巴利阿里群岛中青年女性超重情况及其与社会和社会经济因素的关联：十年趋势（2000 - 2010年）

The prevalence of excessive weight in Balearic Islands' young and middle-aged women and its association with social and socioeconomic factors: a ten-year trend (2000-2010).

作者信息

Coll Josep Ll, del Mar Bibiloni Maria, Salas Rogelio, Pons Antoni, Tur Josep A

机构信息

Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands, IdISPa, and CIBEROBN (Physiopathology of Obesity and Nutrition CB12/03/30038), Guillem Colom Bldg, Campus, E-07122, Palma de Mallorca, Spain.

Faculty of Public Health Nutrition, Autonomous University of Nuevo León, 64460, Monterrey, Mexico.

出版信息

BMC Public Health. 2015 Sep 2;15:837. doi: 10.1186/s12889-015-2196-1.

DOI:10.1186/s12889-015-2196-1

PMID:26330326

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4556049/

Abstract

BACKGROUND

Knowledge about trends in the socioeconomic patterning of overweight and obesity in women provides insights into the nature of the obesity epidemic. Therefore the aim was to assess a ten-year trend (2000-2010) in the prevalence of excessive weight in Balearic Islands' women and its association with socioeconomic factors.

METHOD

Young (18-35 year-old) and middle-aged (36-55 year-old) women were selected from two population-based cross-sectional nutritional surveys carried out in the Balearic Islands, Spain. The participation rate was 80% during 1999-2000 and 92.5% during 2009-2010. Measured weight and height was obtained, and body mass index (kg/m(2)) was classified as follows: overweight (25.0 < 30), obese (≥ 30) and excessive weight (≥ 25). In both surveys, a general questionnaire including questions relating to socioeconomic status factors was used. Logistic regression was used to examine the association of excessive weight with socioeconomic variables and to test the interaction between the survey period and the socioeconomic factors.

RESULTS

Overall, while the prevalence of obesity mainly remained stable over the study period, the prevalence of overweight increased from 21.0 to 24.8%. Young women showed an increased prevalence of overweight and excessive weight, from 14.1 to 20.9% and from 20.9 to 28.6%, respectively. Significant differences were not found in middle-aged women. Over the whole period, the incidence of excessive weight was higher among middle-aged and foreign women, but lower in women with a high educational profile and in employment. The prevalence of excessive weight in young women was also around 2.5 times higher in women who were living with at least one child at home. The tendency towards excessive weight in employed women decreased significantly between 2000 and 2010 in the younger age group (OR: 0.42; 95% CI: 0.22-0.82).

CONCLUSIONS

No significant increase in the prevalence of overweight/obesity was observed in middle-aged women, with a low level of education being the single socioeconomic variable associated with excessive weight in this target group. Overweight/obesity increased in young women with unemployment being the distinguishing socioeconomic factor associated with this increase.

摘要

背景

了解女性超重和肥胖的社会经济模式趋势有助于洞察肥胖流行的本质。因此，本研究旨在评估巴利阿里群岛女性超重患病率的十年趋势（2000 - 2010年）及其与社会经济因素的关联。

方法

从西班牙巴利阿里群岛进行的两项基于人群的横断面营养调查中选取年轻（18 - 35岁）和中年（36 - 55岁）女性。1999 - 2000年参与率为80%，2009 - 2010年为92.5%。测量体重和身高，并将体重指数（kg/m²）分类如下：超重（25.0＜30）、肥胖（≥30）和体重超标（≥25）。在两项调查中，均使用了包含社会经济状况因素相关问题的通用问卷。采用逻辑回归分析超重与社会经济变量之间的关联，并检验调查时期与社会经济因素之间的相互作用。

结果

总体而言，在研究期间肥胖患病率基本保持稳定，而超重患病率从21.0%升至24.8%。年轻女性超重和体重超标患病率均有所上升，分别从14.1%升至20.9%以及从20.9%升至28.6%。中年女性未发现显著差异。在整个研究期间，中年女性和外国女性体重超标发生率较高，但高学历和就业女性发生率较低。家中至少有一个孩子的年轻女性体重超标患病率约为其他年轻女性的2.5倍。在2000年至2010年期间，年轻年龄组就业女性体重超标的倾向显著降低（比值比：0.42；95%置信区间：0.22 - 0.82）。