伊朗伊斯兰共和国东南部成年人超重和肥胖患病率和发病率的流行病学更新：克尔曼冠心病危险因素研究（KERCADRS）的结果。

Epidemiological update on prevalence and incidence of overweight and obesity in adults in the south-east of the Islamic Republic of Iran: findings from the Kerman Coronary Artery Diseases Risk Factors Study (KERCADRS).

机构信息

Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Islamic Republic of Iran.

Cardiovascular Research Center and Department of Cardiology, Afzalipour Medical Faculty, Shafa Hospital, Kerman, Islamic Republic of Iran.

出版信息

East Mediterr Health J. 2021 Sep 21;27(9):874-883. doi: 10.26719/emhj.21.035.

DOI:10.26719/emhj.21.035

PMID:34569042

Abstract

BACKGROUND

Obesity is common worldwide, especially in low- and middle-income countries.

AIMS

To update data on the prevalence of overweight, obesity and central obesity, and to measure incidence rates for such outcomes in adults living in the south-east of the Islamic Republic of Iran.

METHODS

We enrolled 9997 adults (aged 15-80 years) between 2014 and 2018 (phase 2); 2820 of whom had participated in phase 1 (2009-2011). Participants were examined for overweight, obesity, central obesity, diabetes, hypertension, low physical activity, and dyslipidaemia. Univariate and multivariate logistic regression models were used to determine the potential predictors of overweight, obesity and central obesity, and adjusted odds ratios (AOR) were obtained. Incidence rate of overweight, obesity and central obesity was reported among those who had none of these outcomes in phase 1.

RESULTS

The prevalence was 35.8% (37% men, 35% women) for overweight, 22.3% (16% men, 26.3% women) for obesity, and 31.1% (15.6% men, 41.2% women) for central obesity. The prevalence of overweight/obesity was significantly associated with age (AOR = 2.8-7.4), higher education (AOR = 1.7), female gender (AOR = 1.4), low physical activity (AOR = 1.3), smoking (AOR = 0.55) and opium use (AOR = 0.79). The prevalence increased from 33.3% to 35.8% for overweight and from 15.4% to 22.3% for obesity between phases 1 and 2. The incidence rate per 100 person-years was 5.5 for overweight, 4.7 for obesity and 2.9 for central obesity.

CONCLUSION

Prevalence of overweight and obesity increased over 5 years. Middle-aged participants, women, and those with low physical activity were at higher risk for overweight/obesity.

摘要

背景

肥胖在全球范围内很常见，尤其是在低收入和中等收入国家。

目的

更新伊朗伊斯兰共和国东南部成年人超重、肥胖和中心性肥胖的流行率数据，并衡量此类结果的发病率。

方法

我们于 2014 年至 2018 年期间纳入了 9997 名成年人（年龄 15-80 岁）（第 2 阶段）；其中 2820 名参与者参加了第 1 阶段（2009-2011 年）。对参与者进行超重、肥胖、中心性肥胖、糖尿病、高血压、低体力活动和血脂异常检查。采用单变量和多变量逻辑回归模型确定超重、肥胖和中心性肥胖的潜在预测因素，并获得调整后的优势比（AOR）。在第 1 阶段没有这些结果的人群中报告了超重、肥胖和中心性肥胖的发病率。

结果

超重的患病率为 35.8%（男性 37%，女性 35%），肥胖的患病率为 22.3%（男性 16%，女性 26.3%），中心性肥胖的患病率为 31.1%（男性 15.6%，女性 41.2%）。超重/肥胖的患病率与年龄（AOR=2.8-7.4）、较高的教育程度（AOR=1.7）、女性性别（AOR=1.4）、低体力活动（AOR=1.3）、吸烟（AOR=0.55）和鸦片使用（AOR=0.79）显著相关。第 1 阶段和第 2 阶段之间，超重的患病率从 33.3%增加到 35.8%，肥胖的患病率从 15.4%增加到 22.3%。超重的发病率为每 100 人年 5.5 例，肥胖的发病率为每 100 人年 4.7 例，中心性肥胖的发病率为每 100 人年 2.9 例。