Three obesity indicators predicting central obesity in Naxi and Pumi ethnic groups in Yunnan Province and inter-ethnic comparison

ZHANG Xin; WANG Xu-Jiao; LI Jing; MA Wei; FAN Ning; XU Fei

doi:10.16098/j.issn.0529-1356.2022.03.016

PDF(1779 KB)

Acta Anatomica Sinica ›› 2022, Vol. 53 ›› Issue (3) : 374-380. DOI: 10.16098/j.issn.0529-1356.2022.03.016

Three obesity indicators predicting central obesity in Naxi and Pumi ethnic groups in Yunnan Province and inter-ethnic comparison

ZHANG Xin WANG Xu-jiao LI Jing MA Wei FAN Ning XU Fei*

Author information +

History +

Abstract

Objective To compare the predicted value of three different obesity indicators of on center obesity of Naxi and Pumi adult in Lijiang City, Yunnan Province; To calculate the best cut-off point of waist-to-height ratio(WHtR), body mass index(BMI) and abdominal volume index(AVI); And to compare the differences of BMI and WHtR between the Naxi, Pumi and North-South ethnic groups, so as to provide scientific reference for central obesity and related diseases. Methods By random sampling, 658 cases of Naxi adults (278 cases for men and 380 cases for women) and 496 cases of Pumi adults (216 cases for men and 280 cases for women) were selected as the subjects of the study,taking the internationally recognized visceral fat level(VFL) as the diagnostic criterion of central obesity, the relationship between WHtR, BMI, AVI and VFL was discussed by regression analysis, and the value of three obesity indicators was predicted by comparing the receiver operating characteristic(ROC) curve of the subjects. Using Excel 2019 to draw diagrams and SPSS 23.0 to process data. Results The six indicators of age,weight,height,waist circumference,hip circumference and AVI of Naxi and Pumi men were statistically significant among different ethnic groups (P<0.05); Naxi and Pumi women’s age, height, waist circumference, WHtR, BMI and abdominal volume index,the six indicators were statistically significant among different ethnic groups (P<0.01). Correlation analysis showed that the three indicators of WHtR, BMI and AVI were positively related to VFL (P<0.01).The ROC showed that the WHtR had the highest value for predicting central obesity in Naxi and Pumi men (P<0.01), BMI had the highest value of predicting central obesity in Naxi and Pumi women (P<0.01). Cluster analysis showed that Naxi and Pumi males were similar to southern ethnic groups such as Lisu and Sui, Naxi females were similar to Zang and Jingpo, and Pumi females were similar to southern ethnic groups such as Lisu and Sui. Conclusion WHtR, BMI, AVI to determine central obesity are statistically significant, can be combined with BMI and AVI to determine Naxi, Pumi central obesity.

Key words

Naxi ethnic group / Pumi ethnic group / Central obesity / Waist-to-height ratio / Visceral fat level / Receiver operating characteristic curve / Somatometry / Adult

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

ZHANG Xin WANG Xu-jiao LI Jing MA Wei FAN Ning XU Fei. Three obesity indicators predicting central obesity in Naxi and Pumi ethnic groups in Yunnan Province and inter-ethnic comparison[J]. Acta Anatomica Sinica. 2022, 53(3): 374-380 https://doi.org/10.16098/j.issn.0529-1356.2022.03.016

References

［1］Chen Z, Li SN, Wang X, et al.The incidence of hypertension, overweight and obesity in middle-income people in China and its relationship with cardiovascular events［J］.Chinese Journal of Hypertension, 2020, 28 (11): 1100.(in Chinese)

陈祚,李苏宁,王馨,等.我国中年人群高血压、超重和肥胖的发病率及其与心血管事件的关系［J］.中华高血压杂志,2020,28(11):1100.

［2］Qin HM, Cheng H. The correlation between epidural adipose tissue, ischemia modified albumin, and ACS in patients with abdominal obesity［J］.Chinese Journal of Gerontology, 2020, 40 (13): 2705-2709.(in Chinese)

秦会敏,程华.心外膜脂肪组织、缺血修饰白蛋白与腹型肥胖患者发生ACS的相关性［J］.中国老年学杂志,2020,40(13):2705-2709.

