Helmert U, Strube Helga
Zentrum für Sozialpolitik, Universität Bremen.
Gesundheitswesen. 2004 Jul;66(7):409-15. doi: 10.1055/s-2004-813324.
Due to the great increase in the prevalence of obesity in the industrialised countries during the last two decades we examined the development of this prevalence in Germany between 1985 and 2002. Data sources are four national health surveys conducted between 1985 and 1998 and three surveys of the "Bertelsmann Health Monitor" in 2002 and 2003. Included in these representative cross-sectional surveys were all persons aged 25-69 years. The total number of study participants was 12 984 males and 13 630 females. Based on recommendations of the WHO, moderate obesity is defined as body-mass-index > or = 30 and pronounced obesity as body-mass-index > or = 35. From 1985 to 2002, there was an increase in the prevalence of moderate obesity in males from 16.2 to 22.5 % and in females from 16.2 % to 23.5 %, whereas the increase in the prevalence of pronounced obesity in males was from 1.5 to 5.2 % and in females from 4.5 to 7.5 %. The most important social characteristics related to pronounced obesity prevalences are low educational status, low occupational status and low household income. Thus, the quality of future preventive measures aiming at reducing obesity prevalence among the general population should be evaluated inter alia in respect of their ability to cope with the social origins of obesity.
由于在过去二十年中工业化国家肥胖症患病率大幅上升，我们研究了1985年至2002年期间德国肥胖症患病率的发展情况。数据来源是1985年至1998年期间进行的四次全国健康调查以及2002年和2003年的三次“贝塔斯曼健康监测”调查。这些具有代表性的横断面调查涵盖了所有年龄在25至69岁之间的人群。研究参与者总数为12984名男性和13630名女性。根据世界卫生组织的建议，中度肥胖定义为体重指数≥30，重度肥胖定义为体重指数≥35。从1985年到2002年，男性中度肥胖的患病率从16.2%上升到22.5%，女性从16.2%上升到23.5%，而男性重度肥胖的患病率从1.5%上升到5.2%，女性从4.5%上升到7.5%。与重度肥胖患病率相关的最重要社会特征是低教育程度、低职业地位和低家庭收入。因此，未来旨在降低普通人群肥胖症患病率的预防措施的质量，尤其应根据其应对肥胖症社会根源的能力来评估。
