Bustami Mona, Matalka Khalid Z, Mallah Eyad, Abu-Qatouseh Luay, Abu Dayyih Wael, Hussein Nour, Abu Safieh Nayef, Elyyan Yousef, Hussein Nagham, Arafat Tawfiq
Department of Pharmacology and Biomedical Sciences, University of Petra, Amman, 11196, Jordan.
Faculty of Health Sciences, American University of Madaba, Madaba, Jordan.
J Multidiscip Healthc. 2021 Jun 22;14:1533-1541. doi: 10.2147/JMDH.S313172. eCollection 2021.
The study aimed to investigate the prevalence of obesity among Jordanian women and its association with a wide range of chronic diseases.
Subjects were enrolled in the present cross-sectional study based on a random drop-off technique at the Obstetrics and Gynecology clinics at Jordan University Hospital. Initially, any female 18 years of age and older was asked to enroll in the study. Relevant data were gathered using a questionnaire composed of 30 questions, and body mass index (BMI) was determined from each participant's weight and height. The following variables were collected: socio-demographic, chronic diseases, and health status. Each variable's frequencies were reported, and the 95% confidence interval (95% CI) for each variable was calculated. For association analysis, Chi-square analysis was performed with an odds ratio (OR) and 95% CI. Multinomial logistic regression analysis was applied to a combination of independent variables and a dependent condition with covariate factors.
The age-standardized prevalence of overweight/obese Jordanian women was 70.6% (95% CI 66.0-74.8%). On the other hand, the age-standardized prevalence of only obese women was 36.4 (95% Cl 31.9-41.2%). Furthermore, the association between age and overweight/obesity was significant (p<0.0001). The percentage of overweight and obesity started to be significant in the 30-39 year age group. Moreover, the OR for obesity ranged from 2.7 to 7.0 (p<0.05-0.01) for those women with only elementary education. Besides, high parity was significantly associated with obesity and elementary education. For chronic conditions, the percentages of hypertension, diabetes, hypertriglyceridemia, osteoporosis, and rheumatoid arthritis were significantly correlated with increased BMI in Jordanian women. With age adjustment, however, only hypertension was associated with obese level 3 with OR of 7.2 and 95% CI of 2.1-25.1 (p<0.01).
There is a high prevalence of overweight/obesity among women in Jordan, which was related to high parity and low education level. This high prevalence of obesity increased the incidence of chronic diseases, such as hypertension. Therefore, community-based multiple strategies are required to combat obesity in Jordanian women.
本研究旨在调查约旦女性肥胖症的患病率及其与多种慢性疾病的关联。
基于随机上门技术，在约旦大学医院妇产科诊所对受试者进行了本次横断面研究。最初，邀请所有18岁及以上的女性参与研究。使用由30个问题组成的问卷收集相关数据，并根据每位参与者的体重和身高确定体重指数（BMI）。收集了以下变量：社会人口统计学、慢性疾病和健康状况。报告了每个变量的频率，并计算了每个变量的95%置信区间（95%CI）。对于关联分析，进行了卡方分析，并计算了比值比（OR）和95%CI。对自变量组合和具有协变量因素的依存条件应用了多项逻辑回归分析。
约旦超重/肥胖女性的年龄标准化患病率为70.6%（95%CI 66.0 - 74.8%）。另一方面，仅肥胖女性的年龄标准化患病率为36.4（95%CI 31.9 - 41.2%）。此外，年龄与超重/肥胖之间的关联具有显著性（p<0.0001）。超重和肥胖的百分比在30 - 39岁年龄组开始显著。此外，对于仅接受小学教育的女性，肥胖的OR值范围为2.7至7.0（p<0.05 - 0.01）。此外，高生育次数与肥胖和小学教育显著相关。对于慢性病，约旦女性中高血压、糖尿病、高甘油三酯血症、骨质疏松症和类风湿关节炎的百分比与BMI升高显著相关。然而，经过年龄调整后，只有高血压与3级肥胖相关，OR值为7.2，95%CI为2.1 - 25.1（p<0.01）。
约旦女性中超重/肥胖的患病率很高，这与高生育次数和低教育水平有关。这种高肥胖患病率增加了慢性疾病的发病率，如高血压。因此，需要采取基于社区的多种策略来对抗约旦女性的肥胖问题。
