Gynäkologische Endokrinologie

, Volume 6, Issue 4, pp 249–256

Idealgewicht – gibt es das?

Gesundheitliche Implikationen des Körpergewichts bei Frauen
Menopause und Frauengesundheit
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Zusammenfassung

Mit der Industrialisierung nimmt das Körpergewicht zu. Zusätzlich erhöht sich das Verhältnis von Körperfettmasse zu Muskelmasse mit dem Ergebnis einer zentralen Adipositas. Die gesundheitlichen Auswirkungen sind vielfältig und betreffen den Bewegungsapparat und viele Stoffwechselfunktionen, kompromittieren die kardiorespiratorische Leistungsfähigkeit und erhöhen das Herz-Kreislauf- und Krebsrisiko. Für verschiedene Krebsarten scheinen die allgemeine und die zentrale Adipositas von unterschiedlicher Bedeutung zu sein, aber das Gesamtrisiko steigt bei Frauen mit Erreichen von Übergewicht, also einem BMI ≥25 kg/m2. Das Herz-Kreislauf-Risiko lässt sich differenzierter mit dem Taillenumfang abschätzen, wobei die Gefahr für die Entwicklung von Risikofaktoren bei Frauen mit einem Taillenumfang von ≥80 cm beginnt. Das Risiko für Herz-Kreislauf-Ereignisse spiegelt der Taillen-Hüft-Quotient mit einem Grenzwert für Frauen von 0,85 exakter wider. Das Risiko des Erreichens von Übergewicht, Adipositas, erhöhtem Taillenumfang und Taillen-Hüft-Quotient korreliert entscheidend mit einem Gewichtsanstieg im frühen Erwachsenenalter ab dem 20. Lebensjahr. Körperliche Aktivität und eine Ernährung, die es erlauben, diese Grenzwerte einzuhalten, sind der geeignete Weg, ein Gewicht mit einem geringen Gesundheitsrisiko zu halten, wobei ein Idealgewicht nur individuell definiert werden kann, da es von vielen Einflüssen, aber auch der persönlichen Zufriedenheit abhängt.

Schlüsselwörter

Idealgewicht Body-Mass-Index Taillen-Hüft-Quotient Herz-Kreislauf-Risiko Krebsrisiko 

Is there such a thing as ideal weight?

Health implications of body weight in women

Abstract

Generally speaking, the mean body weight tends to increase in industrialized populations. In addition, the ratio of body fat mass to muscle mass rises even at a given weight, resulting in central adiposity. The health implications are numerous and involve the locomotor system and various metabolic functions; they compromise cardiorespiratory fitness and increase the risk of cardiovascular events and cancer. General and central adiposity may differ in their relevance for various cancer sites, but the total risk increases in overweight women, i.e. with a BMI of ≥25 kg/m2. Cardiovascular risk is more accurately estimated by the waist circumference, as the development of risk factors starts in women with a waist circumference of ≥80 cm. The risk of cardiovascular events is more accurately reflected by the waist-to-hip ratio over a threshold value of 0.85. The risk of developing overweight, adiposity, elevated waist circumference and elevated waist-to-hip ratio correlates critically with an increase of weight in early adulthood from 20 years of age on. Physical activity and eating habits that allow individuals to stay within the given limits are the right way to maintain ideal weight associated with a low health risk. However, this can only be defined on an individual basis, since it depends on several factors, including personal contentment.

