Institute for Biobehavioral Health Research, NDRI-Mid America, 1920 W. 143 Street, Suite 120, Leawood, Kansas 66224, USA.
Nutrients. 2010 Jan;2(1):60-74. doi: 10.3390/nu20100060. Epub 2010 Jan 21.
We evaluated the associations between overweight and obesity and socio-economic status (SES), behavioral factors, and dietary intake in Thai adults. A nationally representative sample of 6,445 Thais adults (18-70 years) was surveyed during 2004-2005. Information including demographics, SES characteristics, dietary intake, and anthropometrics were obtained. Overall, 35.0% of men, and 44.9% of women were overweight or obese (BMI ≥ 23 kg/m2) using the Asian cut-points. Regression models demonstrated that age was positively associated with being overweight in both genders. In gender-stratified analyses, male respondents who were older, lived in urban areas, had higher annual household income, and did not smoke were more likely to be classified as overweight and obese. Women who were older, had higher education, were not in a marriage-like relationship and were in semi-professional occupation were at greater risk for being overweight and obese. High carbohydrate and protein intake were found to be positively associated with BMI whereas the frequent use of dairy foods was found to be negatively associated with BMI among men. The present study found that SES factors are associated with being classified as overweight and obese in Thai adults, but associations were different between genders. Health promotion strategies regarding obesity and its related co-morbidity are necessary.
我们评估了超重和肥胖与社会经济地位（SES）、行为因素以及泰国成年人饮食摄入之间的关联。在 2004-2005 年期间，对 6445 名泰国成年人（18-70 岁）进行了一项全国代表性调查。收集了包括人口统计学、SES 特征、饮食摄入和人体测量学等信息。总体而言，使用亚洲切点，35.0%的男性和 44.9%的女性超重或肥胖（BMI≥23kg/m2）。回归模型表明，年龄与两性的超重呈正相关。在按性别分层分析中，年龄较大、居住在城市地区、年收入较高且不吸烟的男性受访者更有可能被归类为超重和肥胖。年龄较大、受教育程度较高、未婚且从事半专业职业的女性超重和肥胖的风险更高。高碳水化合物和蛋白质摄入与 BMI 呈正相关，而男性中经常食用乳制品与 BMI 呈负相关。本研究发现，SES 因素与泰国成年人超重和肥胖的分类有关，但性别之间的关联不同。有必要针对肥胖及其相关合并症制定健康促进策略。
