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J Am Heart Assoc:腹型肥胖,而非普通非肥胖,可增加重大心血管疾病的发生风险

2020-03-02 不详 网络

体重指数和腰围(WC)是反映一般肥胖和腹部肥胖的常用指标。但是,一般肥胖和腹部肥胖的差异对重大不良心脏事件(MACE)风险的影响尚待探讨。研究人群来自韩国国民健康保险服务健康检查队列。在2008年至2009年之间接受健康检查的315982名40岁或40岁以上的参与者中,使用体重指数和WC来确定肥胖状况。自2010年1月1日起至2015年12月31日对参与者进行随访。使用Cox比例风险模型评估肥胖与

体重指数和腰围(WC)是反映一般肥胖和腹部肥胖的常用指标。但是,一般肥胖和腹部肥胖的差异对重大不良心脏事件(MACE)风险的影响尚待探讨。

研究人群来自韩国国民健康保险服务健康检查队列。在2008年至2009年之间接受健康检查的315982名40岁或40岁以上的参与者中,使用体重指数和WC来确定肥胖状况。自2010年1月1日起至2015年12月31日对参与者进行随访。使用Cox比例风险模型评估肥胖与MACE风险的关系。

结果显示,与没有肥胖的男性相比,没有普通肥胖的腹部肥胖(风险校正比(aHR)1.29,95%CI 1.16-1.43)以及普通肥胖和腹部肥胖(aHR 1.20,95%CI 1.12-1.29)升高发生MACE的风险较高,而那些没有腹部肥胖的普通肥胖者则没有(aHR 1.06,95%CI 0.98-1.16)。同样,没有普通肥胖的腹部肥胖妇女(aHR 1.13,95%CI 1.03-1.24)和普通肥胖和腹部肥胖的妇女(aHR 1.15,95%CI 1.06-1.25)MACE的发生风险都增加,而那些没有腹部肥胖的普通肥胖者则没有(aHR 1.07,95%CI 0.88-1.30)。

总之,没有全身性肥胖的腹部肥胖与发生重大心血管疾病的风险增加有关,而没有腹部性肥胖的普通肥胖则没有。同时确定体重指数和WC可能有助于准确确定未来的心血管风险。

原始出处:

Daein Choi, MD,  Seulggie Choi, et al., Impact of Discrepancies in General and Abdominal Obesity on Major Adverse Cardiac Events. J Am Heart Assoc. 2019 Sep 17; 8(18): e013471. doi: 10.1161/JAHA.119.013471

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    2020-03-06 124a363dm28暂无昵称

    肥胖危害大,但减肥向来不是件容易的事

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    2020-03-04 zhaojie88
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    2020-03-04 nymo
  5. [GetPortalCommentsPageByObjectIdResponse(id=380129, encodeId=3e4138012939, content=肥胖危害大,但减肥向来不是件容易的事, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5242503207, createdName=124a363dm28暂无昵称, createdTime=Fri Mar 06 08:49:27 CST 2020, time=2020-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357418, encodeId=f193135e418d5, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1498699, encodeId=533e149869944, content=<a href='/topic/show?id=bb6f89e145a' target=_blank style='color:#2F92EE;'>#血管疾病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89714, encryptionId=bb6f89e145a, topicName=血管疾病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccb99370406, createdName=andy2090, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528087, encodeId=bc71152808e0c, content=<a href='/topic/show?id=407985544d9' target=_blank style='color:#2F92EE;'>#腹型肥胖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85544, encryptionId=407985544d9, topicName=腹型肥胖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76c911894457, createdName=nymo, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563243, encodeId=e651156324342, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380055, encodeId=30043800552a, content=很好的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/04/12/cd30eefc465f70dc4dad89bd57479781.jpg, createdBy=02be2318568, createdName=一天没事干, createdTime=Wed Mar 04 08:25:01 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380020, encodeId=aa3438002031, content=学习了很有用不錯, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Mar 03 07:58:37 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380017, encodeId=6f4538001e65, content=腹型肥胖危害更大,需要减肥。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43a21971117, createdName=njwbhuang, createdTime=Tue Mar 03 07:05:17 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-03-04 slcumt
  6. [GetPortalCommentsPageByObjectIdResponse(id=380129, encodeId=3e4138012939, content=肥胖危害大,但减肥向来不是件容易的事, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5242503207, createdName=124a363dm28暂无昵称, createdTime=Fri Mar 06 08:49:27 CST 2020, time=2020-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357418, encodeId=f193135e418d5, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1498699, encodeId=533e149869944, content=<a href='/topic/show?id=bb6f89e145a' target=_blank style='color:#2F92EE;'>#血管疾病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89714, encryptionId=bb6f89e145a, topicName=血管疾病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccb99370406, createdName=andy2090, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528087, encodeId=bc71152808e0c, content=<a href='/topic/show?id=407985544d9' target=_blank style='color:#2F92EE;'>#腹型肥胖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85544, encryptionId=407985544d9, topicName=腹型肥胖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76c911894457, createdName=nymo, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563243, encodeId=e651156324342, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380055, encodeId=30043800552a, content=很好的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/04/12/cd30eefc465f70dc4dad89bd57479781.jpg, createdBy=02be2318568, createdName=一天没事干, createdTime=Wed Mar 04 08:25:01 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380020, encodeId=aa3438002031, content=学习了很有用不錯, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Mar 03 07:58:37 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380017, encodeId=6f4538001e65, content=腹型肥胖危害更大,需要减肥。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43a21971117, createdName=njwbhuang, createdTime=Tue Mar 03 07:05:17 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-03-04 一天没事干

