2015年素叻他尼皇家技术大学一年级学生体重过轻、超重和肥胖情况的性别差异

Gender Difference in Underweight, Overweight and Obesity among First-Year Students of Suranaree University of Technology in 2015.

作者信息

Subhaluksuksakorn Pakwimon, Sinjariyanon Waranya, Pimsaran Rapeepan

出版信息

J Med Assoc Thai. 2016 Oct;99 Suppl 7:S24-9.

Abstract

BACKGROUND

Overweight and obesity are significant health problems in Thailand. Lifestyle habits of Thai society and food consumption have changed and are leading to the development of cardiovascular conditions.

OBJECTIVE

To identify the prevalence of underweight, overweight, and obesity among first year university students and to explore the difference between males and females.

MATERIAL AND METHOD

A cross sectional study was conducted among first year students of Suranaree University of Technology (SUT) for routine health check-up on May, 2015. All participants’ weight and height were measured by trained health personnel. The body mass index (BMI) was calculated and classified as underweight (less than 18.50 kg/m(2)), overweight (23.00 to less than 25.00 kg/m(2)), and obesity class I and II (25.00 to less than 30.00 and more than or equal to 30.00 kg/m(2)) based on the Regional Office for the Western Pacific (WPRO) criteria for adult Asian populations. Z-test was applied for proportion differences between males and females and odds ratio was computed to estimate a magnitude of association.

RESULTS

Three thousand two hundred seventy nine students were recruited (males 43.40%, females 56.60%). The mean age was 18.22 years. (SD = 0.49). Prevalence of underweight, overweight, and obesity class I and II were 20.68%, 11.07%, 11.10%, and 6.50% respectively. The proportion of underweight in females (23.98%) was higher than males (16.37%) with statistical significance (p<0.001). Conversely, the overweight and obesity class I in males (13.56% and 12.65%) were higher than females (9.16% and 9.91%) with statistical significance (p<0.001 and p = 0.013 respectively). After adjusting for age, males were 1.48 times of getting overweight (adjusted OR = 1.48, 95% CI = 1.18-1.86) and 1.28 times of getting obesity class I (adjusted OR = 1.28, 95% CI = 1.02-1.61) when comparing with females.

CONCLUSION

In conclusion, the overweight and obesity class I is a problem in young male adults. A high prevalence of underweight in females was also clearly observed. Therefore, health promotion programs should be specifically geared for university students on this campus with consideration given to targeting gender differences.

摘要

背景

超重和肥胖是泰国严重的健康问题。泰国社会的生活方式习惯和食物消费已经改变，正导致心血管疾病的发展。

目的

确定一年级大学生中体重过轻、超重和肥胖的患病率，并探讨男女之间的差异。

材料与方法

2015年5月，对素叻他尼皇家技术大学（SUT）的一年级学生进行了一项横断面研究，以进行常规健康检查。所有参与者的体重和身高均由经过培训的卫生人员测量。根据西太平洋区域办事处（WPRO）针对亚洲成年人群的标准，计算体重指数（BMI）并将其分类为体重过轻（小于18.50kg/m²）、超重（23.00至小于25.00kg/m²）以及I级和II级肥胖（25.00至小于30.00以及大于或等于30.00kg/m²）。应用Z检验来比较男女之间的比例差异，并计算优势比以估计关联强度。

结果

共招募了3279名学生（男性占43.40%，女性占56.60%）。平均年龄为18.22岁（标准差=0.49）。体重过轻、超重以及I级和II级肥胖的患病率分别为20.68%、11.07%、11.10%和6.50%。女性体重过轻的比例（23.98%）高于男性（16.37%），具有统计学意义（p<0.001）。相反，男性超重和I级肥胖的比例（13.56%和12.65%）高于女性（9.16%和9.91%），具有统计学意义（分别为p<0.001和p = 0.013）。在调整年龄后，与女性相比，男性超重的几率是女性的1.48倍（调整后的OR = 1.48，95%CI = 1.18 - 1.86），患I级肥胖的几率是女性的1.28倍（调整后的OR = 1.28，95%CI = 1.02 - 1.61）。