饮食多样性和身体活动是埃塞俄比亚迪拉镇成年人腹部肥胖的风险因素。
Dietary diversity and physical activity as risk factors of abdominal obesity among adults in Dilla town, Ethiopia.
机构信息
Public Health Department, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia.
Food Science and Nutrition Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
出版信息
PLoS One. 2020 Jul 30;15(7):e0236671. doi: 10.1371/journal.pone.0236671. eCollection 2020.
BACKGROUND
Globally, the prevalence of obesity is on the rise and has nearly tripled since 1975. In Ethiopia, despite not having well-documented evidence, abdominal obesity has been increasing dramatically, particularly in urban settings. Therefore, this study is intended to determine the prevalence and risk factors of abdominal obesity among adults in Dilla town, Ethiopia.
METHODS
A community-based cross-sectional study was conducted between January and February 2018 in Dilla Town. A multi-stage sampling technique was employed to recruit 663 adults. The study was conducted in accordance with the World Health Organization (WHO) STEP wise approach. Waist circumference was measured using a flexible metric tape mid-way between the lowest rib and iliac crest with the participant standing at the end of gentle expiration. Abdominal obesity was determined using the International Diabetes Federation cutoff. A logistic regression model was fitted to identify risk factors of abdominal obesity. Adjusted odds ratio (AOR) with corresponding 95% confidence interval (CI) was calculated to show the strength of association.
RESULTS
A total of 634 adults participated in the study with a response rate of 95.6%. This study revealed that 155 (24.4%) [95% CI: (21.50, 27.80)] adults were abdominally obese. Higher odds of being abdominally obese were noted among adults with a high [AOR = 4.61, 95% CI: (2.51-8.45)] and middle [AOR = 3.22, 95% CI: (1.76-5.88)] wealth rank, consuming less diversified diet [AOR = 2.05, 95% CI: (1.31-3.19)], physical inactivity [AOR = 2.68, 95% CI: (1.70-4.22)] and being female [AOR = 1.92, 95% CI: (1.13-3.28)].
CONCLUSIONS
The prevalence of abdominal obesity among adults in Dilla town is considerably high, and became an emerging nutrition related problem. Being in the middle and high wealth rank, physical inactivity, consuming less diversified diet, and being female were the risk factors of abdominal obesity.
背景
全球范围内，肥胖的患病率呈上升趋势，自 1975 年以来几乎增长了两倍。在埃塞俄比亚，尽管没有详细的证据，但腹部肥胖率却急剧上升，尤其是在城市地区。因此，本研究旨在确定迪拉镇成年人中腹部肥胖的患病率和危险因素。
方法
本项基于社区的横断面研究于 2018 年 1 月至 2 月在迪拉镇进行。采用多阶段抽样技术招募了 663 名成年人。研究遵循世界卫生组织（WHO）的 STEP 明智方法进行。使用柔性计量带在最低肋骨和髂嵴之间的中间位置测量腰围，在参与者轻柔呼气结束时站立。使用国际糖尿病联合会（IDF）的切点确定腹部肥胖。使用逻辑回归模型确定腹部肥胖的危险因素。计算调整后的优势比（AOR）及其 95％置信区间（CI）以显示关联的强度。
结果
共有 634 名成年人参加了研究，应答率为 95.6％。本研究显示，有 155 名（24.4％）[95％CI：（21.50，27.80）]成年人患有腹部肥胖。较高的财富等级[AOR = 4.61，95％CI：（2.51-8.45）]和中等财富等级[AOR = 3.22，95％CI：（1.76-5.88）]、饮食多样化程度低[AOR = 2.05，95％CI：（1.31-3.19）]、缺乏体力活动[AOR = 2.68，95％CI：（1.70-4.22）]和女性[AOR = 1.92，95％CI：（1.13-3.28）]，腹部肥胖的可能性更高。
结论
迪拉镇成年人中腹部肥胖的患病率相当高，已成为一个新出现的与营养相关的问题。处于中高财富等级、缺乏体力活动、饮食多样化程度低和女性是腹部肥胖的危险因素。
Zotero 插件