Keywords

Ideal weight Body Mass Index Waist-to-hip ratio Cardiovascular risk Cancer risk 

Literatur

  1. 1.
    Berrington de González A, Spencer EA et al. (2006) Anthropometry, physical activity, and the risk of pancreatic cancer in the European prospective investigation into cancer and nutrition. Cancer Epidemiol Biomarkers Prev 15(5): 879–885CrossRefGoogle Scholar
  2. 2.
    Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348(17): 1625–1638PubMedCrossRefGoogle Scholar
  3. 3.
    Elobeid MA, Desmond RA, Thomas O et al. (2007) Waist circumference values are increasing beyond those expected from BMI increases. Obesity (Silver Spring) 15(10): 2380–2383Google Scholar
  4. 4.
    Friedenreich C, Cust A, Lahmann PH et al. (2007) Physical activity and risk of endometrial cancer: the European prospective investigation into cancer and nutrition. Int J Cancer 121(2): 347–355PubMedCrossRefGoogle Scholar
  5. 5.
    Friedenreich C, Cust A, Lahmann PH et al. (2007) Anthropometric factors and risk of endometrial cancer: the European prospective investigation into cancer and nutrition. Cancer Causes Control18(4): 399–413 CrossRefGoogle Scholar
  6. 6.
    Gregg EW, Gerzoff RB, Thompson TJ, Williamson DF (2003) Intentional weight loss and death in overweight and obese U.S. adults 35 years of age and older. Ann Intern Med 138(5): 383–389PubMedGoogle Scholar
  7. 7.
    Hjartaker A, Adami HO, Lund E et al. (2005) Body mass index and mortality in a prospectively studied cohort of Scandinavian woman. The women’s lifestyle and health cohort study. Eur J Epidemiol 20(9): 745–747CrossRefGoogle Scholar
  8. 8.
    Hu G, Tuomilehto J, Silventoinen K et al. (2005) The effects of physical activity and body mass index on cardiovascular, cancer and all-cause mortality among 47 212 middle-aged Finnish men and women. Int J Obes (Lond) 29(8): 894–902Google Scholar
  9. 9.
    Hu FB, Willett WC, Li T et al. (2004) Adiposity as compared with physical activity in predicting mortality among women. N Engl J Med 351(26): 2694–2703PubMedCrossRefGoogle Scholar
  10. 10.
    Kannel WB, Wilson PW, Nam BH, D’Agostino RB (2002) Risk stratification of obesity as a coronary risk factor. Am J Cardiol 90(7): 697–701PubMedCrossRefGoogle Scholar
  11. 11.
    Kirschner MA, Schneider G, Ertel NH, Gorman J (1988) An eight-year experience with a very-low-caloric formula diet for control of major obesity. Int J Obesity 12: 69–80Google Scholar
  12. 12.
    Kovacs P, Stumvoll M (2005) Fatty acids and insulin resistance in muscle and liver. Best Pract Res Clin Endocrinol Metab 19(4): 625–635PubMedCrossRefGoogle Scholar
  13. 13.
    Kralisch S, Bluher M, Paschke R et al. (2007) Adipokines and adipocyte targets in the future management of obesity and the metabolic syndrome. Mini Rev Med Chem 7(1): 39–45PubMedCrossRefGoogle Scholar
  14. 14.
    Lindström J, Louheranta A, Mannelin M et al. (2003) The Finnish Diabetes Prevention Study (DPS). Lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 26: 3230–3236PubMedCrossRefGoogle Scholar
  15. 15.
    Menotti A, Blackburn H, Kromhout D et al. (2001) Cardiovascular risk factors as determinants of 25-year all-cause mortality in the seven countries study. Eur J Epidemiol 17(4): 337–346PubMedCrossRefGoogle Scholar
  16. 16.
    Pischon T, Lahmann PH, Boeing H et al. (2006) Body size and risk of colon and rectal cancer in the European Prospective Investigation Into Cancer and Nutrition (EPIC). J Natl Cancer Inst 98(13): 920–931PubMedGoogle Scholar
  17. 17.
    Pischon T, Lahmann PH, Boeing H et al. (2006) Body size and risk of renal cell carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC). Int J Cancer 118(3): 728–738PubMedCrossRefGoogle Scholar
  18. 18.
    Riman T, Dickman PW, Nilsson S et al. (2004) Some life-style factors and the risk of invasive epithelial ovarian cancer in Swedish women. Eur J Epidemiol 19(11): 1011–1019PubMedCrossRefGoogle Scholar
  19. 19.
    Schouten LJ, Goldbohm RA, van den Brandt PA (2004) Anthropometry, physical activity, and endometrial cancer risk: results from the Netherlands Cohort Study. J Natl Cancer Inst 96(21): 1635–1638PubMedCrossRefGoogle Scholar
  20. 20.
    Wannamethee SG, Shaper AG, Walker M (1998) Changes in physical activity, mortality, and incidence of coronary heart disease in older men. Lancet 351(9116): 1603–1608PubMedCrossRefGoogle Scholar
  21. 21.
    Wilson PW, D’Agostino RB, Sullivan L et al. (2002) Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med 162(16): 1867–1872PubMedCrossRefGoogle Scholar
  22. 22.
    Zyriax BC, Boeing H, Windler E (2005) Nutrition is a powerful independent risk factor for coronary heart disease in women – The CORA study: a population-based case-control study. Eur J Clin Nutr 59(10): 1201–1207PubMedCrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag 2008

Authors and Affiliations

  1. 1.Endokrinologie und Stoffwechsel des AlternsUniversitätsklinikum Hamburg-EppendorfHamburgDeutschland

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