孟加拉国农村和城市女性普遍和腹部肥胖的流行情况及其相关危险因素。
Prevalence and associated risk factors of general and abdominal obesity in rural and urban women in Bangladesh.
机构信息
Department of Biochemistry and Molecular Biology, Shahjalal University of Science and Technology, Sylhet, Bangladesh.
出版信息
PLoS One. 2020 May 29;15(5):e0233754. doi: 10.1371/journal.pone.0233754. eCollection 2020.
BACKGROUND
Obesity is a major public health concern worldwide including Bangladesh. This study aimed to assess the prevalence and associated risk factors of general and abdominal obesity in rural and urban women in Bangladesh.
METHODS
A total of 450 adult women aged ≥ 18 years were recruited from rural (n = 210) and urban (n = 240) areas of four administrative regions (Chattagram, Dhaka and Rajshahi and Sylhet) of Bangladesh. Both socio-demographic and anthropometric data were recorded in this study. WHO proposed cut-off values were used for the Asian population for defining general and abdominal obesity. Multinomial logistic regression analysis was applied to evaluate the risk factors of general and abdominal obesity for Bangladeshi women.
RESULTS
Overall, the prevalence of general and abdominal obesity was 28% and 49%, respectively. Urban women had a significantly higher prevalence of both general and abdominal obesity (30.9% and 58.6%, respectively) than in the rural women (26.6% and 38.1%, respectively) (p<0.05 and p<0.01, respectively). As region comparison, the prevalence of general obesity was higher in the Dhaka region (39.3%) compared to the Chattragram (23.3%), Rajshahi (23.9%) and Sylhet (3.5%) regions. On the other hand, abdominal obesity was more frequent among participants in Sylhet (72.4%) and Dhaka regions (61.5%), compared to the Chattagram (27.4%) and Rajshahi (37.3%) regions. A wide variation has been observed on the prevalence of general and abdominal obesity in the different age groups of the four regions. In regression analysis, a high socioeconomic status (ref: low socioeconomic level), low education level (ref: higher education), low physical activity (ref: adequate physical activity) and middle age (ref: ≥ 30 years of age) were significant risk factors for general and abdominal obesity.
CONCLUSIONS
The prevalence of general and abdominal obesity was higher among participants living in urban areas. Physical inactivity, middle age, high socioeconomic status and low education level were associated with the increased prevalence of general and abdominal obesity. Such a high prevalence of general and abdominal obesity is a health concern for Bangladeshi women; therefore, public awareness and effective health intervention strategies are needed to address these conditions.
背景
肥胖是一个全球性的重大公共卫生问题，包括孟加拉国。本研究旨在评估孟加拉国农村和城市女性的普通和腹部肥胖的流行情况及其相关的危险因素。
方法
本研究共招募了来自孟加拉国四个行政区（吉大港、达卡和拉杰沙希以及锡尔赫特）的农村（n=210）和城市（n=240）地区的 450 名年龄≥18 岁的成年女性。本研究记录了社会人口统计学和人体测量学数据。使用世界卫生组织提出的适用于亚洲人群的标准来定义普通和腹部肥胖。应用多变量逻辑回归分析评估孟加拉国女性普通和腹部肥胖的危险因素。
结果
总体而言，普通和腹部肥胖的患病率分别为 28%和 49%。城市女性的普通和腹部肥胖患病率均明显高于农村女性（分别为 30.9%和 58.6%，分别为 26.6%和 38.1%）（p<0.05 和 p<0.01）。就地区比较而言，达卡地区普通肥胖的患病率（39.3%）高于吉大港（23.3%）、拉杰沙希（23.9%）和锡尔赫特（3.5%）地区。另一方面，腹部肥胖在锡尔赫特（72.4%）和达卡地区（61.5%）的参与者中更为常见，而在吉大港（27.4%）和拉杰沙希（37.3%）地区则较为少见。在四个地区的不同年龄组中，普通和腹部肥胖的患病率存在很大差异。在回归分析中，高社会经济地位（参照低社会经济水平）、低教育水平（参照高教育水平）、低体力活动（参照适当的体力活动）和中年（参照≥30 岁）是普通和腹部肥胖的显著危险因素。
结论
居住在城市地区的参与者中，普通和腹部肥胖的患病率较高。体力活动不足、中年、高社会经济地位和低教育水平与普通和腹部肥胖的患病率增加有关。孟加拉国女性普通和腹部肥胖的高患病率是一个健康问题；因此，需要提高公众认识并采取有效的健康干预策略来解决这些问题。
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