Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, P.O. Box 24923 Safat, 13110 Kuwait.
Gerontologist. 2013 Aug;53(4):555-66. doi: 10.1093/geront/gns108. Epub 2012 Aug 30.
Obesity is a serious global health problem. Our objectives are to assess the prevalence of overweight and obesity among elderly Kuwaitis aged 50 or older, examine their sociodemographic correlates, and analyze the association between obesity and its comorbidities.
A cross-sectional face-to-face interview survey using a structured questionnaire was conducted among 2,443 Kuwaiti men and women aged 50 or older. Height and weight were measured and body mass index (BMI) was calculated.
About 81% respondents were overweight of whom 46% were obese. Mean BMI was 30.0 (31.2 for women and 28.1 for men). Multinomial logistic regression analysis revealed that relatively young elderly Kuwaitis (50-59) were 1.7 and 2.2 times more likely to be overweight and obese, respectively, compared with those aged 70 or older. Married individuals had 2.3 times higher risk to be overweight or obese than non-married individuals. Women were 3.6 times more likely to suffer from obesity than men. Overweight and obesity were found to be independent risk factors for hypertension (OR = 1.3 and 1.9, respectively), diabetes (OR = 1.4), and osteoarthritis (OR = 1.8 and 1.6, respectively).
Prevalence of overweight and obesity is alarmingly high among elderly Kuwaitis. The associated disease burden is substantial. Stakeholders should address the problem and launch national extensive health-promoting campaigns targeting perceptible lifestyle changes.
肥胖是一个严重的全球性健康问题。我们的目标是评估 50 岁或以上科威特老年人超重和肥胖的患病率,研究其社会人口统计学相关性,并分析肥胖及其合并症之间的关联。
采用横断面面对面访谈调查,对 2443 名 50 岁或以上的科威特男女进行了问卷调查。测量身高和体重,并计算体重指数(BMI)。
约 81%的受访者超重,其中 46%肥胖。平均 BMI 为 30.0(女性为 31.2,男性为 28.1)。多项逻辑回归分析显示,相对年轻的科威特老年人(50-59 岁)超重和肥胖的风险分别是 70 岁及以上老年人的 1.7 倍和 2.2 倍。已婚者超重或肥胖的风险是未婚者的 2.3 倍。女性肥胖的风险是男性的 3.6 倍。超重和肥胖是高血压(OR=1.3 和 1.9)、糖尿病(OR=1.4)和骨关节炎(OR=1.8 和 1.6)的独立危险因素。
科威特老年人超重和肥胖的患病率高得惊人。相关疾病负担巨大。利益相关者应解决这一问题,并开展全国性的广泛的促进健康运动,以实现可察觉的生活方式改变。