%0期刊文章%a li,jiachen%a zhu,lu%a wei,yuxia%a lv,jun%a guo,yu%a bian,zheng%a du,huaidong%a yang a yang,ling%a chen a chen,yiping%A Zhou, Yonglin %A Gao, Ruqin %A Chen, Junshi %A Chen, Zhengming %A Cao, Weihua %A Yu, Canqing %A Li, Liming %A %T Association between adiposity measures and COPD risk in Chinese adults %D2020%r 10.1183/13993003.01899-2019%j欧洲呼吸杂志%p 1901899%v 55%n 4%x体重和脂肪分布可能与COPD风险有关。有限的前瞻性证据将COPD与腹部肥胖有关。我们在一项前瞻性队列研究中调查了体重指数(BMI)和腹部肥胖与COPD风险的衡量标准。中国kadoorie生物库招募了从中国10个地区招募30-79岁的参与者。在2004 - 2008年的基线调查中,客观地测量了人体测量指数。在排除了患有COPD和主要慢性疾病的参与者之后,包括452259名参与者并进行了跟进,直到2016年底。我们使用COX模型估算了调整后的危害比率,与COPD住院或死亡的风险有关。据报道,有10.1年的随访,10 739例COPD住院事件和死亡。与正常BMI(18.5 – <24.0 kg·M -2)的受试者相比,体重不足(BMI <18.5 kg·M -2)个体的COPD风险增加,调整后危险比1.78(95%CI 1.66-1.89)。超重(BMI 24.0– <28.0 kg·M -2)和肥胖(BMI≥28.0kg·M -2)与调整腰围调整后的风险增加无关。 A higher waist circumference (≥85 cm for males and ≥80 cm for females) was positively associated with COPD risk after adjustment for BMI. Additionally, waist-to-hip ratio and waist-to-height ratio were 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.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. http://bit.ly/36To4fk %U //www.qdcxjkg.com/content/erj/55/4/1901899.full.pdf