层随机抽样方法,选取491例甘肃省东乡族自治县东乡族成人为研究对象,应用体成分分析仪测量脂肪组织相关体成分指标。 结果 在总体人群及各个年龄组,甘肃东乡族成年女性的总脂肪量、皮下脂肪含量、躯干及四肢脂肪量均高于男性(P<0.01);内脏脂肪含量差异无显著性 (P> 0.05)。随着年龄的增长,男、女性内脏脂肪含量均呈上升趋势。男、女性皮下脂肪含量、躯干脂肪量总体呈上升趋势,20岁年龄组到40岁年龄组上升最快,在50岁年龄组稍有下降,此后呈缓慢上升趋势。女性左上肢脂肪量呈持续上升状态,20岁年龄组到40岁年龄组上升较快,此后上升速度放缓;男性总体呈上升趋势,20岁年龄组到40岁年龄组上升较快,在50岁年龄组稍有下降,此后呈缓慢上升趋势。男、女性右上肢脂肪量、双下肢脂肪量均在40岁年龄组达峰值后呈下降趋势。 结论 甘肃东乡族成年女性除内脏脂肪外,其余身体各部位的脂肪含量均高于男性。随着年龄的增长,甘肃东乡族成人的脂肪含量均发生变化,不同性别、不同部位的脂肪变化趋势略有不同,但内脏脂肪含量和女性左上肢脂肪量一直呈上升趋势,50岁年龄组是各部位脂肪含量发生趋势改变的时间点。
Objective To analyze the changing characteristics with age of body fat mass and distribution of Dongxiang nationality adults in Gansu by bioelectrical impedance analysis method. Methods A total of 491 Dongxiang adults in Dongxiang autonomous county of Gansu Province were selected by cross-sectional stratified random sampling method. The body composition of fat was measured by body composition analyzer. Results In the general population and different age groups, the total fat mass, subcutaneous fat mass, trunk and limbs fat mass in the female adults of Dongxiang in Gansu were higher than in the male (P<0.01), and there was no significant difference in the visceral fat mass between the male and female (P> 0.05). With age, visceral fat mass increased constantly in both male and female. Subcutaneous and trunk fat mass in male and female showed a rising trend of increasing quickly from 20 age group to 40 age group, decreasing slightly in 50 age group and subsequently rising slowly. Left upper limbs fat mass in the female increased constantly, increased quickly from 20 age group to 40 age group and subsequently rising slowly. Left upper limbs fat mass in the male showed a rising trend of increasing quickly from 20 age group to 40 age group, decreasing slightly in 50 age group and subsequently rising slowly. Double lower limbs and right upper limbs fat mass decreased after the peak of 40 age group. Conclusion Fat mass in Dongxiang nationality female adults is higher than in male except visceral fat mass. Fat mass of Dongxiang adults in Gansu changed with age, and it is somewhat different in different genders and parts. Visceral fat mass in both genders and left upper limbs fat mass in the female increase constantly. The 50 age group is the time point when the trend of fat in each part changes.
[1]Zhang HL, Xi HJ, Li WH, et al. Analysing the fat distribution characteristics of Han adults in Liaoning by bioelectrical impedance method [J]. Acta Anatomica Sinica, 2012, 43(6): 850-854. (in Chinese)
张海龙, 席焕久, 李文慧, 等. 利用生物电阻抗法分析辽宁汉族成人脂肪分布特点 [J]. 解剖学报, 2012, 43(6): 850-854.
[2]Pallottini V, Bulzomi P, Galluzzo P, et al. Estrogen regulation of adipose tissue functions: involvement of estrogen receptor isoforms [J]. Infect Disord Drug Targets, 2008, 8(1): 52-60.
[3]Liang XL, Yuan XY. Body fat changes and related chronic diseases in menopausal women [J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2009, 13(46): 9175-9178. (in Chinese)
梁秀兰, 阮祥燕. 绝经妇女体脂改变与相关的慢性疾病 [J]. 中国组织工程研究与临床康复, 2009,13(46): 9175-9178.
[4]Shen Ch, Han Y, Wu XM. Study on the effect of body fat distribution on weight-losing treatment [J]. Zhejiang Joural of Preventive Medicine, 2009, 21(3): 7-9. (in Chinese)
沈超,韩阳,吴向明,等.体脂分布对减肥效果的影响 [J].浙江预防医学, 2009, 21(3): 7-9.
[5]Wells JC, Fewtrell MS. Measuring body composition [J]. Arch Dis Child, 2006, 91(7): 612-617.
[6]Barba G, Troiano E, Russo P, et al. Body mass, fat distribution and blood pressure in Southern Italian children: results of the ARCA project [J]. Nutr Metab Cardiovasc Dis, 2006, 16(4): 239-248.
[7]Gupta D, Lammersfeld CA, Burrows JL. Bioelectrical impedance phase angle in clinical practice: implications for prognosis in advanced colorectal cancer [J]. Am J Clin Nutr, 2004, 80(6): 1634-1638.
[8]Mackay J, Mensah GA, Mendis S, et al. The Atlas of Heart Disease and Stroke [M]. Geneva: WHO, 2004: 5-6.
[9]Wu YF, Ma GSh, Hu YH, et al. The current prevalence status of body overw eight and obesity in China data from the China National Nutrition and Health Survey [J]. Chinese Journal of Preventive Medicine, 2005, 39(5): 316-320. (in Chinese)
武阳丰, 马冠生, 胡永华, 等. 中国居民的超重和肥胖流行现状[J]. 中华预防医学杂志, 2005, 39(5): 316-320.
