Yilmaz S, Calikoglu E O, Kosan Z
Department of Public Health, Atatürk University Medical Faculty, Erzurum, Turkey.
Niger J Clin Pract. 2019 Aug;22(8):1070-1077. doi: 10.4103/njcp.njcp_418_18.
The World Health Organization defines obesity as an abnormal or excessive fat accumulation that can damage health.
This study aims to evaluate the prevalence of obesity and risk factors in high school students in Erzurum City Center.
A cross-sectional study was conducted. The number of students participating in the study was 845, including 47.6% females and 52.4% males. Data collection was done by surveys filled in under supervision. Anthropometric measurements were performed by the researchers. Predictions of the Extended International Obesity Task Force were used for body mass index. Parents' body mass indexes were calculated by self-report and classified according to cut-off points for adults in the world health community. A systematic review of the local literature published between 2004 and 2013 was drafted.
In girls and boys, the frequency of overweight was 26.9% and 25.7%, respectively, while the frequency of obesity was 12.4% and 9.5%. A logistic regression analysis was performed to reveal significant risk factors for overweight/obesity. Weekly exercise status [odds ratio = 3.0, 95% confidence interval CI (1.2-7.8)] and school transfer % CI = (1.1-7.2) were important independent risk factors for obesity. The local literature showed a 4.3-fold increase in the prevalence of obesity within 10 years.
The prevalence of obesity and overweight in adolescents requires the implementation of effective programs to fight this epidemic. Health education targeting peers and their parents, peer education, screening of risk groups, and controlling the sale of unhealthy foods can be some interventions.
世界卫生组织将肥胖定义为可能损害健康的异常或过度脂肪堆积。
本研究旨在评估埃尔祖鲁姆市中心高中生的肥胖患病率及风险因素。
进行了一项横断面研究。参与研究的学生有845名，其中女生占47.6%，男生占52.4%。数据收集通过在监督下填写调查问卷完成。研究人员进行人体测量。采用扩展国际肥胖特别工作组的预测方法计算体重指数。通过自我报告计算父母的体重指数，并根据世界卫生组织成人的切点进行分类。起草了对2004年至2013年发表的当地文献的系统评价。
在女孩和男孩中，超重频率分别为26.9%和25.7%，而肥胖频率分别为12.4%和9.5%。进行了逻辑回归分析以揭示超重/肥胖的显著风险因素。每周运动状况[比值比=3.0，95%置信区间CI（1.2 - 7.8）]和转学情况%CI =（1.1 - 7.2）是肥胖的重要独立风险因素。当地文献显示10年内肥胖患病率增加了4.3倍。
青少年肥胖和超重的患病率需要实施有效的计划来对抗这一流行病。针对同龄人及其父母的健康教育、同伴教育、风险群体筛查以及控制不健康食品的销售可能是一些干预措施。
