Veghari Gholamreza, Sedaghat Mehdi, Joshaghani Hamidreza, Hoseini Ahmad, Niknezhad Farhad, Angizeh Abdolhamid, Tazik Ebrahim, Moharloei Pooneh
Golestan Cardiovascular Research Center, Department of Biochemistry and Nutrition, School of Medicine, Golstan University of Medical Sciences, Gorgan, Iran.
J Res Health Sci. 2010 Dec 18;10(2):116-21.
The main objective of this study was to evaluate the prevalence of the obesity and the related risk factors in the north of Iran.
This was a population-based cross-sectional study that enrolled 2495 subjects (1247 males and 1248 females) using stratified cluster sampling. Interviewers recorded the data using a multidimensional questionnaire including anthropometric indexes. Body mass index equal to or greater than 25 was considered as overweight and that of 30 and 40 as obese and pathologic obese respectively. SPSS 16.0 software was used for statistical data analysis.
Mean age of the subjects was 39.2 [95% CI: 38.6, 39.8] yr. Mean body mass index was 25.3 [95% CI: 25.0, 25.6] kg/m(2) for men and 27.5 [95% CI: 27.2, 27.9] kg/m2 for women. The prevalence rates of overweight, obesity and pathologic obesity were 29.9% (745/2495), 22.5% (561/2495) and 1.8% (44/2495) respectively. The prevalence of obesity was higher in urban residents than rural ones, 27.3% versus 18.9% respectively (P<0.001). The prevalence rates of obesity and pathologic obesity were much higher in women than men were, 30.3% versus 15.4% and 3.0% versus 0.6% respectively (P=0.001). The odds ratio estimate was 1.68 [95% CI: 1.40, 2.02] for urban area compared to rural area; 2.60 [95% CI: 2.14, 3.15] for females compared to males; 5.95 [95% CI: 3.54, 9.99] for married people compared to single people; 1.89 [95% CI: 1.44, 2.84] for age group of 55-65 years compared to age group of 15-24 years; 1.76 [95% CI: 1.17, 2.64] for illiterate people compared to those who had academic education; 1.98 [95% CI: 1.13, 2.49] for poor people compared to people with high economic level.
The prevalence of obesity and overweight is very high in the north of Iran, hence is a signal of serious health problem, and should be the focus of special attention.
本研究的主要目的是评估伊朗北部肥胖症的患病率及其相关风险因素。
这是一项基于人群的横断面研究，采用分层整群抽样法纳入了2495名受试者（1247名男性和1248名女性）。访谈者使用包含人体测量指标的多维问卷记录数据。体重指数等于或大于25被视为超重，体重指数为30和40分别被视为肥胖和病态肥胖。使用SPSS 16.0软件进行统计数据分析。
受试者的平均年龄为39.2岁[95%置信区间：38.6，39.8]。男性的平均体重指数为25.3 kg/m²[95%置信区间：25.0，25.6]，女性为27.5 kg/m²[95%置信区间：27.2，27.9]。超重、肥胖和病态肥胖的患病率分别为29.9%（745/2495）、22.5%（561/2495）和1.8%（44/2495）。城市居民的肥胖患病率高于农村居民，分别为27.3%和18.9%（P<0.001）。女性的肥胖和病态肥胖患病率远高于男性，分别为30.3%和15.4%，以及3.0%和0.6%（P=0.001）。与农村地区相比，城市地区的优势比估计值为1.68[95%置信区间：1.40，2.02]；与男性相比，女性的优势比估计值为2.60[95%置信区间：2.14，3.15]；与单身者相比，已婚者的优势比估计值为5.95[95%置信区间：3.54，9.99]；与15-24岁年龄组相比，55-65岁年龄组的优势比估计值为1.89[95%置信区间：1.44，2.84]；与受过学术教育的人相比，文盲的优势比估计值为1.76[95%置信区间：1.17，2.64]；与经济水平高的人相比，穷人的优势比估计值为1.98[95%置信区间：1.13，2.49]。
伊朗北部肥胖和超重的患病率非常高，因此是一个严重健康问题的信号，应成为特别关注的焦点。
