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伊朗西南部肥胖、超重及中心性肥胖的患病率及其相关因素

Prevalence and Correlated Factors for Obesity, Overweight and Central Obesity in Southwest of Iran.

作者信息

Ghaderian Seyed Bahman, Yazdanpanah Leila, Shahbazian Hajieh, Sattari Ali Reza, Latifi Seyed Mahmuod, Sarvandian Sara

机构信息

Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Iran J Public Health. 2019 Jul;48(7):1354-1361.

Abstract

BACKGROUND

We assessed the prevalence of obesity, overweight, central obesity and their associated risk factors in an urban population in Ahvaz, southwest of Iran.

METHODS

This population-based cross-sectional study was performed via random cluster sampling method in 6 health centers in Iran in 2015. A questionnaire was completed by each individual.

RESULTS

Of 2575 participants, 1187 (46%) were men. Nearly 50% of the participants' level of education was high school or higher. About 82% of the population was married and about one-third had positive family history of parental obesity. The total prevalence of obesity, overweight, and central obesity were 26.5%, 38.7%, and 28.6%, respectively. The rate of obesity in men was lower than in women (<0.001). The prevalence of obesity increased until the age of 60 yr in both genders and decreased thereafter except for central obesity in women, which increased without any lag. Low level of education, marriage, positive history of parental obesity and parity ≥five were associated with increased odds of obesity (OR=2.14(1.52, 3.00), OR=2.4(1.75, 2.99), OR=2.7(1.71, 3.2) and 4.16(2.17, 7.65), respectively).

CONCLUSION

Obesity and overweight have a high prevalence in southwest of the country, increasing with age. Although several risk factors are associated with obesity, the prevalence of obesity and overweight can be reduced by controlling the risk factors in the community.

摘要

背景

我们评估了伊朗西南部阿瓦士城市人口中肥胖、超重、中心性肥胖及其相关危险因素的患病率。

方法

2015年,通过随机整群抽样方法在伊朗的6个健康中心开展了这项基于人群的横断面研究。每位参与者均完成一份调查问卷。

结果

在2575名参与者中,1187名(46%)为男性。近50%的参与者受教育程度为高中或更高。约82%的人口已婚,约三分之一有父母肥胖的阳性家族史。肥胖、超重和中心性肥胖的总患病率分别为26.5%、38.7%和28.6%。男性肥胖率低于女性(<0.001)。男女肥胖患病率均在60岁前上升,此后下降,但女性中心性肥胖除外,其持续上升且无滞后。低教育水平、已婚、父母肥胖阳性家族史以及生育次数≥5次与肥胖几率增加相关(比值比分别为2.14(1.52,3.00)、2.4(1.75,2.99)、2.7(1.71,3.2)和4.16(2.17,7.65))。

结论

肥胖和超重在该国西南部患病率较高,且随年龄增长而增加。尽管有多种危险因素与肥胖相关,但通过控制社区中的危险因素可降低肥胖和超重的患病率。

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