［3］Huo YN, Zhang YL, Xu FH, et al.Analysis of the correlation between neck circumference and waist circumference body mass index in the elderly and discussion of obesity diagnosis［J］.Chinese Journal of Geriatrics,2016,35(6):667-671.(in Chinese)

霍亚南,章玉玲,徐芳华,等.老年人颈围与腰围体质指数相关性分析及对肥胖诊断的探讨［J］.中华老年医学杂志,2016,35(6):667-671.

［4］Fang H, Berg E, Cheng X, et al. How to best assess abdominal obesity［J］. Curr Opin Clin Nutr Metab Care,2018,21(5):360-365.

［5］Lemamsha H, Randhawa G, Papadopoulos C. Prevalence of overweight and obesity among Libyan men and women［J］. Biomed Res Int,2019,15(6):8531360.

［6］Zhang XP, Qu QY, Burlan Y, et al.Accuracy comparison of six obesity evaluation indexes in Kazak adults ［J］.Journal of Anatomy,2020,51(6):951-958.(in Chinese)

张咸鹏,曲泉颖,布尔兰·叶尔肯别克,等.哈萨克族成人6种肥胖评价指标准确性比较［J］.解剖学报,2020,51(6):951-958.

［7］Wang HL, Han YB, Chen T, et al.The risk of hypertension in the elderly is predicted by the screening of obesity indicators［J］.China Public Health,2020,36(1): 105-109.(in Chinese)

汪宏莉,韩延柏,陈涛,等.老年人高血压风险预测肥胖指标筛选［J］.中国公共卫生,2020,36(1):105-109.

［8］Cao F, Cai L, Li Q, et al. Analysis of obesity prevalence and socio-economic impact of Naxi residents in Yulong County, Yunnan Province［J］.China Chronic Disease Prevention and Control, 2015, 23 (12): 881-884.(in Chinese)

曹丰,蔡乐,李青,等.云南省玉龙县纳西族居民肥胖流行现况及社会经济影响分析［J］.中国慢性病预防与控制,2015,23(12):881-884.

［9］Zhang HY, Zhong H, Lin YY, et al. Investigation of medical treatment for Mosuo and Pumi ethnic groups in The Ningtao region of Yunnan［J］.Proceedings of the Chinese Academy of Medical Sciences, 2019, 41 (3): 331-337.(in Chinese)

张海音,仲华,林媛媛,等.云南宁蒗地区摩梭人和普米族人就医方式调查［J］.中国医学科学院学报,2019,41(3):331-337.

［10］Huang Ch, Qin XY, Hu YH. Epidemiological advances in metabolic normal obesity［J］.Chinese Journal of Disease Control,2017,21(8):846-851.(in Chinese)

黄超,秦雪英,胡永华.代谢正常型肥胖的流行病学研究进展［J］.中华疾病控制杂志,2017,21(8):846-851.

［11］Xi HJ, Chen Zh. Anthropometric Methods［M］.Beijing:Science Press,2010：23-25.(in Chinese)

席焕久,陈昭.人体测量方法［M］.北京:科学出版社,2010：23-25.

［12］Du HM,Xiang XX, Yu KL.Correlation between obesity determination indicators and blood pressure in 3 ethnic minority adults in Tibet ［J］. Journal of Tianjin Normal University (Natural Science Edition), 2019, 39 (2): 76-80.(in Chinese)

杜慧敏,向小雪,宇克莉.西藏3个少数民族成人不同肥胖判定指标与血压的相关性［J］.天津师范大学学报(自然科学版),2019,39(2):76-80.

［13］Dong WJ, Wang YX, Yu KL. Three obesity indicators predict central obesity in Liangshan［J］. Journal of Tianjin Normal University (Natural Science Edition),2017,37(1):76-80.(in Chinese)

董文静,王雅萱,宇克莉.3种肥胖指标对凉山彝族中心性肥胖的预测［J］.天津师范大学学报(自然科学版),2017,37(1):76-80.

［14］Gao YY, Feng XB, Chen YF, et al. Comparative analysis of the predicted value of obesity indicators for adult metabolic syndrome in Han and Yi［J］. Journal of Sichuan University(Medical Sciences), 2019,50(1):77-82.(in Chinese)

高芸艺,冯晓冰,程扬帆,等.对比分析肥胖指标对四川地区汉族与彝族成人代谢综合征的预测价值［J］.四川大学学报(医学版),2019,50(1):77-82.