[10]Villareal DT, Apovian CM, Kushner RF, et al. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, the Obesity Society [J]. Am J Clin Nutr, 2005,82(5): 923-934.
[11]Carroll JF, Chiapa AL, Rodriquez M, et al. Visceral fat, waist circumference, and BMI: impact of race/ethnicity [J]. Obesity (Silver Spring), 2008, 16(3): 600-607.
[12]Katzmarzyk PT, Bray GA, Greenway FL, et al. Racial differences in abdominal depot-specific adiposity in white and African American adults [J]. Am J Clin Nutr, 2010, 91(1): 7-15.
[13]Demerath EW, Rogers NL, Reed D, et al. Significant associations of age, menopausal status and lifestyle factors with visceral adiposity in African-American and European-American women [J]. Ann Hum Biol, 2011, 38(3): 247-256.
[14]Wang K, Li WD, Zhang CK, et al. A genome-wide association study on obesity and obesity-related traits [J]. PLoS One, 2011,6(4): e18939.
[15]Carey DG, Nguyen TV, Campbell LV, et al. Genetic influences on central abdominal fat: a twin study [J]. Int J Obes Relat Metab Disord, 1996, 20(8): 722-726.
[16]Canoy D. Distribution of body fat and risk of coronary heart disease in men and women [J]. Curr Opin Cardiol, 2008, 23(6): 591-598.
[17]Horlick M, Arpadi SM, Bethel J, et al. Bioelectric impedance analysis models for prediction of total body water and fat-free mass in healthy and HIV-infected children and adolescents [J]. Am J Clin Nutr, 2002, 76(5): 991-999.
[18]Geer EB, Shen W. Gender differences in insulin resistance, body composition, and energy balance [J]. Gend Med, 2009, 6 (Suppl 1): 60-75.
[19]Homma H, Kurachi H, Nishio Y, et al. Estrogen suppresses transcription of lipoprotein lipase gene. Existence of a unique estrogen response element on the lipoprotein lipase promoter [J]. J Biol Chem, 2000, 275(15): 11404-11411.
[20]Mayes JS, Watson GH. Direct effects of sex steroid hormones on adipose tissues and obesity [J]. Obes Rev, 2004, 5(4): 197-21.
[21]Luo WCh. Investigation on body composition of adults in dalian area [D]. Dalian Medical University, 2013: 1-48. (in Chinese)
罗文超. 大连地区成人身体成分的调查研究 [D]. 大连医科大学, 2013: 1-48.
[22]Yang XL. The Characteristics of Han adults’ body composition of Jinzhou [D]. Liaoning Medical University, 2009: 1-37. (in Chinese)
杨小林. 锦州市汉族成人体成分特点 [D]. 辽宁医学院, 2009: 1-37.
[23]Carey DG, Nguyen TV, Campbell LV, et al. Genetic influences on central abdominal fat: a twin study [J]. Int J Obes Relat Metab Disord, 1996, 20(8): 722-726.
[24]Varlet-Marie E, Gaudard A, Mercier J, et al. Is whole body impedance a predictor of blood viscosity [J]. Clin Hemorheol Microcirc, 2003, 28(3): 129-137.
[25]Ochi M, Tabara Y,Kido T, et al. Quadriceps sarcopenia and visceral obesity are risk factors for postural instability in the middle-aged to elderly population [J]. Geriatr Gerontol Int, 2010, 10(3): 233-243.
[26]Pedersen SB, Kristensen K, Hermann PA, et al. Estrogen controls lipolysis by up-regulating alpha2A-adrenergic receptors directly in human adipose tissue through the estrogen receptor alpha. Implications for the female fat distribution [J]. J Clin Endocrinol Metab, 2004, 89(4): 1869-1878.
[27]Brown LM, Clegg DJ. Central effects of estradiol in the regulation of food intake, body weight, and adiposity [J]. J Steroid Biochem Mol Biol, 2010, 122(1-3): 65-73.
[28]Elbers JM, de Jong S, Teerlink T, et al. Changes in fat cell size and in vitro lipolytic activity of abdominal and gluteal adipocytes after a one-year cross-sex hormone administration in transsexuals [J]. Metabolism, 1999, 48(11): 1371-1377.
[29]Dugan SA, Everson-Rose SA, Karavolos K, et al. Physical activity and reduced intra-abdominal fat in midlife African-American and white women [J]. Obesity (Silver Spring), 2010, 18(6): 1260-1265.
[30]Fu JY, Masferrer JL, Seibert K, et al. The induction and suppression of prostaglandin H2 synthase (cyclooxygenase) in human monocytes [J]. J Boil Chem, 1990, 265(28): 16737-16740.
[31]Doyel G, Jayawardean S, Aahraf E, et al. Efficacy and tolerability of nonprescription ibuprofen versus celecoxib for dental pain [J]. J Clin Pharmacol, 2002, 42(8): 912-919.
[32]Cui LJ, Du J, Wang J. Relationship between viscer al adipose mass and lipid metabolic disorder in high-fat Insulin resistant rats [J]. China Journal of Modern Medicine, 2008, 18(9): 1230-1236. (in Chinese)
崔丽娟, 都健, 王娟. 胰岛素抵抗大鼠内脏脂肪量与脂代谢紊乱的相关性研究 [J]. 中国现代医学杂志, 2008, 18(9): 1230-1236.
[33]Jiao P, Xu H. Adipose inflammation: cause or consequence of obesity-related insulin resistance [J]. Diabetes Metab Syndr Obes, 2008, 1: 25-31.
国家自然科学基金项目;甘肃省自然科学基金项目
/
〈 |
|
〉 |