Christopher D. McKay , Lina Gubhaju , Alison J. Gibberd , Bridgette J. McNamara , Emily Banks , Peter Azzopardi , Robyn Williams , Sandra Eades
{"title":"下一代青年福祉队列研究》中原住民青少年的心脏代谢健康指标","authors":"Christopher D. McKay , Lina Gubhaju , Alison J. Gibberd , Bridgette J. McNamara , Emily Banks , Peter Azzopardi , Robyn Williams , Sandra Eades","doi":"10.1016/j.anzjph.2024.100139","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to investigate cardiometabolic health markers among Aboriginal adolescents aged 10–24 years and relationships with age, gender, and body composition.</p></div><div><h3>Methods</h3><p>Baseline data (2018–2020) from the Next Generation Youth Wellbeing Cohort Study (Western Australia, New South Wales, and Central Australia) on clinically assessed body mass index, waist/height ratio, blood pressure, glycated haemoglobin (HbA1c), total and high-density lipoprotein cholesterol, total/high-density lipoprotein cholesterol ratio, and triglycerides were analysed.</p></div><div><h3>Results</h3><p>Among 1100 participants, the proportion with individual health markers within the ideal range ranged from 59% for total cholesterol to 91% for HbA1c. Four percent had high blood pressure, which was more common with increasing age and among males; 1% had HbA1c indicative of diabetes. Healthier body composition (body mass index and waist/height ratio) was associated with having individual health markers in the ideal range and with an ideal cardiometabolic profile.</p></div><div><h3>Conclusions</h3><p>Most Aboriginal adolescents in this study had cardiometabolic markers within the ideal range, though markers of high risk were present from early adolescence. Ideal health markers were more prevalent among those with healthy body composition.</p></div><div><h3>Implications for public health</h3><p>Specific screening and management guidelines for Aboriginal adolescents and population health initiatives that support maintenance of healthy body composition could help improve cardiometabolic health in this population.</p></div>","PeriodicalId":8620,"journal":{"name":"Australian and New Zealand Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1326020024000141/pdfft?md5=569e8e0624381d335a023d0d4955a349&pid=1-s2.0-S1326020024000141-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Cardiometabolic health markers among Aboriginal adolescents from the Next Generation Youth Wellbeing Cohort Study\",\"authors\":\"Christopher D. McKay , Lina Gubhaju , Alison J. Gibberd , Bridgette J. McNamara , Emily Banks , Peter Azzopardi , Robyn Williams , Sandra Eades\",\"doi\":\"10.1016/j.anzjph.2024.100139\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>The objective of this study was to investigate cardiometabolic health markers among Aboriginal adolescents aged 10–24 years and relationships with age, gender, and body composition.</p></div><div><h3>Methods</h3><p>Baseline data (2018–2020) from the Next Generation Youth Wellbeing Cohort Study (Western Australia, New South Wales, and Central Australia) on clinically assessed body mass index, waist/height ratio, blood pressure, glycated haemoglobin (HbA1c), total and high-density lipoprotein cholesterol, total/high-density lipoprotein cholesterol ratio, and triglycerides were analysed.</p></div><div><h3>Results</h3><p>Among 1100 participants, the proportion with individual health markers within the ideal range ranged from 59% for total cholesterol to 91% for HbA1c. Four percent had high blood pressure, which was more common with increasing age and among males; 1% had HbA1c indicative of diabetes. Healthier body composition (body mass index and waist/height ratio) was associated with having individual health markers in the ideal range and with an ideal cardiometabolic profile.</p></div><div><h3>Conclusions</h3><p>Most Aboriginal adolescents in this study had cardiometabolic markers within the ideal range, though markers of high risk were present from early adolescence. Ideal health markers were more prevalent among those with healthy body composition.</p></div><div><h3>Implications for public health</h3><p>Specific screening and management guidelines for Aboriginal adolescents and population health initiatives that support maintenance of healthy body composition could help improve cardiometabolic health in this population.</p></div>\",\"PeriodicalId\":8620,\"journal\":{\"name\":\"Australian and New Zealand Journal of Public Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-03-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1326020024000141/pdfft?md5=569e8e0624381d335a023d0d4955a349&pid=1-s2.0-S1326020024000141-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Australian and New Zealand Journal of Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1326020024000141\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian and New Zealand Journal of Public Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1326020024000141","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Cardiometabolic health markers among Aboriginal adolescents from the Next Generation Youth Wellbeing Cohort Study
Objective
The objective of this study was to investigate cardiometabolic health markers among Aboriginal adolescents aged 10–24 years and relationships with age, gender, and body composition.
Methods
Baseline data (2018–2020) from the Next Generation Youth Wellbeing Cohort Study (Western Australia, New South Wales, and Central Australia) on clinically assessed body mass index, waist/height ratio, blood pressure, glycated haemoglobin (HbA1c), total and high-density lipoprotein cholesterol, total/high-density lipoprotein cholesterol ratio, and triglycerides were analysed.
Results
Among 1100 participants, the proportion with individual health markers within the ideal range ranged from 59% for total cholesterol to 91% for HbA1c. Four percent had high blood pressure, which was more common with increasing age and among males; 1% had HbA1c indicative of diabetes. Healthier body composition (body mass index and waist/height ratio) was associated with having individual health markers in the ideal range and with an ideal cardiometabolic profile.
Conclusions
Most Aboriginal adolescents in this study had cardiometabolic markers within the ideal range, though markers of high risk were present from early adolescence. Ideal health markers were more prevalent among those with healthy body composition.
Implications for public health
Specific screening and management guidelines for Aboriginal adolescents and population health initiatives that support maintenance of healthy body composition could help improve cardiometabolic health in this population.
期刊介绍：
The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.
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