Department of Nutrition and Dietetics, Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda A. Aziz, Kuala Lumpur, Malaysia.
Asia Pac J Public Health. 2012 Mar;24(2):318-29. doi: 10.1177/1010539510380736. Epub 2010 Sep 10.
Obesity is an emerging public health threat in the elderly population in developing countries. Hence, the Third National Health and Morbidity Survey has assessed 4746 individuals aged 60 years and older recruited through a household survey to determine the prevalence of adiposity using body mass index and waist circumference. The national's prevalence of overweight and obesity in men was 29.2% (95% confidence interval [CI] = 27.2-31.3) and 7.4% (95% CI = 6.4-8.6), respectively. However, the prevalence decreased with age. The figures in women were 30.3% (95% CI = 28.5-32.1) and 13.8% (95% CI = 12.5-15.2), respectively. The prevalence of abdominal obesity was 21.4% (95%CI = 20.2-22.6), with 7.7% (95% CI = 6.7-9.0) in men and 33.4% (95% CI = 31.4-35.3) in women. Predictors of adiposity include the following: Malay and Indian ethnicity, higher education level, higher household income, from urban area, and being married. In conclusion, adiposity affects about one third of the Malaysian elderly population, especially those of the younger age group, women, and those with higher socioeconomic status.
肥胖症是发展中国家老年人群中出现的一个新的公共卫生威胁。因此，第三次国家健康和发病率调查评估了 4746 名 60 岁及以上的通过家庭调查招募的个体，使用身体质量指数和腰围来确定肥胖症的患病率。男性超重和肥胖的全国患病率为 29.2%（95%置信区间[CI] = 27.2-31.3）和 7.4%（95%CI = 6.4-8.6），但随着年龄的增长而下降。女性的这两个数字分别为 30.3%（95%CI = 28.5-32.1）和 13.8%（95%CI = 12.5-15.2）。腹部肥胖的患病率为 21.4%（95%CI = 20.2-22.6），男性为 7.7%（95%CI = 6.7-9.0），女性为 33.4%（95%CI = 31.4-35.3）。肥胖的预测因素包括：马来人和印度裔、较高的教育水平、较高的家庭收入、来自城市地区和已婚。总之，肥胖症影响了大约三分之一的马来西亚老年人口，尤其是年龄较小的人群、女性和社会经济地位较高的人群。
