Betancourt Jose A, Stigler Granados Paula, Pacheco Gerardo J, Shanmugam Ramalingam, Kruse C Scott, Fulton Lawrence V
School of Health Administration, Texas State University, San Marcos, TX 78666, USA.
Healthcare (Basel). 2020 Jun 29;8(3):191. doi: 10.3390/healthcare8030191.
The obesity epidemic in the United States has been well documented and serves as the basis for a number of health interventions across the nation. However, those who have served in the U.S. military (Veteran population) suffer from obesity in higher numbers and have an overall disproportionate poorer health status when compared to the health of the older non-Veteran population in the U.S. which may further compound their overall health risk. This study examined both the commonalities and the differences in obesity rates and the associated co-morbidities among the U.S. Veteran population, utilizing data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS). These data are considered by the Centers for Disease Control and Prevention (CDC) to be the nation's best source for health-related survey data, and the 2018 version includes 437,467 observations. Study findings show not only a significantly higher risk of obesity in the U.S. Veteran population, but also a significantly higher level (higher odds ratio) of the associated co-morbidities when compared to non-Veterans, including coronary heart disease (CHD) or angina (odds ratio (OR) = 2.63); stroke (OR = 1.86); skin cancer (OR = 2.18); other cancers (OR = 1.73); chronic obstructive pulmonary disease (COPD) (OR = 1.52), emphysema, or chronic bronchitis; arthritis (OR = 1.52), rheumatoid arthritis, gout, lupus, or fibromyalgia; depressive disorders (OR = 0.84), and diabetes (OR = 1.61) at the 0.95 confidence interval level.
美国的肥胖流行情况已有充分记录,并成为全国多项健康干预措施的依据。然而,在美国军队服役的人员(退伍军人)肥胖率更高,与美国非退伍军人的老年人群体相比,他们的整体健康状况普遍较差,这可能会进一步增加他们的整体健康风险。本研究利用2018年行为风险因素监测系统(BRFSS)的数据,调查了美国退伍军人肥胖率及其相关合并症的共性和差异。美国疾病控制与预防中心(CDC)认为这些数据是美国健康相关调查数据的最佳来源,2018年版本包含437,467条观测数据。研究结果表明,与非退伍军人相比,美国退伍军人不仅肥胖风险显著更高,而且相关合并症的水平(优势比更高)也显著更高,包括冠心病(CHD)或心绞痛(优势比(OR)=2.63);中风(OR = 1.86);皮肤癌(OR = 2.18);其他癌症(OR = 1.73);慢性阻塞性肺疾病(COPD)(OR = 1.52)、肺气肿或慢性支气管炎;关节炎(OR = 1.52)、类风湿性关节炎、痛风狼疮或纤维肌痛;抑郁症(OR = 0.84)以及糖尿病(OR = 1.61)(置信区间水平为0.95)。