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澳大利亚成年人超重和肥胖流行趋势及其与地理偏远程度的关系。

Trends in the prevalence of adult overweight and obesity in Australia, and its association with geographic remoteness.

机构信息

Economics Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh.

School of Business, University of Southern Queensland, Toowoomba, QLD, 4350, Australia.

出版信息

Sci Rep. 2021 May 31;11(1):11320. doi: 10.1038/s41598-021-90750-1.


DOI:10.1038/s41598-021-90750-1
PMID:34059752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8166878/
Abstract

The prevalence of overweight and obesity has been increasing globally and has become a significant public health concern in Australia in the two past decades. This study explores the most recent national prevalence and trends of adult overweight and obesity in Australia. It will also investigate geographic remoteness as a potential risk factor for an individual being overweight or obese in adulthood. A retrospective longitudinal study that utilised 14 successive waves (wave 6 through 19) of a nationally representative linked individual-level survey. Data was obtained from the Household, Income and Labour Dynamics in Australia survey. The data on 199,675 observations from 26,713 individuals aged ≥ 15 years over the period 2006 to 2019 was analysed. Random-effects logit model was employed to estimate the association between geographic remoteness and the risk of excessive weight gain. The results reveal that the prevalence of overweight, obesity and combined overweight and obesity among Australian adults in 2019 were 34%, 26% and 60%, respectively. The analysis shows that the prevalence of overweight and obesity varies by geographic remoteness. Adults from regional city urban (OR 1.53, 95% CI 1.16-2.03) and rural areas (OR 1.32, 95% CI 1.18-1.47) were more likely to be obese compared with their counterparts from major city urban areas. The results also show that adults living in major city urban areas, regional city urban areas, and regional city rural areas in Australia were 1.53 (OR 1.53, 95% CI 1.16-2.03), 1.32 (OR 1.32, 95% CI 1.18-1.47), and 1.18 (OR 1.18, 95% CI 1.08-1.29) times more likely to be overweight compared with their counterparts from major city urban areas in Australia. Substantial geographic variation in the prevalence of overweight and obesity exists among Australian adults and appears to be increasing. Public health measures should focus on contextual obesogenic factors and behavioural characteristics to curb the rising prevalence of adult obesity.

摘要

超重和肥胖的患病率在全球范围内呈上升趋势,在过去的二十年中,这已成为澳大利亚的一个重大公共卫生问题。本研究探讨了澳大利亚成年人超重和肥胖的最新全国患病率和趋势。它还将研究地理偏远是否是成年人超重或肥胖的潜在风险因素。这是一项回顾性纵向研究,利用了全国代表性的个体水平调查的 14 个连续波(第 6 波至 19 波)。数据来自澳大利亚家庭、收入和劳动力动态调查。该研究分析了 2006 年至 2019 年期间 26713 名年龄≥15 岁的个体的 199675 次观察的结果。采用随机效应逻辑回归模型来估计地理偏远程度与超重风险之间的关联。结果表明,2019 年澳大利亚成年人超重、肥胖和超重合并肥胖的患病率分别为 34%、26%和 60%。分析表明,超重和肥胖的患病率因地理偏远程度而异。与来自主要城市地区的成年人相比,来自区域城市城区(OR1.53,95%CI1.16-2.03)和农村地区(OR1.32,95%CI1.18-1.47)的成年人更有可能肥胖。结果还表明,与来自澳大利亚主要城市地区的成年人相比,生活在澳大利亚主要城市地区、区域城市城区和区域城市农村地区的成年人超重的可能性分别增加了 1.53 倍(OR1.53,95%CI1.16-2.03)、1.32 倍(OR1.32,95%CI1.18-1.47)和 1.18 倍(OR1.18,95%CI1.08-1.29)。澳大利亚成年人超重和肥胖的患病率存在显著的地理差异,而且似乎还在增加。公共卫生措施应侧重于针对肥胖的环境因素和行为特征,以遏制成年人肥胖率的上升。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/533b/8166878/e6ee83b64506/41598_2021_90750_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/533b/8166878/0a124b779002/41598_2021_90750_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/533b/8166878/e6ee83b64506/41598_2021_90750_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/533b/8166878/0a124b779002/41598_2021_90750_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/533b/8166878/e6ee83b64506/41598_2021_90750_Fig2_HTML.jpg

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本文引用的文献

[1]
Data Resource Profile: Household, Income and Labour Dynamics in Australia (HILDA) Survey.

Int J Epidemiol. 2024-2-14

[2]
Self-reported disability and its association with obesity and physical activity in Australian adults: Results from a longitudinal study.

SSM Popul Health. 2021-3-10

[3]
A longitudinal exploration of the relationship between obesity, and long term health condition with presenteeism in Australian workplaces, 2006-2018.

PLoS One. 2020-8-26

[4]
Gender differences in the longitudinal association between obesity, and disability with workplace absenteeism in the Australian working population.

PLoS One. 2020-5-27

[5]
Impact of Disadvantaged Neighborhoods and Lifestyle Factors on Adult Obesity: Evidence From a 5-Year Cohort Study in Australia.

Am J Health Promot. 2021-1

[6]
Job-Related Characteristics and Obesity in Australian Employees: Evidence From a Longitudinal Nationally Representative Sample.

Am J Health Promot. 2020-9

[7]
Obesity, Long-Term Health Problems, and Workplace Satisfaction: A Longitudinal Study of Australian Workers.

J Community Health. 2020-4

[8]
A systematic review of system dynamics and agent-based obesity models: Evaluating obesity as part of the global syndemic.

Obes Rev. 2019-7-17

[9]
Geographic differences in obesity prevalence and its risk factors among Asian Americans: findings from the 2013-2014 California Health Interview Survey.

Sci Rep. 2018-8-21

[10]
Geographical variation in the prevalence of obesity, metabolic syndrome, and diabetes among US adults.

Nutr Diabetes. 2018-3-13

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