Kilicarslan Alpaslan, Isildak Mehlika, Guven Gulay Sain, Oz S Gul, Tannover Mine Durusu, Duman A Erkan, Saracbasi Osman, Sozen Tumay
Section of General Internal Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Sihhiye, 06100, Ankara, Turkey.
J Natl Med Assoc. 2006 Aug;98(8):1313-7.
Obesity as a disease is a yet-unidentified sum of genetic and environmental factors. Risky eating behavior and lifestyle may bring the disease. The aim of the study was to find out risk factors for obesity factors influencing definition of obesity. Participants (n = 1500) who filled out a questionnaire about eating habits are grouped according to their body mass indices as normal weight, overweight and obese (n = 500 in each group). According to our results, the prevalence of having obese first-degree relatives is significantly higher in obese individuals (p < 0.001). Sixty-two of normal weighing subjects were university graduates, whereas this ratio was only 31% in the obese group (p < 0.001). Incidence of obesity was higher in married participants when compared to the single or divorced/widowed persons (p < 0.001). Multinomial logistic regression analysis gave the following results: risk of obesity was 57% less in participants lacking a family history of obesity when compared to the ones with a positive family history (p = 0.005). Being married increases the risk of obesity 2.5 times; being a primary school graduate increases the risk about 1.5 times. Lower educational level, unemployment and lack of counseling seem to be risk factors associated with obesity. Diverging patterns of sociodemographic features, lifestyles and perception were evident even between overweight and obese populations.
肥胖作为一种疾病,是由尚未明确的遗传和环境因素共同构成的。危险的饮食行为和生活方式可能引发这种疾病。本研究的目的是找出肥胖的危险因素以及影响肥胖定义的因素。填写了饮食习惯问卷的参与者(n = 1500)根据其体重指数被分为正常体重、超重和肥胖三组(每组n = 500)。根据我们的研究结果,肥胖个体中拥有肥胖一级亲属的比例显著更高(p < 0.001)。正常体重受试者中有62人是大学毕业生,而在肥胖组中这一比例仅为31%(p < 0.001)。与单身或离异/丧偶者相比,已婚参与者的肥胖发生率更高(p < 0.001)。多项逻辑回归分析得出以下结果:与有肥胖家族史的参与者相比,没有肥胖家族史的参与者患肥胖症的风险降低了57%(p = 0.005)。结婚使肥胖风险增加2.5倍;小学毕业使肥胖风险增加约1.5倍。较低的教育水平、失业和缺乏咨询似乎是与肥胖相关的危险因素。即使在超重和肥胖人群之间,社会人口学特征、生活方式和认知模式也存在明显差异。