Weiderpass Elisabete, Botteri Edoardo, Longenecker Joseph C, Alkandari Abdullah, Al-Wotayan Rihab, Al Duwairi Qais, Tuomilehto Jaakko
International Agency for Research on Cancer, The World Health Organization, Lyon, France.
Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway.
Front Endocrinol (Lausanne). 2019 Jul 9;10:449. doi: 10.3389/fendo.2019.00449. eCollection 2019.
According to World Health Organization (WHO) estimates, Kuwait is ranked amongst the top countries in the world in obesity prevalence. This study aims to describe the prevalence of overweight, obesity, and various types of adiposity in Kuwaiti adults. This cross-sectional study of 3,915 Kuwaiti adults aged 18-69 years used the STEP-wise approach to surveillance of non-communicable diseases, a WHO Instrument for Chronic Disease Risk Factor Surveillance. We assessed demographic information, lifestyle, personal and family history of diseases and physical measurements (height, weight, waist, and hip circumferences). All participants with valid height and weight measurements ( = 3,589) were included in the present analysis. Overweight was defined as BMI 25-29.9 kg/m and obesity as BMI ≥30 kg/m. Obesity prevalence was 40.3% [95% confidence interval, 38.6-42.0%] (men, 36.5%; women, 44.0%); and overweight prevalence was 37% [35.4-38.7%] (men, 42%; women, 32.1%). The median BMI was 28.4 kg/m among men and 29.1 kg/m among women. Obesity prevalence was directly associated with female sex, age, history of diabetes, and being married in both men and women; and was inversely associated with education level in women. The prevalence of elevated waist-to-hip ratio was 46.9% among men and 37.9% among women. Waist circumference, waist-hip and waist-height ratios were directly associated with diabetes in both men and women, and inversely associated with education level in women. Almost eight in ten Kuwaiti adults were overweight or obese. Urgent public health action is warranted to tackle the obesity epidemic in Kuwait.
根据世界卫生组织(WHO)的估计,科威特的肥胖患病率在世界各国中名列前茅。本研究旨在描述科威特成年人中超重、肥胖及各类肥胖症的患病率。这项针对3915名年龄在18至69岁的科威特成年人的横断面研究,采用了逐步监测非传染性疾病的方法,这是一种由WHO用于慢性病风险因素监测的工具。我们评估了人口统计学信息、生活方式、个人及家族疾病史以及身体测量数据(身高、体重、腰围和臀围)。所有具有有效身高和体重测量值的参与者(n = 3589)都纳入了本分析。超重定义为体重指数(BMI)为25至29.9千克/平方米,肥胖定义为BMI≥30千克/平方米。肥胖患病率为40.3% [95%置信区间,38.6 - 42.0%](男性为36.5%;女性为44.0%);超重患病率为37% [35.4 - 38.7%](男性为42%;女性为32.1%)。男性的BMI中位数为28.4千克/平方米,女性为29.1千克/平方米。肥胖患病率与女性性别、年龄、糖尿病史以及男性和女性的婚姻状况直接相关;与女性的教育水平呈负相关。男性中腰臀比升高的患病率为46.9%,女性为37.9%。腰围、腰臀比和腰高比在男性和女性中均与糖尿病直接相关,与女性的教育水平呈负相关。近十分之八的科威特成年人超重或肥胖。有必要采取紧急公共卫生行动来应对科威特的肥胖流行问题。