Veghari Gholamreza, Sedaghat Mehdi, Maghsodlo Siavash, Banihashem Samieh, Moharloei Pooneh, Angizeh Abdolhamid, Tazik Ebrahim, Moghaddami Abbas
Assistant Professor, Metabolic Disorders Research Center AND Department of Biochemistry and Nutrition, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran.
ARYA Atheroscler. 2013 Jun;9(4):217-22.
The main aim of this study was to evaluate the association between educational levels and central obesity in northern Iran in 2010.
This was a cross-sectional study carried out on 2428 subjects (1227 men and 1201 women) of 15-65 years of age who were chosen by cluster and stratified sampling methods. Subjects were randomly selected from 125 clusters and each cluster included 20 cases. Interviewers recorded the data using a multidimensional questionnaire comprising socio-demographic indexes.
Central obesity was seen in 34.8% of all subjects (15.9% male and 56.7% female) and in 15% of uneducated people. In the uneducated group, it was 20.0% and 31.1% higher than in the 1-9 years of schooling and high school or college educated groups, respectively (P = 0.001). The risk of central obesity increased in uneducated people (OR = 4.214, P = 0.001) and in people with 1-9 years of schooling (OR = 2.283, P = 0.001) compared with high school or college educated people. The risk of central obesity was higher in urban areas than in rural area (OR = 1.481, P = 0.001), in women than men (OR = 7.039, P = 0.001), in 40-65 year olds than 15-40 year olds (OR = 3.090, P = 0.001), and in the wealthy economic group than poor economic group (OR = 1.360, P = 0.013). The risk of central obesity increased in urban areas (OR = 2.266, P = 0.001) and the wealthy economic group (OR = 1.732, P = 0.001) after it was adjusted for education.
Central obesity as a health problem in northern Iran has been supported in this study, and it had an inverse correlation with educational levels. Public health programs that aim to reduce central obesity should mainly focus on the illiterate and low educated people.
本研究的主要目的是评估2010年伊朗北部教育水平与中心性肥胖之间的关联。
这是一项横断面研究，对2428名年龄在15至65岁之间的受试者（1227名男性和1201名女性）进行了整群抽样和分层抽样。受试者从125个群组中随机选取，每个群组包含20个病例。访谈者使用包含社会人口学指标的多维问卷记录数据。
所有受试者中34.8%存在中心性肥胖（男性为15.9%，女性为56.7%），未受过教育的人群中这一比例为15%。在未受过教育的人群中，该比例分别比接受过1至9年教育以及高中或大学教育的人群高20.0%和31.1%（P = 0.001）。与高中或大学教育程度的人群相比，未受过教育的人群（OR = 4.214，P = 0.001）以及接受过1至9年教育的人群（OR = 2.283，P = 0.001）中心性肥胖风险增加。城市地区中心性肥胖风险高于农村地区（OR = 1.481，P = 0.001），女性高于男性（OR = 7.039，P = 0.001），40至65岁人群高于15至40岁人群（OR = 3.090，P = 0.001），富裕经济组高于贫困经济组（OR = 1.360，P = 0.013）。在对教育因素进行调整后，城市地区（OR = 2.266，P = 0.001）和富裕经济组（OR = 1.732，P = 0.001）中心性肥胖风险增加。
本研究证实中心性肥胖是伊朗北部的一个健康问题，且与教育水平呈负相关。旨在降低中心性肥胖的公共卫生项目应主要关注文盲和低教育水平人群。
