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中年和老年女性过去两周肥胖与患病的关系:中国南方的一项横断面研究。

Association between obesity and sickness in the past two weeks among middle-aged and elderly women: A cross-sectional study in Southern China.

机构信息

Institute of Chronic Disease Risks Assessment, School of Nursing and Health, Henan University, Kaifeng, Henan Province, China.

General Practice Center, Nanhai Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.

出版信息

PLoS One. 2018 Aug 28;13(8):e0203034. doi: 10.1371/journal.pone.0203034. eCollection 2018.

Abstract

OBJECTIVES

Sickness situation in the past two weeks, an indicator of health service needs, is an increasing major health concern. However, data on the relationship between obesity and two-week morbidity in the female population, particularly in middle-aged and elderly women, is sparse. The present study aimed to examine the association between obesity and two-week morbidity among middle-aged and elderly women in Southern China, and to explore the independent contributions of socio-demographic variables, health-related factors, and obesity to two-week morbidity.

METHODS

In total, 2364 middle-aged and elderly women were included in this cross-sectional, community-based survey. Obesity was assessed using body mass index (BMI). The outcome variable was sickness situation over the past two weeks (two-week morbidity). Clustered logistic regression was applied to analyze the independent contribution of obesity to two-week morbidity.

RESULTS

Approximately 14.6% of participants experienced sickness in the past two weeks. Obesity (odds ratio [OR] = 1.47, 95% confidence interval [CI] = 1.02-2.12) was significantly associated with two-week morbidity and its independent contribution accounted for 3.7%, lower than that of socio-demographic variables (73.7%) and health-related factors(22.6%).

CONCLUSIONS

Some degree of correlation was observed between obesity and two-week morbidity among middle-aged and elderly women in Southern China, which can be used as a reference for health-related decision-making.

摘要

目的

过去两周的患病情况是健康服务需求的一个指标,也是一个日益严重的主要健康问题。然而,关于肥胖与女性人群,尤其是中年和老年女性两周发病率之间关系的数据却很少。本研究旨在探讨中国南方中年和老年女性肥胖与两周发病率之间的关系,并探讨社会人口统计学变量、与健康相关的因素以及肥胖对两周发病率的独立贡献。

方法

在这项横断面、基于社区的调查中,共纳入了 2364 名中年和老年女性。使用体重指数(BMI)评估肥胖。结局变量为过去两周的患病情况(两周发病率)。应用聚类逻辑回归分析肥胖对两周发病率的独立贡献。

结果

约 14.6%的参与者在过去两周内患病。肥胖(比值比 [OR] = 1.47,95%置信区间 [CI] = 1.02-2.12)与两周发病率显著相关,其独立贡献占 3.7%,低于社会人口统计学变量(73.7%)和与健康相关的因素(22.6%)。

结论

中国南方中年和老年女性肥胖与两周发病率之间存在一定程度的相关性,这可为与健康相关的决策提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f26/6112645/d1a458920ee8/pone.0203034.g001.jpg

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