Baqai Institute of Diabetology and Endocrinology, Baqai Medical University, Pakistan.
Yashfeen Trust Hospital, Islamabad, Pakistan.
Obes Res Clin Pract. 2021 Jan-Feb;15(1):19-25. doi: 10.1016/j.orcp.2020.11.007. Epub 2020 Dec 4.
To study the pattern and prevalence of obesity in a large representative sample of Pakistani population aged 20 years and above.
This study is a sub analysis of the second National Diabetes Survey of Pakistan (NDSP) 2016-2017, a large community-based epidemiological survey carried out from February 2016 to August 2017 in all 4 provinces of Pakistan. An estimated sample size of 10,834 people was calculated using a multistage sampling technique. Out of 213 clusters, Twenty-seven clusters were selected from all four provinces of Pakistan. Households were identified and selected members of every 10th household were advised to come to the campsite after an overnight fast. All the study participants underwent anthropometric measurements including height, weight, and waist circumference by using standardized techniques and oral glucose tolerance tests were done. Data were analyzed on the statistical package for social sciences (SPSS), version 20.
Overall weighted prevalence of generalized obesity was 57.9% (42% in males and 58% in females) and central obesity 73.1% (37.3% in males and 62.7% in females) as per WHO Asia pacific cutoffs. The highest prevalence of generalized obesity was found in Punjab 60%, followed by Khyber, Pakhtunkhwa 59.2%. Moreever, highest prevalence of abdominal obesity was observed in Baluchistan 82.1%, followed by Punjab 73.3%. Obesity (generalized and abdominal) was found significantly associated with diabetes, hypertension, and dyslipidemia.
The prevalence of obesity is at epidemic proportions in Pakistan, calling for urgent lifestyle intervention strategies to prevent and manage this important cardiometabolic risk factor.
研究 20 岁及以上巴基斯坦大样本人群肥胖的模式和流行率。
本研究是巴基斯坦 2016-2017 年第二次国家糖尿病调查（NDSP）的子分析，这是一项于 2016 年 2 月至 2017 年 8 月在巴基斯坦所有 4 个省进行的大型社区为基础的流行病学调查。采用多阶段抽样技术计算出估计样本量为 10834 人。在 213 个聚类中，从巴基斯坦的四个省中选择了 27 个聚类。确定了家庭，并建议每个家庭的第 10 个成员在隔夜禁食后来到营地。所有研究参与者都接受了包括身高、体重和腰围在内的人体测量学测量，使用标准化技术，并进行口服葡萄糖耐量试验。数据使用社会科学统计软件包（SPSS）版本 20 进行分析。
根据世界卫生组织亚太地区的标准，总体加权肥胖患病率为 57.9%（男性为 42%，女性为 58%），中心性肥胖为 73.1%（男性为 37.3%，女性为 62.7%）。根据世界卫生组织亚太地区的标准，普什图省的总体肥胖患病率最高，为 60%，其次是开伯尔-普赫图赫瓦省和旁遮普省，分别为 59.2%。此外，在俾路支省观察到的腹部肥胖患病率最高，为 82.1%，其次是旁遮普省，为 73.3%。肥胖（全身性和腹部）与糖尿病、高血压和血脂异常显著相关。
肥胖在巴基斯坦流行率极高，迫切需要采取生活方式干预策略来预防和控制这一重要的心血管代谢危险因素。
