Diabetes Research Unit, Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Obes Rev. 2010 Nov;11(11):751-6. doi: 10.1111/j.1467-789X.2010.00746.x.
The aim of the study was to determine the prevalence of overweight, obesity and abdominal obesity, and the underlying socio-demographic correlates among Sri Lankan adults. Data were from 4532 adults aged ≥18 years randomly selected for a national level study on diabetes and cardiovascular disease. Weight, height and waist circumference (WC) were measured and body mass index (BMI) calculated. The mean (95% confidence interval) BMI and WC were 21.1 kg m(-2) (20.9-21.3), 22.3 kg m(-2) (22.1-22.4) and 78.0 cm (77.5-78.6) and 77.5 cm (77.0-78.0) for males and females, respectively. According to the proposed World Health Organization cut-off values for Asians, the percentage of Sri Lankan adults in the overweight, obese and centrally obese categories were 25.2%, 9.2% and 26.2%, respectively. Based on the cut-offs for Caucasians, these were 16.8%, 3.7% and 10.8%. Our findings were compatible with prevalence of obesity in regional countries. In addition, female sex, urban living, higher education, higher income and being in the middle age were shown to be associated with overweight and obesity in Sri Lankans. In conclusion, we have documented a relatively high prevalence of overweight and obesity, particularly, abdominal obesity among adults in Sri Lanka which is a middle-income country. Urgent public health interventions are needed to control the problem at an early stage.
本研究旨在确定超重、肥胖和腹型肥胖在斯里兰卡成年人中的流行情况，并探讨其潜在的社会人口学相关因素。数据来自于一项针对糖尿病和心血管疾病的全国性研究中随机选取的 4532 名年龄≥18 岁的成年人。测量了体重、身高和腰围（WC），并计算了体重指数（BMI）。男性和女性的平均（95%置信区间）BMI 和 WC 分别为 21.1 kg/m²（20.9-21.3）、22.3 kg/m²（22.1-22.4）和 78.0 cm（77.5-78.6）、77.5 cm（77.0-78.0）。根据世界卫生组织（WHO）提出的亚洲人分界值，斯里兰卡成年人超重、肥胖和腹型肥胖的比例分别为 25.2%、9.2%和 26.2%。按照白种人的分界值，这些比例分别为 16.8%、3.7%和 10.8%。我们的研究结果与区域国家的肥胖流行情况相吻合。此外，研究还表明，女性、城市居住、较高的教育水平、较高的收入和中年人群与斯里兰卡成年人超重和肥胖有关。总之，我们发现斯里兰卡成年人超重和肥胖，特别是腹型肥胖的比例相对较高，而斯里兰卡是一个中等收入国家。需要采取紧急的公共卫生干预措施，尽早控制这一问题。
