Janghorbani Mohsen, Amini Masoud, Rezvanian Hasan, Gouya Mohammad-Mehdi, Delavari Alireza, Alikhani Siamak, Mahdavi Alireza
Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Arch Iran Med. 2008 May;11(3):274-81.
Obesity continues to be an important public health problem worldwide. The objective of this study was to determine the association of body mass index and abdominal obesity with current marital status among the adult population of Iran.
A nation-wide cross-sectional survey was conducted from December 2004 through February 2005.The subjects were selected by stratified probability cluster sampling through household family members in Iran. Weight, height, waist circumference, and marital status of 89,404 men and women aged 15 - 65 (mean: 39.2) years were recorded. Four classes of body mass index, i.e., <18.5, 18.5 - 24.9, 25 - 29.9, and > or =30 kg/cm2, and three marital status, i.e., currently-, formerly-, and never-married were used. Abdominal obesity was defined as waist circumference > or =102 cm in men and > or =88 cm in women.
The prevalence of overweight was twofold higher in married men (OR: 2.24; 95% CI: 2.08 - 2.41) and women (OR: 2.36; 95% CI: 2.20 - 2.53) than never-married men and women, even when age, educational level, leisure time physical activity, smoking habits, and place of residence were controlled. The multivariate OR of obesity was increased about threefold in married men (2.82; 95% CI: 2.51 - 3.18) and women (3.64; 95% CI: 3.31 - 3.99). The prevalence of abdominal obesity was twofold higher among married men (2.02; 95% CI: 1.79 - 2.29) and about threefold higher among married women (2.87; 95% CI: 2.69 - 3.06).
The marital status appears to influence the likelihood of developing overweight, obesity, and abdominal obesity in both men and women in Iran.
肥胖仍然是全球一个重要的公共卫生问题。本研究的目的是确定伊朗成年人群中体重指数和腹型肥胖与当前婚姻状况之间的关联。
2004年12月至2005年2月进行了一项全国性横断面调查。通过对伊朗家庭中的家庭成员进行分层概率整群抽样来选择研究对象。记录了89404名年龄在15 - 65岁（平均39.2岁）的男性和女性的体重、身高、腰围和婚姻状况。采用了四类体重指数，即<18.5、18.5 - 24.9、25 - 29.9和≥30kg/cm²，以及三种婚姻状况，即当前已婚、以前已婚和从未结婚。腹型肥胖定义为男性腰围≥102cm，女性腰围≥88cm。
即使在控制了年龄、教育水平、休闲时间体力活动、吸烟习惯和居住地点后，已婚男性（比值比：2.24；95%可信区间：2.08 - 2.41）和女性（比值比：2.36；95%可信区间：2.20 - 2.53）的超重患病率也比未婚男性和女性高出两倍。已婚男性（2.82；95%可信区间：2.51 - 3.18）和女性（3.64；95%可信区间：3.31 - 3.99）肥胖的多变量比值比增加了约三倍。已婚男性腹型肥胖的患病率高出两倍（2.02；95%可信区间：1.79 - 2.29），已婚女性高出约三倍（2.87；95%可信区间：2.69 - 3.06）。
婚姻状况似乎会影响伊朗男性和女性发生超重、肥胖和腹型肥胖的可能性。