    很好的学习机会

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=380129, encodeId=3e4138012939, content=肥胖危害大,但减肥向来不是件容易的事, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5242503207, createdName=124a363dm28暂无昵称, createdTime=Fri Mar 06 08:49:27 CST 2020, time=2020-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357418, encodeId=f193135e418d5, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1498699, encodeId=533e149869944, content=<a href='/topic/show?id=bb6f89e145a' target=_blank style='color:#2F92EE;'>#血管疾病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89714, encryptionId=bb6f89e145a, topicName=血管疾病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccb99370406, createdName=andy2090, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528087, encodeId=bc71152808e0c, content=<a href='/topic/show?id=407985544d9' target=_blank style='color:#2F92EE;'>#腹型肥胖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85544, encryptionId=407985544d9, topicName=腹型肥胖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76c911894457, createdName=nymo, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563243, encodeId=e651156324342, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380055, encodeId=30043800552a, content=很好的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/04/12/cd30eefc465f70dc4dad89bd57479781.jpg, createdBy=02be2318568, createdName=一天没事干, createdTime=Wed Mar 04 08:25:01 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380020, encodeId=aa3438002031, content=学习了很有用不錯, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Mar 03 07:58:37 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380017, encodeId=6f4538001e65, content=腹型肥胖危害更大,需要减肥。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43a21971117, createdName=njwbhuang, createdTime=Tue Mar 03 07:05:17 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-03-03 飛歌

    学习了很有用不錯

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=380129, encodeId=3e4138012939, content=肥胖危害大,但减肥向来不是件容易的事, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e5242503207, createdName=124a363dm28暂无昵称, createdTime=Fri Mar 06 08:49:27 CST 2020, time=2020-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357418, encodeId=f193135e418d5, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1498699, encodeId=533e149869944, content=<a href='/topic/show?id=bb6f89e145a' target=_blank style='color:#2F92EE;'>#血管疾病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89714, encryptionId=bb6f89e145a, topicName=血管疾病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccb99370406, createdName=andy2090, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1528087, encodeId=bc71152808e0c, content=<a href='/topic/show?id=407985544d9' target=_blank style='color:#2F92EE;'>#腹型肥胖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85544, encryptionId=407985544d9, topicName=腹型肥胖)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=76c911894457, createdName=nymo, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563243, encodeId=e651156324342, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Wed Mar 04 14:53:00 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380055, encodeId=30043800552a, content=很好的学习机会, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/04/12/cd30eefc465f70dc4dad89bd57479781.jpg, createdBy=02be2318568, createdName=一天没事干, createdTime=Wed Mar 04 08:25:01 CST 2020, time=2020-03-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380020, encodeId=aa3438002031, content=学习了很有用不錯, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Tue Mar 03 07:58:37 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=380017, encodeId=6f4538001e65, content=腹型肥胖危害更大,需要减肥。, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=43a21971117, createdName=njwbhuang, createdTime=Tue Mar 03 07:05:17 CST 2020, time=2020-03-03, status=1, ipAttribution=)]
    2020-03-03 njwbhuang

    腹型肥胖危害更大,需要减肥。

    0

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