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The goal of the study was to examine secular changes of pelvic size in parturient women over the 25-year period from 1985 to 2009. Data were collected from randomly selected patients’ medical records of 2414 parturient women from four time periods (1985–1986, 1992–1994, 2000–2002, and 2007–2009). Three different pelvic measurements were collected: distantia spinarum, distantia cristarum, and distantia trochanterica. Regression analyses were conducted in order to test predictors of pelvic dimensions. The multivariate analysis of covariance (MANCOVA) was used to test changes in pelvic dimensions over time, with body mass index (BMI) as a covariate.  相似文献   

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Objective: To evaluate time trends of obesity, abdominal obesity, and cardiovascular risk factors (CRFs) according to BMI and waist circumference (WC) categories in a Mediterranean population. Research Methods and Procedures: Subjects were Spanish men (n = 2383) and women (n = 2525) 25 to 74 years old, examined in 1994 to 1995 and 1999 to 2000 in two independent population‐based cross‐sectional surveys in the northeast of Spain. Lifestyle measures, CRFs, and anthropometric variables were analyzed. Results: Over the 5 years of the study, mean age‐standardized BMI increased by 1.0 units in men and by 0.8 units in women. At the same time the prevalence of obesity increased from 15.4% to 21.9% in men and from 15.4% to 21.4% in women. An upward trend was observed for WC and abdominal obesity (WC > 102 cm in men and WC > 88 cm in women) only in men. The proportion of men and women with hypercholesterolemia, diabetes, and low high‐density lipoprotein‐cholesterol plasma concentration remained stable within BMI and WC categories. The proportion of hypertension and smoking in obese men significantly increased from 1995 to 2000. Discussion: The 5‐year increase in BMI and WC is of considerable magnitude in the present population, although several CRFs remained stable within BMI and WC categories.  相似文献   

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The change of living conditions in East Germany after the German reunification in 1990 led to intensive secular changes in growth and development. Anthropometric data of height, weight, BMI and thickness of the subcutaneous fat layer are compared from two cross-sectional samples of German children and adolescents aged 6 to 18 years. The first sample was measured around 1989 and the second 10 years later around 1999. Both samples contain children and adolescents from the urban as well as from the rural population. The secular changes reported here are based on the comparison of medians of height, weight, BMI and subcutaneous fat layer thickness calculated for yearly age categories. Subsequently, medians of the 10% border categories are compared. These border categories contain the 10% smallest, lightest, slimmest or leanest subjects and the 10% tallest, heaviest, most corpulent or most obese subjects respectively of a yearly age category. The young generation shifted between 1989 and 1999 to a taller stature in the small as well as in the tall category. The secular pattern of measurements, which mark corpulence, is sex-specific and differs from that of length measurements. In general the light or lean subjects changed only little, however, there are clear age- and sex-specific changes in the upper border categories. Weight and BMI increased markedly in the upper border categories in young preadolescent children, but did not change much in adolescent boys of these category aged 15 and 16 and decreased in adolescent girls. Also the subcutaneous fat layer increased in the upper border category in preadolescent children, but decreased in adolescent boys and girls.  相似文献   

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Objective: Our aim was to examine whether secular trends in childhood overweight and obesity during five decades could be explained by economic growth. Research Methods and Procedures: Annual measurements of height and weight were available for all children born between 1930 and 1983 attending primary school in the Copenhagen Municipality: 165,389 boys and 163,609 girls from the age of 7 through 13 years. After computerization, we calculated BMI (kg/m2) and estimated the prevalence of overweight and obesity, according to international age‐ and gender‐specific criteria, by year of birth and of measurement, and separately by each age group and gender. Economic growth was indicated by the Gross National Product and the overall consumption per capita, adjusted for inflation. Results: The prevalence of overweight occurred in phases: an increase from 1930 until the 1950s, followed by a plateau period between the 1950s and the 1960s and a steep increase thereafter. This pattern was apparent across all age groups and in both genders. Obesity trends showed a similar phase pattern; the prevalence remained relatively stable from 1930 until the 1940s, increased until the mid‐1950s, followed by a plateau until 1965, and thereafter a second steep increase. Obesity trends were similar among boys across all age groups, although only among girls from 11 to 13 years of age. In both genders, increments were most pronounced in the upper BMI percentiles. After stagnation until 1947, the economic growth indicators showed a steady increase; i.e., after the first increase started in overweight and obesity, whether analyzed by year of birth or year of measurement, there were no indications of phases in the rise thereafter. Discussion: Prevalence of overweight and obesity among Danish children rose in phases, which were not paralleled by trends in economic growth. The macroeconomic growth indicators seem inappropriate as proxies for the environmental exposures that have elicited the obesity epidemic.  相似文献   

