Department of Nutrition and Dietetics, Health Science Faculty, Erciyes University, Kayseri 38039, Turkey.
Department of Public Health, Faculty of Medicine, Erciyes University, Kayseri 38039, Turkey.
Obes Res Clin Pract. 2011 Jan-Mar;5(1):e1-e78. doi: 10.1016/j.orcp.2010.11.004.
This study was performed to determine the obesity prevalence and associated risk factors in aged 20 and over years old males living in 11 towns in Kayseri, Turkey between July and August 2007. 1530 men were recruited, of which 6 were excluded because of incomplete information. Data were collected by a questionnaire. Body weight, height, waist and hip circumferences were measured. Body mass index (BMI) of 25.0-29.9 kg/m(2) was accepted as overweight and above 30 kg/m(2) as obesity, waist-to-hip ratio (WHpR) > 1.0 and waist-to-height ratio (WHtR) ≥ 0.5 were accepted as abdominal obesity. Chi-square and logistic regression tests were performed. According to BMI, overweight and obesity prevalences were 39.6% and 16.9%, respectively. Obesity prevalence was 29.9% (50-59 years) according to WHpR, 50.4% (60-69 years) according to waist circumference (WC) and 24.8% (40-49 years) according to WHtR. The logistic regression analysis revealed age of 60-69 years, being a graduate from university, being widowed and having positive familial history of obesity as risk factors of having BMI ≥ 25 kg/m(2). In conclusion, obesity is a serious issue for the males residing in Kayseri and among the anthropometric measurements WHtR is a simple and effective index to identify health related risks even in male of younger ages.:
本研究旨在确定 20 岁及以上居住在土耳其开塞利的 11 个城镇的男性的肥胖流行率及其相关危险因素。共招募了 1530 名男性，其中 6 名因信息不完整而被排除在外。数据通过问卷调查收集。测量了体重、身高、腰围和臀围。将 25.0-29.9 kg/m² 的身体质量指数（BMI）定义为超重，30 kg/m² 以上为肥胖，腰臀比（WHpR）>1.0 和腰高比（WHtR）≥0.5 定义为腹部肥胖。进行了卡方检验和逻辑回归检验。根据 BMI，超重和肥胖的患病率分别为 39.6%和 16.9%。根据 WHpR，肥胖的患病率为 29.9%（50-59 岁），根据腰围（WC）为 50.4%（60-69 岁），根据 WHtR 为 24.8%（40-49 岁）。逻辑回归分析显示，60-69 岁、大学毕业、丧偶和有肥胖家族史是 BMI≥25 kg/m² 的危险因素。总之，肥胖是开塞利男性居民面临的一个严重问题，在人体测量学指标中，WHtR 是一种简单有效的指标，即使在年龄较小的男性中，也能识别与健康相关的风险。
