科研之友
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摘要
Background: Few studies have examined the underweight-morbidity relationship, and those that have were conducted in non-U.S. populations and limited in their evaluation of cardiovascular disease (CVD) risk factors. Purpose: To examine the associations among underweight (along with overweight and obese) and various CVD risk factors in a national sample of U.S. adults (aged >= 20 years). Methods: Ten years of data (1999-2010) from the National Health and Nutrition Examination Survey were used (analyzed in 2014). Underweight (tertiles); overweight (25-29.9); and obesity (three classes: 30-34.9, 35-39.9, and >= 40) were assessed from measured BMI. The evaluated biological and anthropometric markers included waist circumference; mean arterial pressure; C-reactive protein (CRP); fasting low-density lipoprotein (LDL) cholesterol; total cholesterol; fasting triglycerides; and fasting glucose. Results: After adjustments, underweight adults had significantly (p < 0.005) lower levels of CRP (beta=-0.12, Tertile 2); total cholesterol (beta=-17.7 and -12.2, Tertiles 1 and 3); total cholesterol to high-density lipoprotein cholesterol ratio (beta=-0.39 and -0.46, Tertiles 2 and 3); LDL cholesterol (beta=-20.7, Tertile 1); and triglycerides (beta=-37.1 and -18.0, Tertiles 1 and 3) compared to normal-weight individuals. The severely underweight and obese were less likely to be physically active than normal-weight adults (p < 0.001). Adults in each of the overweight and obese groups had higher levels for each biomarker compared to normal-weight individuals. Conclusions: Underweight adults have lower (i.e., more favorable) levels of various CVD biomarkers.
- 出版日期2015-3
