尼日利亚伊洛林绝经后妇女的肥胖指数和心脏代谢疾病

IF 2.9 4区医学 Q1 OBSTETRICS & GYNECOLOGY

Climacteric Pub Date : 2025-05-20 DOI:10.1080/13697137.2025.2496692

Ismaila Aberi Obalowu, Louis Okeibunor Odeigah, Abdulkadir Mohammed, Oyeronke A Oyeleke, Toyin Tawa Odediji, Majidat Funmilayo Amin

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引用次数: 0

摘要

目的：肥胖是全球已知的心脏代谢疾病（CMD）发展的危险因素。研究的重点是在体重指数（BMI）、腰臀比（WHR）、腰高比（WHtR）和内脏脂肪指数（VAI）这四个肥胖人体测量指标中，寻找预测CMD的最佳指标。方法：共有310名绝经后妇女参与研究。所有参与者的社会人口学数据、人体测量、血清高密度脂蛋白和血清甘油三酯均被采集。采用受试者工作特征曲线检测VAI的有效截止点。结果：本研究中诊断内脏脂肪功能障碍（VAD）的VAI分界点为bb0 1.92。研究中外周肥胖的患病率为18.1%，腰臀比为76.5%，腰臀比为81.9%。本研究中CMD患病率为51.6%，VAD患病率为60.3%。WHtR （p = 0.041）和VAI (p)结论：我们推荐绝经后妇女使用VAI筛查CMD。

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Obesity indices and cardiometabolic diseases in postmenopausal women in Ilorin, Nigeria.

Objective: Obesity is a known risk factor for the development of cardiometabolic diseases (CMD) globally. The study focus was finding the best predictor of CMD among the four anthropometric indices of obesity studied: body mass index (BMI), waist to hip ratio (WHR), waist to height ratio (WHtR) and visceral adiposity index (VAI).

Method: A total of 310 postmenopausal women participated in the study. Sociodemographic data, anthropometric measurements, serum high-density lipoprotein and serum triglycerides were taken for all participants. The receiver operating characteristic curve was used to detect the valid cut-off point for the VAI.

Results: The VAI cut-off point for diagnosing visceral adiposity dysfunction (VAD) in the study was >1.92. The prevalence of peripheral obesity in the study was 18.1%, while that of truncal obesity was 76.5% using the WHR and 81.9% using the WHtR. The prevalence of CMD in the study was 51.6% while that for VAD was 60.3%. The WHtR (p = 0.041) and the VAI (p < 0.001) had statistically significant associations with the presence of CMD among the participants but only the VAI was found to be a significant predictor of CMD.

Conclusion: We recommend use of the VAI for CMD screening among postmenopausal women.

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来源期刊

Climacteric 医学-妇产科学

CiteScore

1.70

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.