Zhernakova Yu V, Zheleznova E A, Chazova I E, Oshchepkova E V, Dolgusheva Yu A, Yarovaya E B, Blinova N V, Orlovsky A A, Konosova I D, Shalnova S A, Rotar' O P, Konradi A O, Shlyakhto E V, Boytsov S A
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia.
National Scientific Research Center for Preventive Medicine, Ministry of Health of Russia, Moscow, Russia.
Ter Arkh. 2018 Nov 22;90(10):14-22. doi: 10.26442/terarkh2018901014-22.
The aim of the study is to determine the prevalence of AO in the population and to assess the association with socioeconomic factors according to the data of the ESSE-RF study (Epidemiology of Cardiovascular diseases in the Regions of the Russian Federation).
The object of the study is a random population sample of men and women aged 25-64 years from 13 regions of the Russian Federation (n=21 817). Abdominal obesity in men was defined as waist circumference (WC) >94 cm, and in women - WC >80 cm. Body mass index (BMI) >30.0 kg/m2 was adopted as the criterion of common obesity.
The prevalence of AO in Russia was 55% (61.8% in women and 44% in men), while the percent of people with obesity, defined by BMI was significantly lower (33.4%). The number of examined patients with AO increased with age among both men and women (p<0.0001). A person with AO more often were people with low and very low income and low education levels (p<0.0001). Direct association between employment status and family status and AO in present study did not find, but WC was statistically significantly important criterion among male workers in comparison with those who never worked (p<0.0001), young men and women married, as well as married men of older age groups (p<0.0001).
本研究旨在根据俄罗斯联邦地区心血管疾病流行病学（ESSE-RF）研究的数据，确定人群中腹型肥胖（AO）的患病率，并评估其与社会经济因素的关联。
研究对象是来自俄罗斯联邦13个地区的25至64岁男女随机抽样人群（n = 21817）。男性腹型肥胖定义为腰围（WC）>94厘米，女性为WC>80厘米。采用体重指数（BMI）>30.0千克/平方米作为一般肥胖的标准。
俄罗斯腹型肥胖的患病率为55%（女性为61.8%，男性为44%），而根据BMI定义的肥胖人群百分比显著较低（33.4%）。男性和女性中，腹型肥胖患者的数量均随年龄增加（p<0.0001）。腹型肥胖患者更多是低收入和极低收入以及低教育水平的人群（p<0.0001）。本研究未发现就业状况和家庭状况与腹型肥胖之间存在直接关联，但与从未工作过的男性相比，在职男性的腰围在统计学上是显著重要的标准（p<0.0001），已婚的年轻男性和女性以及老年已婚男性也是如此（p<0.0001）。
