Eggers Shoshannah, Remington Patrick L, Ryan Karissa, Nieto Javier, Peppard Paul, Malecki Kristen
WMJ. 2016 Nov;115(5):238-44.
Although the trends in obesity in Wisconsin overall are well described, less is known about characteristics and health consequences of different degrees of obesity. The Survey of the Health of Wisconsin is a novel population-based health examination survey that provides reliable and valid objective measurements of body mass index.
Data from the Survey of the Health of Wisconsin is used to characterize the prevalence and consequences of different levels of obesity and track trends over time.
A total of 3,384 participants age 21-74 years and living in Wisconsin at the time of data collection were surveyed in 2008-2013. Participants completed computer-assisted interviews and physical exams. Predictors and comorbidities of different levels of obesity were measured as prevalence, odds ratios, and population-attributable prevalence.
Of Wisconsin adults, 1.2% (CI, 0.7-1.7) are underweight, 26.1% (CI, 23.8-28.4) are normal weight, 33.4% (CI, 31.0-35.7) are overweight, and 39.4% (CI, 35.0-43.7) are obese—with 20.1 % (CI, 18.4-21.9), 10.3% (CI, 9.0-11.7), and 8.9% (CI, 7.6-10.2) in Class I, Class II, and Class III obesity categories, respectively. Obesity rates are higher in people who are older, poor, less educated, minorities, or who live in a community with high economic hardship. There is a dose response relationship between level of obesity and prevalence of all 9 comorbidities that were examined.
Measured rates of obesity in Wisconsin adults are higher than previously reported for the state, and obesity accounts for a significant proportion of chronic diseases.
尽管威斯康星州整体肥胖趋势已有详尽描述，但对于不同程度肥胖的特征及健康后果了解较少。威斯康星州健康调查是一项新型的基于人群的健康检查调查，可提供可靠且有效的体重指数客观测量值。
利用威斯康星州健康调查的数据来描述不同肥胖水平的患病率及后果，并追踪随时间的变化趋势。
在2008年至2013年期间，对数据收集时年龄在21至74岁且居住在威斯康星州的3384名参与者进行了调查。参与者完成了计算机辅助访谈和体格检查。不同肥胖水平的预测因素和合并症通过患病率、比值比和人群归因患病率来衡量。
威斯康星州成年人中，1.2%（95%置信区间，0.7 - 1.7）体重过轻，26.1%（95%置信区间，23.8 - 28.4）体重正常，33.4%（95%置信区间，31.0 - 35.7）超重，39.4%（95%置信区间，35.0 - 43.7）肥胖——其中I类、II类和III类肥胖类别分别占20.1%（95%置信区间，18.4 - 21.9）、10.3%（95%置信区间，9.0 - 11.7）和8.9%（95%置信区间，7.6 - 10.2）。肥胖率在年龄较大、贫困、受教育程度较低、少数族裔或生活在经济困难程度较高社区的人群中更高。肥胖水平与所检查的所有9种合并症的患病率之间存在剂量反应关系。
威斯康星州成年人的实测肥胖率高于该州此前报告的水平，且肥胖在慢性病中占很大比例。
