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Predictors of increasing waist circumference in an Australian population.

机译:澳大利亚人口中腰围增加的预测因素。

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摘要

Objective - To identify predictors of increasing waist circumference (WC) over a 5-year period in a contemporary population of Australian adults. Design - Longitudinal national cohort of adults participating in the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Settings - Australian adults in 2000 and 2005. Subjects - A total of 2521 men and 2726 women aged >=25 years at baseline who participated in AusDiab and provided anthropometric measurements at baseline (1999-2000) and follow-up (2005). - Results A >=5% increase of baseline WC occurred in 27% of men and 38% of women over the 5-year period. In the multivariate analysis of the total population, there was a higher risk of >=5% gain in baseline WC in women, younger people, people with a lower baseline WC, people who never married compared with married/de facto, current smokers compared with never smokers, people with a poorer diet quality and people with a low energy intake. However, there was no significant association with many expected predictors of waist gain such as physical activity. There were some associations between other lifestyle factors and change of WC by sex, age, level of education and across WC categories, but the associations differed across these groups. Conclusions - A >=5% increase of baseline WC occurred in a significant proportion of men and women over the 5-year period. Of the behavioural factors, poor diet quality was the key predictor of the >=5% increase of baseline WC in this cohort. The findings highlight the need to understand better the causal role of lifestyle in regard to increasing WC over time.
机译:目的-确定当代澳大利亚成年人口中5年内腰围增加(WC)的预测因素。设计-参加澳大利亚糖尿病,肥胖与生活方式研究(AusDiab)的成年人的纵向全国队列。地点-2000年和2005年的澳大利亚成年人。受试者-基线时年龄大于等于25岁的2521名男性和2726名女性,他们参加了AusDiab并在基线(1999-2000年)和随访(2005年)中进行了人体测量。 -结果在5年期间,基线WC增加了≥5%,其中27%的男性和38%的女性。在总人口的多变量分析中,女性,年轻人,基线WC较低的人,从未结婚的人与已婚/事实上的人相比,基线WC增加> = 5%的风险较高。 / i>,目前的吸烟者与从未吸烟者,饮食质量较差的人和能量摄入较低的人相比。但是,与腰围增加的许多预期预测指标(例如体育锻炼)之间没有显着关联。在其他生活方式因素与WC的性别,年龄,受教育程度以及WC类别之间的变化之间存在某些关联,但是这些群体之间的关联不同。结论-在5年期间,相当多的男性和女性基线WC增加了≥5%。在这些行为因素中,不良饮食质量是该队列中基线WC增加> = 5%的主要预测因素。研究结果强调,有必要更好地了解生活方式随着时间的推移增加WC的因果作用。

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