Pinho Claudia Porto Sabino, Diniz Alcides da Silva, Arruda Ilma Kruze Grande de, Batista Filho Malaquias, Coelho Poliana Cabral, Sequeira Leopoldina Augusta de Souza, Lira Pedro Israel Cabral de
Universidade Federal de Pernambuco, Recife, Brasil.
Cad Saude Publica. 2013 Feb;29(2):313-24. doi: 10.1590/s0102-311x2013000200018.
In order to estimate the prevalence of abdominal obesity and associated factors in Pernambuco State, Brazil, a cross-sectional population-based study was conducted in 2006, including 1,580 adults 25 to 59 years of age. Abdominal obesity was defined as waist circumference (WC) ≥ 80 cm in women and ≥ 94 cm in men. The conceptual model included demographic, socioeconomic, reproductive, and behavioral variables. Prevalence of abdominal obesity was 27.1% (95%CI: 23.8-30.7) in males and 69.9% (95%CI: 66.8-72.8) in females (p < 0.001). Multivariate analysis showed higher prevalence in men 50 years or older in the metropolitan area and those with higher income, former smokers, and drinkers. Among women, obesity was more prevalent above 30 years of age, in former smokers, and in women with first pregnancy before age 18. Central adiposity is clearly a multifactor condition in the State of Pernambuco, and the determinants of obesity differ between the sexes.
为了评估巴西伯南布哥州腹部肥胖的患病率及相关因素,2006年开展了一项基于人群的横断面研究,纳入了1580名年龄在25至59岁之间的成年人。腹部肥胖定义为女性腰围(WC)≥80厘米,男性≥94厘米。概念模型包括人口统计学、社会经济、生殖和行为变量。男性腹部肥胖患病率为27.1%(95%CI:23.8 - 30.7),女性为69.9%(95%CI:66.8 - 72.8)(p < 0.001)。多变量分析显示,在大都市区50岁及以上的男性、收入较高者、既往吸烟者和饮酒者中患病率较高。在女性中,肥胖在30岁以上、既往吸烟者以及首次怀孕年龄在18岁之前的女性中更为普遍。在伯南布哥州,中心性肥胖显然是一种多因素疾病,肥胖的决定因素在性别之间存在差异。