Saquib Juliann, Saquib Nazmus, Stefanick Marcia L, Khanam Masuma Akter, Anand Shuchi, Rahman Mahbubur, Chertow Glenn M, Barry Michele, Ahmed Tahmeed, Cullen Mark R
School of Medicine, Stanford University, USA; Department of Family and Community Medicine, Qassim University, Saudi Arabia.
College of Medicine, Sulaiman Al Rajhi Colleges, Saudi Arabia.
Int J Health Sci (Qassim). 2016 Jul;10(3):363-72.
The sustained economic growth in Bangladesh during the previous decade has created a substantial middle-class population, who have adequate income to spend on food, clothing, and lifestyle management. Along with the improvements in living standards, has also come negative impact on health for the middle class. The study objective was to assess sex differences in obesity prevalence, diet, and physical activity among urban middle-class Bangladeshi.
In this cross-sectional study, conducted in 2012, we randomly selected 402 adults from Mohammedpur, Dhaka. The sampling technique was multi-stage random sampling. We used standardized questionnaires for data collection and measured height, weight, and waist circumference.
Mean age (standard deviation) was 49.4 (12.7) years. The prevalence of both generalized (79% vs. 53%) and central obesity (85% vs. 42%) were significantly higher in women than men. Women reported spending more time watching TV and spending less time walking than men (p<.05); however, men reported a higher intake of unhealthy foods such as fast food and soft drinks.
We conclude that the prevalence of obesity is significantly higher in urban middle-class Bangladeshis than previous urban estimates, and the burden of obesity disproportionately affects women. Future research and public health efforts are needed to address this severe obesity problem and to promote active lifestyles.
孟加拉国在过去十年中的持续经济增长造就了大量中产阶级人口，他们有足够的收入用于食品、服装和生活方式管理。随着生活水平的提高，中产阶级的健康也受到了负面影响。本研究的目的是评估孟加拉国城市中产阶级人群在肥胖患病率、饮食和身体活动方面的性别差异。
在这项2012年进行的横断面研究中，我们从达卡的莫哈末布尔随机选取了402名成年人。抽样技术为多阶段随机抽样。我们使用标准化问卷收集数据，并测量身高、体重和腰围。
平均年龄（标准差）为49.4（12.7）岁。女性的全身性肥胖（79%对53%）和中心性肥胖（85%对42%）患病率均显著高于男性。女性报告看电视的时间比男性多，步行的时间比男性少（p<0.05）；然而，男性报告摄入的不健康食品如快餐和软饮料较多。
我们得出结论，孟加拉国城市中产阶级的肥胖患病率显著高于以往城市估计水平，而且肥胖负担对女性的影响尤为严重。需要开展进一步的研究和公共卫生工作来解决这一严重的肥胖问题，并推广积极的生活方式。
