Department of Physiology, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.
Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, 10400, Thailand.
Mil Med Res. 2019 Apr 30;6(1):13. doi: 10.1186/s40779-019-0201-1.
The prevalence of obesity has been increasing in both males and females worldwide. In Thailand, the National Health Examination Surveys reported that the prevalence of obesity (body mass index (BMI) ≥30 kg/m) among Thai male adults aged 20-59 years increased from 1.7% in 1991 to 6.8% in 2009. Obesity has been confirmed to lead to health problems, including noncommunicable diseases. In the present study, we report trends in the prevalence of obesity among new conscripts from 2009 to 2016. We also investigated the associated factors of obesity.
Serial cross-sectional studies were conducted from 2009 to 2016 among male Royal Thai Army (RTA) conscripts whose weight and height had been measured to determine BMI after being inducted. Each subject completed a detailed risk factor questionnaire. Obesity was defined as BMI ≥ 30 kg/m.
A total of 26,540 young Thai males conscripted into the RTA were included in this study. The prevalence of obesity was 2.2% in 2009, 3.4% in 2010, 2.5% in 2011, 2.9% in 2012, 3.4% in 2013, 4.4% in 2014, 5.0% in 2015, and 4.8% in 2016 (P for trend < 0.0001). The independent risk factors for obesity were coming from the north central and south regions compared with the northeast, higher education level, indoor occupation and no regular exercise.
Our data emphasized that obesity constitutes a serious problem among young Thai men. We could apply these findings in military units to other groups at any age. Regular exercise should be provided to young adults and other age groups to slow the process of obesity, so that associated complications, especially noncommunicable diseases, will cease.
肥胖在全球范围内的男性和女性中都呈上升趋势。在泰国，国家健康检查调查显示，2009 年，20-59 岁泰国成年男性的肥胖患病率（身体质量指数（BMI）≥30kg/m）从 1991 年的 1.7%上升至 6.8%。肥胖已被证实会导致健康问题，包括非传染性疾病。在本研究中，我们报告了 2009 年至 2016 年新兵肥胖患病率的趋势。我们还调查了肥胖的相关因素。
2009 年至 2016 年，对入伍后测量体重和身高以确定 BMI 的泰国皇家陆军（RTA）新兵进行了一系列横断面研究。每位受试者都完成了详细的危险因素问卷。肥胖定义为 BMI≥30kg/m。
本研究共纳入 26540 名应征入伍的年轻泰国男性。2009 年肥胖患病率为 2.2%，2010 年为 3.4%，2011 年为 2.5%，2012 年为 2.9%，2013 年为 3.4%，2014 年为 4.4%，2015 年为 5.0%，2016 年为 4.8%（趋势 P<0.0001）。肥胖的独立危险因素是来自中北部和南部地区，而不是东北部地区，教育程度较高，从事室内工作且没有定期锻炼。
我们的数据强调，肥胖是泰国年轻男性面临的严重问题。我们可以将这些发现应用于军队单位以及任何年龄段的其他群体。应向年轻人和其他年龄组提供定期锻炼，以减缓肥胖进程，从而避免相关并发症，尤其是非传染性疾病的发生。
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