Exercise and Health Laboratory, Interdisciplinary Center for the Study of Human Performance, Faculty of Human Kinetics, Technical University of Lisbon, Cruz-Quebrada, Portugal.
PLoS One. 2012;7(10):e47883. doi: 10.1371/journal.pone.0047883. Epub 2012 Oct 31.
This study determined the prevalence of overweight, obesity, and abdominal obesity in the Portuguese adults and examined the relationship between above mentioned prevalences and educational level. Body mass, stature, and waist circumference were measured in a representative sample of the Portuguese population aged 18-103 years (n = 9,447; 18-64 years: n = 6,908; ≥ 65 years: n = 2,539). Overweight and obesity corresponded to a body mass index ranging between 25-29.9 kg/m(2) and ≥ 30 kg/m(2), respectively. Abdominal obesity was assessed as >102 cm for males and >88 cm for females. After adjusting for educational level, the combined prevalences of overweight and obesity were 66.6% in males and 57.9% in females (18-64 years). Respective values in older adults (≥ 65 years) were 70.4% for males and 74.7% for females. About 19.3% of adult males and 37.9% of adult females presented abdominal obesity. Correspondent values in older adults were 32.1%, for males, and 69.7%, for females. In adults, low educational level was related to an increased risk for overweight (OR = 2.54; 95% CI: 2.08-3.09), obesity (OR = 2.76; 95% CI: 2.20-3.45), and abdominal obesity (OR = 5.48; 95% CI: 4.60-6.52). This reinforces the importance of adjusting public health strategies for educational level.
本研究旨在确定葡萄牙成年人超重、肥胖和腹型肥胖的流行率,并探讨上述流行率与教育水平之间的关系。在一个代表葡萄牙 18-103 岁人群的样本中(18-64 岁:n = 6,908;≥ 65 岁:n = 2,539),测量了体重、身高和腰围。超重和肥胖的标准为身体质量指数(BMI)在 25-29.9kg/m²和≥ 30kg/m²之间。腹型肥胖的评估标准为男性腰围大于 102cm,女性腰围大于 88cm。在调整了教育水平后,男性和女性的超重和肥胖的综合流行率分别为 66.6%和 57.9%(18-64 岁)。在老年人(≥ 65 岁)中,相应的数值分别为 70.4%和 74.7%。约 19.3%的成年男性和 37.9%的成年女性存在腹型肥胖。相应的老年人数据为 32.1%和 69.7%。在成年人中,低教育水平与超重(OR = 2.54;95%CI:2.08-3.09)、肥胖(OR = 2.76;95%CI:2.20-3.45)和腹型肥胖(OR = 5.48;95%CI:4.60-6.52)的风险增加有关。这强化了根据教育水平调整公共卫生策略的重要性。