@article {Li1901899,笔者= {李甲辰,朱,陆卫,玉霞和吕君和郭羽和汴,郑和杜,淮东阳,凌陈依萍周,用林,高,俞汝勤,陈,军师和陈争鸣和曹蔚华和玉,Canqing和李,黎明},编辑= {,},标题= {协会肥胖的措施和中国成人慢性阻塞性肺病的风险},elocation-ID之间= {1901899},年= {} 2020,DOI = {10.1183 / 13993003.01899-2019},出版商= {欧洲呼吸学会},抽象=188bet官网地址 {体重和脂肪分布可能与慢性阻塞性肺疾病(COPD)的风险。有限的前瞻性证据链接COPD腹部肥胖。我们调查的身体质量指数(BMI)和慢性阻塞性肺病的风险腹型肥胖的措施的协会在一份前瞻性study.The中国嘉道理生物银行(CKB)招募参加者年龄在30岁{\ textendash}来自中国各地的十个领域79年。人体测量指标均在2004年{\ textendash} 2008年基线调查客观测量。After exclusion of participants with prevalent COPD and major chronic diseases, 452 259 participants were included and followed up through the end of 2016. We used Cox models to estimate adjusted hazard ratios relating adiposity to risk of COPD hospitalisation or death.Over an average of 10.1-year follow-up, 10 739 COPD hospitalisation events and deaths were reported. Compared with normal BMI (BMI 18.5 to \<24.0 kg{\textperiodcentered}m-2), underweight (BMI\<18.5 kg{\textperiodcentered}m-2) individuals had increased risk of COPD, with adjusted HR (95\% CI) to be 1.78 (1.66{\textendash}1.89). Overweight (BMI 24.0 to \<28.0 kg{\textperiodcentered}m-2) and obesity (BMI>=28.0 kg{\textperiodcentered}m-2) were not associated with an increased risk after adjustment for waist circumference. A higher waist circumference (>=85 cm for men and >=80 cm for women) was positively associated with COPD risk after adjustment for BMI. Waist-to-hip ratio and waist-to-height ratio were also positively related to COPD risk.Abdominal adiposity and underweight were risk factors for COPD in Chinese adults. Both BMI and measures of Abdominal adiposity should be considered in the prevention of COPD.FootnotesThis manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.Conflict of interest: Dr. J. Li has nothing to disclose.Conflict of interest: Dr. Zhu has nothing to disclose.Conflict of interest: Dr. Wei has nothing to disclose.Conflict of interest: Dr. Lv has nothing to disclose.Conflict of interest: Dr. Guo has nothing to disclose.Conflict of interest: Dr. Bian has nothing to disclose.Conflict of interest: Dr. Du has nothing to disclose.Conflict of interest: Dr. Yang has nothing to disclose.Conflict of interest: Dr. Chen has nothing to disclose.Conflict of interest: Dr. Zhou has nothing to disclose.Conflict of interest: Dr. Gao has nothing to disclose.Conflict of interest: Dr. J. Chen has nothing to disclose.Conflict of interest: Dr. Z. Chen has nothing to disclose.Conflict of interest: Dr. Cao has nothing to disclose.Conflict of interest: Dr. Yu has nothing to disclose.Conflict of interest: Dr. L. Li has nothing to disclose.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/early/2020/01/03/13993003.01899-2019}, eprint = {//www.qdcxjkg.com/content/early/2020/01/03/13993003.01899-2019.full.pdf}, journal = {European Respiratory Journal} }