Mendy Vincent L, Vargas Rodolfo, Cannon-Smith Gerri, Payton Marinelle
Office of Health Data and Research, Mississippi State Department of Health, 570 E Woodrow Wilson, Jackson, MS 39215. Email:
Office of Health Data and Research, Mississippi State Department of Health, Jackson, Mississippi.
Prev Chronic Dis. 2017 Jun 22;14:E49. doi: 10.5888/pcd14.160554.
In 2015, about 1.5 million adults in Mississippi were overweight or obese. Obesity is associated with increased risk for diabetes and cardiovascular problems. We examined trends in the prevalence of overweight, obesity, and extreme obesity from 2001 through 2010 and 2011 through 2015.
We used data from the Mississippi Behavioral Risk Factor Surveillance System to analyze trends in the prevalence of overweight, obesity, and extreme obesity among adults from 2001 through 2010 and 2011 through 2015. Joinpoint software was used to examine annual percentage change (APC) in the prevalence of each condition overall and by sex and race.
We observed a significant decrease in overweight prevalence from 2001 to 2010, both overall (APC, -1.3%) and among men (APC, -2.0%), blacks (APC, -1.0%), and whites (APC, -1.5%), but not among women. The overall prevalence of both obesity (APC, 2.9%) and extreme obesity (APC, 3.6%) increased significantly, and these increases occurred across all subgroups for both obesity (men APC, 3.5%; women APC, 2.5%; blacks APC, 1.9%; and whites APC, 3.8%) and extreme obesity (men APC, 6.7%; women APC, 2.5%; blacks APC, 2.2%; and whites APC, 5.0%). From 2011 to 2015, the only significant change was an increase in the prevalence of extreme obesity among whites (APC, 2.6%).
The increasing proportion of adult Mississippians in the 2 highest-risk BMI categories warrants urgent community and clinical obesity interventions. Community-tailored and sustained obesity prevention, treatment, and control programs that include diet and physical activity are needed to address the obesity epidemic.
2015年，密西西比州约有150万成年人超重或肥胖。肥胖与糖尿病和心血管问题风险增加相关。我们研究了2001年至2010年以及2011年至2015年超重、肥胖和极度肥胖患病率的趋势。
我们使用密西西比州行为风险因素监测系统的数据来分析2001年至2010年以及2011年至2015年成年人中超重、肥胖和极度肥胖患病率的趋势。使用Joinpoint软件检查每种情况总体以及按性别和种族划分的患病率的年度百分比变化（APC）。
我们观察到2001年至2010年超重患病率显著下降，总体（APC，-1.3%）以及男性（APC，-2.0%）、黑人（APC，-1.0%）和白人（APC，-1.5%）中均是如此，但女性中未出现下降。肥胖（APC，2.9%）和极度肥胖（APC，3.6%）的总体患病率均显著上升，并且这些上升在肥胖（男性APC，3.5%；女性APC，2.5%；黑人APC，1.9%；白人APC，3.8%）和极度肥胖（男性APC，6.7%；女性APC，2.5%；黑人APC，2.2%；白人APC，5.0%）的所有亚组中均有发生。从2011年到2015年，唯一显著的变化是白人中极度肥胖患病率的上升（APC，2.6%）。
密西西比州成年人中处于两个最高风险BMI类别中的比例不断增加，这需要社区和临床进行紧急的肥胖干预。需要制定针对社区且持续的肥胖预防、治疗和控制计划，包括饮食和体育活动，以应对肥胖流行问题。
