학술논문

Simple anthropometrics are more correlated with health variables than are estimates of body composition in Yup'ik people
Document Type
article
Source
Obesity. 21(9)
Subject
Public Health
Biomedical and Clinical Sciences
Nutrition and Dietetics
Health Sciences
Obesity
Prevention
Clinical Research
Nutrition
Metabolic and endocrine
Stroke
Cardiovascular
Adipose Tissue
Adolescent
Adult
Aged
Aged
80 and over
Alaska
Anthropometry
Body Composition
Body Fluid Compartments
Cardiovascular Diseases
Electric Impedance
Female
Health Status
Humans
Inuit
Linear Models
Male
Metabolic Diseases
Middle Aged
Reproducibility of Results
Risk Factors
Sex Factors
Waist Circumference
Waist-Hip Ratio
Water
Young Adult
Endocrinology & Metabolism
Language
Abstract
ObjectivesTo (1) evaluate the relationships between several indices of obesity with obesity-related risk factors; (2) compare the accuracy of body composition estimates derived from anthropometry and bioimpedance analysis (BIA) to estimates of body composition assessed by doubly-labeled water (DLW); and (3) establish equations for estimating fat mass (FM), fat-free mass (FFM), and percent body fat (PBF) in Yup'ik people.Design and methodsParticipants included 1,056 adult Yup'ik people from 11 communities in Southwestern Alaska. In a sub-study of 30 participants, we developed population-specific linear regression models for estimating FM, FFM, and PBF from anthropometrics, age, sex, and BIA against criterion measures derived from total body water assessed with DLW. These models were then used with the population cohort and we analyzed the relationships between obesity indices and several health-related and disease status variables: (1) fasting plasma lipids, (2) glucose, (3) HbA1c, (4) adiponectin, (5) blood pressure, (6) diabetes (DM), and (7) cerebrocoronary vascular disease (CCVD) which includes stroke and heart disease.ResultsThe best model for estimating FM in the sub-study used only three variables-sex, waist circumference (WC), and hip circumference and had multiple R(2) = 0.9730. FFM and PBF were calculated from FM and body weight.ConclusionWC and other anthropometrics were more highly correlated with a number of obesity-related risk factors than were direct estimates of body composition. Body composition in Yup'ik people can be accurately estimated from simple anthropometrics.