［15］Xu Y, Lu XP, Gong XH, et al. Screening for type 2 diabetes first-degree relatives of abdominal obesity measurement indicators is suitable for point-to-point analysis［J］. Journal of Medical Graduate Medicine,2017,30(3): 284-288.(in Chinese)

徐岩,陆小平,龚雄辉,等.筛查2型糖尿病一级亲属的腹型肥胖测量指标适宜切点分析［J］.医学研究生学报,2017,30(3):284-288.

［16］Zhang N, He Y, Yang HN, et al.The waist circumference height ratio of elderly residents in Renqiu City, Hebei Province, has an effect on the abnormality of new blood sugar［J］.Prevention and Control of Chronic Diseases in China,2017,25(9):669-672.(in Chinese)

张娜,何艳,杨红娜,等.河北省任丘市老年居民腰围身高比值对新发血糖异常影响［J］.中国慢性病预防与控制,2017,25(9):669-672.

［17］Zhang YH, He ZhT, Li N, et al.The prevalence of overweight and obesity among people aged 20 to 69 in Sichuan Province ［J］.Modern Preventive Medicine,2012,39(16):4072-4075.(in Chinese)

张艺宏,何仲涛,李宁,等.四川省20～69岁人群BMI及体重超重、肥胖流行现状［J］.现代预防医学,2012,39(16):4072-4075.

［18］He JQ, He Y, Zhang HD, et al. Analysis of the composition of urban residents in Lanzhou, Gansu Province［J］.Journal of Anatomy, 2017, 48 (5): 600-604.(in Chinese)

何进全,何烨,张红东,等.甘肃兰州市区城镇居民体成分分析［J］.解剖学报,2017,48(5):600-604.

［19］Zhao LCh, Li Y, Peng YG, et al.Study on suitable cut-out of the height ratio of adult-centered obesity in China［J］.Journal of Preventive Medicine of China,2012,13(7):481485.(in Chinese)

赵连成,李莹,彭亚光,等.中国成人中心性肥胖腰围身高比值的适宜切点的研究［J］.中国预防医学杂志,2012,13(7):481-485.

［20］Xiang XX, Yu KL, Zhang XH. Analysis of human composition of the Naxi and Pumi ethnic groups in Yunnan［J］,Journal of Tianjin Normal University (Natural Science Edition), 2020, 40(5):75-80.(in Chinese)

向小雪,宇克莉,张兴华.云南纳西族与普米族成人体成分分析［J］.天津师范大学学报(自然科学版),2020,40(5):75-80.

［21］Yue NN, Li JSh, Pu HQ, et al.Study on the relationship between body mass index, waist-height ratio and blood pressure in middle-aged population in a community ［J］. Chinese Journal of Disease Control,2017,21(4):366-369.(in Chinese)

岳娜娜,李娟生,蒲宏全,等.某社区中年人群体质指数和腰围身高比与血压的关系研究［J］.中华疾病控制杂志,2017,21(4):366-369.

［22］Han YB. Evaluation of the effect of waist to height ratio and body mass index in predicting cardiovascular risk factors ［J］.Chinese Journal of Public Health,2015,31(10):1342-1346.(in Chinese)

韩延柏.腰围身高比结合体质指数预测心血管病危险因素效果评价［J］.中国公共卫生,2015,31(10):1342-1346.

［23］Wu X.The “peculiar smell” diet and escape culture of The Ethnic group in South China［J］.Journal of East China Normal University (Philosophy and Social Sciences Edition), 2014, 46 (2): 97-102, 154.(in Chinese)

吴旭.中国南方民族的“异味”饮食与逃逸文化［J］.华东师范大学学报(哲学社会科学版),2014,46(2):97-102，154.

［24］Cong ML, Deng XH. The tradition of riding and shooting by nomadic peoples in northern China formed the Testillo［J］.Journal of Physical Education, 2020, 27 (5): 27-34.(in Chinese)

丛密林,邓星华.中国北方游牧民族骑射传统形成考略［J］.体育学刊,2020,27(5):27-34.

［25］Yang FQ. A brief discussion on the cultural implication of Naxi people’s diet custom ［J］. Journal of Ethnology,2017,8(2):25-33,100-102.(in Chinese)

杨福泉.略论纳西族饮食习俗的文化意蕴［J］.民族学刊,2017,8(2):25-33,100-102.