Wimmer K, Laubereau B, Wölke G, Döring A, Heinrich J
GSF - National Research Centre for Environment and Health, Institute of Epidemiology, Neuherberg, Germany.
Cent Eur J Public Health. 2003 Dec;11(4):202-8.
Several epidemiological studies have shown consistently higher prevalence rates of obesity and overweight in East German adults compared to West German adults before German reunification in 1990. If different lifestyle factors after German division contribute to these differences, one might speculate that trends of obesity and overweight in the East and West after German reunification in 1990 would be similar.
To examine weight gain in East and West German adult cohorts in the decade after German reunification.
The study population includes 554 individuals with complete data aged 20 - 47 years in 1990-92 participating in the ten year follow-up of the European Community Respiratory Health Survey (ECRHS) in the German centres Hamburg (West) and Erfurt (East). Age and occupation-adjusted prevalence and incidence rates, stratified for gender and centre, were calculated for the Erfurt and Hamburg cohorts.
The prevalence of overweight increased in males and females in both cities, and was statistically significant for Hamburg males (32.7% to 44.9%), Hamburg females (12.3% to 25.4%) and Erfurt females (18.5% to 31.2%). The increase in the prevalence of obesity was statistically significant for males (Hamburg: 3.7% to 7.9%; Erfurt: 5.2% to 10.8%) and for females only in Hamburg (6.4% to 14.2%). The increase in the prevalence of overweight and obesity were larger in Hamburg than in Erfurt. Moreover, the incidence rates of obesity were higher in Hamburg for both sexes, but were not statistically significant
Our findings indicate different patterns of weight gain in 2 study sites in East- and West-Germany. These results might reflect a convergence of initially higher prevalences of overweight and obesity in the East with initially lower prevalences in the West.
多项流行病学研究一致表明，在1990年德国统一之前，东德成年人肥胖和超重的患病率一直高于西德成年人。如果德国分裂后不同的生活方式因素导致了这些差异，那么人们可能会推测，1990年德国统一后东德和西德肥胖和超重的趋势将会相似。
研究德国统一后十年中东德和西德成年人群体的体重增加情况。
研究人群包括1990 - 1992年年龄在20 - 47岁且数据完整的554人，他们参与了德国汉堡（西部）和爱尔福特（东部）中心的欧洲共同体呼吸健康调查（ECRHS）的十年随访。计算了爱尔福特和汉堡队列按性别和中心分层的年龄和职业调整患病率及发病率。
两个城市的男性和女性超重患病率均有所上升，汉堡男性（从32.7%升至44.9%）、汉堡女性（从12.3%升至25.4%）和爱尔福特女性（从18.5%升至31.2%）的上升具有统计学意义。肥胖患病率的上升在男性中具有统计学意义（汉堡：从3.7%升至7.9%；爱尔福特：从5.2%升至10.8%），仅在汉堡女性中具有统计学意义（从6.4%升至14.2%）。汉堡超重和肥胖患病率的上升幅度大于爱尔福特。此外，汉堡男女肥胖发病率均较高，但无统计学意义。
我们的研究结果表明，德国东部和西部两个研究地点的体重增加模式不同。这些结果可能反映了东部最初较高的超重和肥胖患病率与西部最初较低的患病率趋于一致。
