Kilpi Fanny, Webber Laura, Musaigner Abdulrahman, Aitsi-Selmi Amina, Marsh Tim, Rtveladze Ketevan, McPherson Klim, Brown Martin
1 National Heart Forum, 7th Floor Victoria House, London WC1B 4AD, UK.
2 Nutrition and Health Studies Unit, Deanship of Scientific Research, University of Bahrain, Manama, Bahrain.
Public Health Nutr. 2014 May;17(5):1078-86. doi: 10.1017/S1368980013000840. Epub 2013 May 3.
The present study aimed to model obesity trends and future obesity-related disease for nine countries in the Middle East; in addition, to explore how hypothetical reductions in population obesity levels could ameliorate anticipated disease burdens.
A regression analysis of cross-sectional data v. BMI showed age- and sex-specific BMI trends, which fed into a micro simulation with a million Monte Carlo trials for each country. We also examined two alternative scenarios where population BMI was reduced by 1 % and 5 %.
Statistical modelling of obesity trends was carried out in nine Middle East countries (Bahrain, Egypt, Iran, Jordan, Kuwait, Lebanon, Oman, Saudi Arabia and Turkey).
BMI data along with disease incidence, mortality and survival data from national and sub-national data sets were used for the modelling process.
High rates of overweight and obesity increased in both men and women in most countries. The burden of incident type 2 diabetes, CHD and stroke would be moderated with even small reductions in obesity levels.
Obesity is a growing problem in the Middle East which requires government action on the primary prevention of obesity. The present results are important for policy makers to know the effectiveness of obesity interventions on future disease burden.
本研究旨在对中东九个国家的肥胖趋势及未来与肥胖相关的疾病进行建模;此外,探讨假设人口肥胖水平降低如何减轻预期的疾病负担。
对横断面数据与体重指数(BMI)进行回归分析,得出特定年龄和性别的BMI趋势,并将其纳入每个国家进行100万次蒙特卡洛试验的微观模拟中。我们还研究了两种替代方案,即人口BMI分别降低1%和5%的情况。
在中东九个国家(巴林、埃及、伊朗、约旦、科威特、黎巴嫩、阿曼、沙特阿拉伯和土耳其)对肥胖趋势进行了统计建模。
建模过程使用了来自国家和次国家数据集的BMI数据以及疾病发病率、死亡率和生存率数据。
大多数国家的男性和女性超重及肥胖率均有所上升。即使肥胖水平有小幅降低,2型糖尿病、冠心病和中风的发病负担也会得到缓解。
肥胖在中东地区是一个日益严重的问题,需要政府采取行动对肥胖进行一级预防。目前的结果对于政策制定者了解肥胖干预措施对未来疾病负担的有效性具有重要意义。