意大利人群中超重与共病及自评健康的关系。
The association between excess weight and comorbidity and self-rated health in the Italian population.
机构信息
Department of Psychology and Cognitive Sciences, University of Trento, Italy.
出版信息
Ann Epidemiol. 2013 Apr;23(4):172-8. doi: 10.1016/j.annepidem.2013.02.003. Epub 2013 Mar 1.
PURPOSE
To evaluate the association of obesity with comorbidity and with subjective health perception in a large sample representative of the Italian population and how the association differs by age and gender.
METHODS
Cross-sectional data were obtained from nine waves of the "Multipurpose Household Survey," conducted by the Italian National Institute of Statistics. Self-reported height and weight, six weight-associated diseases and self-rated health (SRH) were evaluated on 352,020 subjects aged 20 to 89 years. Comorbidity was defined as the presence of two or more diseases.
RESULTS
The prevalence of comorbidity was significantly different between obese and normal weight subjects in all age categories. SRH was worse in obese subjects than in those of normal weight; this difference persisted, at least in females, into older ages.
CONCLUSIONS
Obesity is associated with comorbidity and self-rated health; this association varies across ages and genders. The results found for obese subjects of a given age category were similar to (or worse than) those found for older normal weight subjects of the next age class. For comorbidity, this was true both in males and in females of all the considered age categories; for SRH, this was true in particular for females and younger males.
目的
在一个具有代表性的意大利人群大样本中评估肥胖与合并症及主观健康感知之间的关联，以及这种关联在年龄和性别上的差异。
方法
本研究数据来自意大利国家统计局进行的“多用途家庭调查”的九轮横断面调查。在 352020 名 20 至 89 岁的受试者中评估了自我报告的身高和体重、六种与体重相关的疾病和自我报告的健康状况（SRH）。合并症定义为存在两种或两种以上疾病。
结果
在所有年龄段，肥胖者与体重正常者的合并症患病率差异显著。肥胖者的 SRH 比体重正常者差；这种差异至少在女性中持续存在到老年。
结论
肥胖与合并症和自我报告的健康有关；这种关联在年龄和性别上存在差异。对于给定年龄组的肥胖者，其结果与下一年龄组的较老年体重正常者的结果相似（或更差）。对于合并症，所有考虑的年龄组中的男性和女性均如此；对于 SRH，特别是对于女性和年轻男性更是如此。
Zotero 插件