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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Adult weight gain and diabetes among African American and white adults in southeastern US communities.
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Adult weight gain and diabetes among African American and white adults in southeastern US communities.

机译：美国东南部社区的非洲裔美国人和白人中成年人的体重增加和糖尿病。

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摘要

OBJECTIVE: To examine associations between adult weight gain and diabetes among African Americans and Whites. METHOD: Cross-sectional interview data from 19,589 African American men, 6202 White men, 27,021 African American women, and 11,623 White women enrolled in the Southern Community Cohort Study in the southeastern USA from 2002 to 2009 were analyzed in multivariate logistic regression models to examine odds ratios and 95% confidence intervals between self-reported diabetes and weight change from age 21. RESULTS: Diabetes odds rose with increasing weight gain and effects varied somewhat by race and gender; odds ratios (95% confidence interval) for diabetes associated with weight gain of 40+ kg compared to stable weight (change <5 kg) were 3.3 (2.8-4.0) for African American males, 3.6 (2.7-4.8) for White males, 2.6 (2.3-3.1) for African American females, and 4.0 (3.2-4.9) for White females. Among women, significantly increased diabetes odds (41% for Whites and 21% for African Americans) were observed even for weight gain of 5-10 kg. Relative increases in odds ratios for diabetes were most pronounced among individuals who had a healthy body mass index (18.5-24.9 kg/m2) at age 21 compared to those already overweight. CONCLUSION: Adult weight gain is strongly associated with diabetes across gender and race groups indicating that a uniform prevention message can be presented, even to those of healthy weight.
机译：目的：探讨非洲裔美国人和白人中成年人体重增加与糖尿病之间的关联。方法：采用多元逻辑回归模型分析了2002年至2009年参加美国东南部南部社区研究的19,589名非洲裔美国男性，6202位白人男性，27021位非洲裔美国女性和11,623位白人女性的横断面访谈数据。自我报告的糖尿病与21岁以后体重改变之间的比值比和95％置信区间。结果：随着体重增加，糖尿病的比值上升，种族和性别的影响有所不同。与稳定体重（变化<5 kg）相比，体重增加40+ kg的糖尿病的优势比（95％置信区间）为非洲裔美国男性为3.3（2.8-4.0），白人为3.6（2.7-4.8），非洲裔美国女性为2.6（2.3-3.1），白人女性为4.0（3.2-4.9）。在女性中，即使体重增加5-10公斤，糖尿病几率也显着增加（白人为41％，非裔美国人为21％）。与已经超重的人相比，在21岁时具有健康体重指数（18.5-24.9 kg / m2）的个体中，糖尿病几率的相对增加最为明显。结论：成年人的体重增加与性别和种族人群的糖尿病密切相关，这表明即使对于健康体重的人，也可以提供统一的预防信息。

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