Kiss C, Poór G, Donáth J, Gergely P, Paksy A, Zajkás G, Antal M
National Institute of Rheumatology and Physiotherapy, Budapest, Hungary.
Eur J Epidemiol. 2003;18(7):653-7. doi: 10.1023/a:1024994507436.
There are few cross-sectional population-based studies on obesity in Hungary. Aim of this study was to characterize the prevalence, associated diseases and metabolic laboratory parameters for obesity in men and women in Budapest, Hungary.
A random sample of 641 persons (307 males and 334 females) aged 50 years and over were recruited from a population register in Budapest. Subjects were interviewed, had height and weight measured in standard fashion. Those who were obese (BMI > 30.0 kg/m2) were matched individually with non-obese subjects. Altogether 101 pairs (48 women and 53 men pairs) were taking part and these subjects had blood taken for amount of serum glucose, lipids and uric acid.
The mean age of men and women was 65.0 (SD = 9.1) years and 64.6 (SD = 8.9) years, respectively. The prevalence of obesity was 18.1% in men and 15.4% in women (p < 0.05). In both sexes the mean body mass index was higher at age of 50-64 years than at older ages [in men 27.2 (SD = 3.7) kg/m2 vs. 26.7 (SD = 3.3) kg/ m2, p = 0.286 and in women 26.7 (SD = 4.2) kg/m2 vs. 25.4 (SD = 4.0) kg/m2, p = 0.005]. Body mass index was higher in men than in women at all ages. In the case-control study the mean age of obese and non-obese individuals were 63.1 (SD = 7.8) years and 63.2 (SD = 7.9) years, respectively. Obesity was significantly associated with a history of diabetes mellitus (18 vs. 7%, p < 0.05) and hypertension (48 vs. 28%, p < 0.05). Compared to the non-obese, those who were obese had a higher level of serum uric acid (311 +/- 102 vs. 280 +/- 96 micromol/l, p < 0.05) and triglyceride (2.67 +/- 1.95 vs. 1.86 +/- 0.95 mmol/l, p < 0.05).
The high prevalence of obesity both in elderly men and women and its strong association with chronic diseases causes economical and social burden for Hungary. Strategies and programs for weight maintenance as well as weight reduction must become a higher public health priority.
匈牙利基于人群的肥胖横断面研究较少。本研究的目的是描述匈牙利布达佩斯男性和女性肥胖的患病率、相关疾病及代谢实验室参数。
从布达佩斯的人口登记册中随机抽取641名年龄在50岁及以上的人（307名男性和334名女性）。对受试者进行访谈，以标准方式测量身高和体重。将肥胖者（BMI>30.0kg/m²）与非肥胖者进行个体匹配。共有101对（48对女性和53对男性）参与，这些受试者采集血液检测血清葡萄糖、脂质和尿酸含量。
男性和女性的平均年龄分别为65.0（标准差=9.1）岁和64.6（标准差=8.9）岁。男性肥胖患病率为18.1%，女性为15.4%（p<0.05）。在两个性别中，50-64岁人群的平均体重指数均高于年龄更大者[男性中27.2（标准差=3.7）kg/m² 对比 26.7（标准差=3.3）kg/m²，p=0.286；女性中26.7（标准差=4.2）kg/m² 对比 25.4（标准差=4.0）kg/m²，p=0.005]。各年龄段男性的体重指数均高于女性。在病例对照研究中，肥胖个体和非肥胖个体的平均年龄分别为63.1（标准差=7.8）岁和63.2（标准差=7.9）岁。肥胖与糖尿病病史（18%对比7%，p<0.05）和高血压（48%对比28%，p<0.05）显著相关。与非肥胖者相比，肥胖者的血清尿酸水平更高（311±102对比280±96μmol/l，p<0.05）和甘油三酯水平更高（2.67±1.95对比1.86± 0.95mmol/l，p<0.05）。
老年男性和女性中肥胖的高患病率及其与慢性病的密切关联给匈牙利带来了经济和社会负担。维持体重以及减重的策略和项目必须成为更高的公共卫生优先事项。
