Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Nursing, school of Medicine, Islamic Azad University, Yazd, Iran.
Diabetes Metab Syndr. 2020 Sep-Oct;14(5):1391-1397. doi: 10.1016/j.dsx.2020.07.024. Epub 2020 Jul 17.
Overweight and obesity are thought to be associated with increased risk of chronic disease in the Middle East. The present study aimed to determine the association between dietary habits and the incidence of overweight and obesity in urban adult population in the central part of Iran after a 10-year follow-up.
This cohort study was initiated with 2000 participation aged 20-74 years from Yazd city in Iran based on Yazd Healthy Heart Project (YHHP). The participants without overweight and obesity at the baseline of the study were followed up to 10 years. Demographic data, anthropometric measurements, behavioral and metabolic risk factors of cardiovascular diseases and dietary habits were assessed at baseline and phase II.
After a 10-year follow up, 516 non-overweight and 1068 non-obese participants were included for the final analysis. Once adjustments were made for all potential confounders including age, sex, smoking, economic status, physical activity and education, it was identified that lack of weight control increased the risk of obesity (hazard ratio; 95% CI) in total population (1.9; 1.06, 3.4), as well as the risk of overweight (2.39; 1.07, 5.27) and obesity (2.65; 1.13, 6.25) in men. Moreover, consumption of mayonnaise increased the 10-year risk of overweight in women (6.09; 1.2, 30.99).
As revealed by the present study, unhealthy dietary habits can increase the incidence of overweight and obesity in central part of Iran. Therefore, changing the lifestyle appears to be urgent in reducing the risk of overweight and obesity.
超重和肥胖被认为与中东地区慢性病风险增加有关。本研究旨在确定饮食习惯与伊朗中部城市成年人口超重和肥胖发生率之间的关联，随访时间为 10 年。
本队列研究以伊朗亚兹德市的 2000 名 20-74 岁的参与者为基础，基于亚兹德健康心脏项目（YHHP）开展。在研究的基线时没有超重和肥胖的参与者被随访 10 年。在基线和第 II 阶段评估了人口统计学数据、人体测量学测量值、心血管疾病的行为和代谢风险因素以及饮食习惯。
经过 10 年的随访，共有 516 名非超重和 1068 名非肥胖参与者纳入最终分析。在调整了所有潜在混杂因素（包括年龄、性别、吸烟、经济状况、身体活动和教育）后，发现缺乏体重控制会增加肥胖的风险（危险比；95%CI），在总人群中（1.9；1.06，3.4），以及男性超重（2.39；1.07，5.27）和肥胖（2.65；1.13，6.25）的风险。此外，女性食用蛋黄酱会增加 10 年内超重的风险（6.09；1.2，30.99）。
本研究表明，不健康的饮食习惯会增加伊朗中部超重和肥胖的发生率。因此，改变生活方式似乎是降低超重和肥胖风险的当务之急。