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Secular changes in dizygotic twinning rates   总被引:4,自引:0,他引:4  
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Anthropometric dimensions of 1520 students of Biology at University of Athens in Greece were analysed to determine secular changes of height and body proportions during a 20 year period. Since, 1970, means of standing height, subischial length, and cormic index have been increased, although the rate of increase from 1986 to 1990 has been rather slow. On the contrary the mean sitting height is stable, and cormic/ subischial index have been declined during the same period. There are no data for comparing this sample with the general population, but we suppose that these changes in the body formation is common as a result of the modern way of life.  相似文献   

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A. Angel 《CMAJ》1978,119(12):1401-1406
Obesity is the common expression of several diverse interacting genetic, familial and environmental factors. In addition to having hypertrophic fat cells because of inordinate triglyceride accumulation, many patients with childhood-onset obesity and those who are massively obese regardless of age at onset have an excessive number of adipocytes. Several endocrinologic and metabolic abnormalities are associated with obesity. Triglyceride formation in and lipid mobilization from hypertrophic adipocytes are exaggerated. The increased availability of free fatty acids to the liver contributes to the excessive synthesis of triglycerides and very-low-density lipoproteins; thus, hypertriglyceridemia is frequently associated with obesity. Hepatic synthesis and biliary excretion of cholesterol are also increased. Most of the excess cholesterol is stored in fat cells. The plasma concentrations of high-density lipoproteins are decreased. Hyperinsulinemia, which is characteristically found in the obese, leads to a decreased number of insulin receptors in target cells. The relative insulin insensitivity of the obese frequently results in glucose intolerance. The endocrinologic and metabolic abnormalities are correctable by an appropriate program of meal planning and physical activity.  相似文献   

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We used multiple regression and path analysis to examine the effects of regional and larger spatial scales of climatic/oceanic conditions on the growth, survival, and population dynamics of Hokkaido chum salmon (Oncorhynchus keta). Variability in the growth of chum salmon at ages 1 to 4 was estimated from scale analysis and the back-calculation method using scales of 4-year-old adults returning to the Ishikari River in Hokkaido, Japan, during 1943–2005. Growth of chum salmon at age 1 was less during the period from the 1940s to the mid-1970s compared to the period from the mid-1980s to the present. On the other hand, growth of chum salmon at ages 2, 3, and 4 has declined since the 1980s. Path analysis indicated that growth at age 1 in the Okhotsk Sea was directly affected by warmer sea surface temperatures associated with global warming. The increased growth at age 1 led directly to higher survival rates and indirectly to larger population sizes. Subsequently, in the Bering Sea, the larger population size was directly associated with decreased growth at age 3 and indirectly associated with shorter adult fork lengths despite the lack of relationships among sea surface temperature, zooplankton biomass, and growth at ages 2 to 4. Therefore, higher growth at age 1 related to global warming positively affected the survival rate of juvenile chum salmon in the Okhotsk Sea. The higher survival rates in turn appear to be causing a population density-dependent effect on growth at ages 2 to 4 and maturation in the Bering Sea due to limited carrying capacity.  相似文献   

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Obesity, and its health-related sequelae (the metabolic syndrome), have recently emerged as a global health crisis. The prevalence of childhood and adult obesity in economically developed and developing countries world-wide has more than doubled over the past decade. While genetic factors, increasingly sedentary lifestyles, and overnutrition have all been cited as important components of the obesity crisis, recent epidemiological and experimental evidence suggests that developmental factors--especially those that occur in utero and during early postnatal life--play a significant role in the pandemic. Research into the 'developmental origins of health and disease' (DOHaD) has now firmly established that pre- and perinatal developmental perturbations which predispose to obesity in adult life can result from a variety of factors, including both nutritional surplus and deficiency, and there is growing evidence that these physiological traits can be passed on epigenetically to subsequent generations. Anthropological perspectives regarding the developmental origins of obesity and its related health problems cannot only shed further light on contemporary ethnic human health disparities, but can offer unique insights into the relevance of the developmental origins of disease to community-based public health interventions.  相似文献   

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This study examines patterns of secular change in cranial morphology in the New Lisbon collection, a documented skeletal collection from Lisbon, Portugal with birth years from 1806 to 1954. This period represents a time when Lisbon was undergoing increased urbanization and population growth, as well as changes in mortality and fertility patterns. Previous studies from the U.S., Europe, and Japan have reported significant secular changes in cranial morphology over the past 200 years. In the current study, secular changes were analyzed using three-dimensional geometric morphometrics methods. The results from this study demonstrate a significant change in cranial morphology over the roughly 150-year period. Allometry was rejected as a causal factor of this change because there was no association found between temporal change and size. The pattern of temporal change is similar to that observed in other populations in the U.S., Europe, and Japan, including decreased facial breadth and a more inferiorly placed cranial base. This study, along with previous research, suggests a similar pattern of change occurs in genetically and geographically diverse populations experiencing modern environmental conditions. We argue that because the secular changes are focused in the cranial base, a region of the skull that experiences a relatively early growth curve, changes related to declines in childhood morbidity and mortality are likely important factors related to the observed changes.  相似文献   

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