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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Obesity and associated coronary heart disease risk factors in a population of low-income African-American and white women: the North Carolina WISEWOMAN project.
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Obesity and associated coronary heart disease risk factors in a population of low-income African-American and white women: the North Carolina WISEWOMAN project.

机译：低收入非裔美国人和白人妇女中的肥胖症和相关的冠心病危险因素：北卡罗莱纳州WISEWOMAN项目。

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BACKGROUND: Obesity has been associated with many co-occurring coronary heart disease (CHD) risk factors as well as CHD mortality. These associations have been shown to vary between African-American and white sample populations. METHODS: The authors examined whether obesity co-occurs with several CHD risk factors (diabetes, hypertension, hypercholesterolemia, low high-density lipoprotein cholesterol (HDL-C)), and estimated the 10-year risk for CHD in the North Carolina WISEWOMAN (Well Integrated Screening and Evaluation for Women Across the Nation) study sample. This sample includes low-income African-American and white women (> or = 50 years of age). RESULTS: Among white women (n = 1,284), 34% were overweight (BMI = 25.0-29.99 kg/m(2)) and 35% obese (BMI > or = 30 kg/m(2)); among African-American women (n = 754), 28% were overweight and 59% obese. Among obese and nonobese African-American women, the prevalence of three or more co-occurring risk factors was similar (obese = 17.7% (95% confidence interval (CI): 13.9, 21.6) and nonobese = 13.3% (95% CI: 8.7, 17.8)). By contrast, the prevalence among white women was greater among the obese (26.9% (95% CI: 22.9, 31.0)) than the nonobese (13.0% (95% CI: 9.7, 16.2)). CONCLUSIONS: The differences between and within African-American and white women may be accounted for by the high levels of HDL-C among obese and nonobese African-American women.
机译：背景：肥胖与许多同时发生的冠心病（CHD）危险因素以及CHD死亡率有关。这些关联已显示在非洲裔美国人和白人样本人群之间有所不同。方法：作者检查了肥胖是否与几种冠心病危险因素同时发生（糖尿病，高血压，高胆固醇血症，低密度脂蛋白胆固醇（HDL-C）低），并评估了北卡罗莱纳州WISEWOMAN的10年冠心病风险（对全国范围内的妇女进行了很好的综合筛选和评估）研究样本。该样本包括低收入的非洲裔美国妇女和白人妇女（>或= 50岁）。结果：在白人妇女（n = 1,284）中，超重者占34％（BMI = 25.0-29.99 kg / m（2）），肥胖者占35％（BMI>或= 30 kg / m（2））;在非洲裔美国妇女（n = 754）中，超重的占28％，肥胖的占59％。在肥胖和非肥胖的非洲裔美国妇女中，三个或更多同时发生的危险因素的患病率相似（肥胖= 17.7％（95％置信区间（CI）：13.9，21.6），非肥胖= 13.3％（95％CI： 8.7，17.8））。相比之下，肥胖的白人女性患病率更高（26.9％（95％CI：22.9，31.0）），高于非肥胖（13.0％（95％CI：9.7，16.2））。结论：肥胖和非肥胖非裔美国女性中高水平的HDL-C可以解释非裔美国女性与白人女性之间以及内部的差异。

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