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首页> 外文期刊>The Journal of cardiovascular nursing >Anthropometric measures and lipid coronary heart disease risk factors in korean immigrants with type 2 diabetes.
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Anthropometric measures and lipid coronary heart disease risk factors in korean immigrants with type 2 diabetes.

机译：人体测量学和血脂冠心病危险因素在韩国移民的2型糖尿病。

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OBJECTIVES: The purposes of this study were to (1) describe anthropometric measures among Korean immigrants with type 2 diabetes mellitus (T2DM) and (2) examine the relationships between measures of obesity with several forms of dyslipidemia in this group. BACKGROUND: Obesity and dyslipidemia are commonly associated with T2DM, and they are risk factors for coronary heart disease (CHD), the leading cause of death for people with diabetes. Asians are predisposed to abdominal obesity and experience significant CHD risk at lower body mass index (BMI) levels. Despite high prevalence of diabetes among Korean immigrants, relationships among anthropometric measures and lipid-related CHD risk factors have not been examined. METHODS: A convenience sample of 143 adult Korean immigrants with T2DM between the ages of 30 and 80 years participated in the study. Body mass index, waist circumference (WC), and waist-to-hip ratio (WHR) were obtained using standardized procedures. Total cholesterol, triglycerides, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol were assessed using a fingerstick blood test. Hierarchical linear regressions were conducted to identify which of the anthropometric measures was significantly related to individuals' cholesterol levels. RESULTS: Central obesity measures, not BMI, were significantly associated with dyslipidemia in Korean immigrants with T2DM independent of potential confounds such as hemoglobin A1C, cigarette smoking, age, and cholesterol medication. Different central obesity measures were associated with different cholesterol types for diabetic Korean men and women. In men, WHR was positively associated with low-density lipoprotein cholesterol and total cholesterol levels. In women, WC was negatively associated with high-density lipoprotein cholesterol. CONCLUSIONS: Central obesity measures (WC and WHR) are better indicators for assessing lipid-related CHD risk factor among Korean immigrants with T2DM than BMI. Gender difference in the association between central obesity measures and lipid types should be considered in CHD risk assessment of Korean immigrants with T2DM.
机译：目的：本研究的目的是（1）描述韩国移民中2型糖尿病（T2DM）的人体测量指标，以及（2）研究该组肥胖与几种形式的血脂异常之间的关系。背景：肥胖和血脂异常通常与T2DM相关，并且它们是冠心病（CHD）的危险因素，冠心病是糖尿病患者的主要死亡原因。亚洲人易患腹部肥胖症，在较低的体重指数（BMI）水平下会出现严重的冠心病风险。尽管韩国移民中糖尿病的患病率很高，但尚未检查人体测量指标与脂质相关的冠心病危险因素之间的关系。方法：方便样本的143名30至80岁之间的韩国T2DM成年移民参加了研究。使用标准程序获得体重指数，腰围（WC）和腰臀比（WHR）。使用指尖血液测试评估总胆固醇，甘油三酸酯，低密度脂蛋白胆固醇和高密度脂蛋白胆固醇。进行了分层线性回归，以确定哪些人体测量学指标与个人胆固醇水平显着相关。结果：韩国肥胖T2DM移民中，中央肥胖措施而非BMI与血脂异常显着相关，而与诸如血红蛋白A1C，吸烟，年龄和胆固醇药物等潜在混杂因素无关。对于韩国糖尿病男性和女性，不同的中度肥胖措施与不同的胆固醇类型相关。在男性中，WHR与低密度脂蛋白胆固醇和总胆固醇水平呈正相关。在女性中，WC与高密度脂蛋白胆固醇呈负相关。结论：与BMI相比，中度肥胖措施（WC和WHR）是评估韩国T2DM移民中脂质相关冠心病危险因素的更好指标。在韩国患有T2DM的移民的冠心病风险评估中，应考虑中央肥胖措施与血脂类型之间关联的性别差异。

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