Social Insurance Fund for Public Service, Railway and Mining Industries, 1080, Vienna, Austria.
Karl-Landsteiner Institute for Health Promotion Research, Gesundheitsplatz 1, 3454, Sitzenberg-Reidling, Austria.
Wien Klin Wochenschr. 2023 Mar;135(5-6):125-133. doi: 10.1007/s00508-022-02032-z. Epub 2022 May 12.
BACKGROUND: Obesity is associated with adverse health consequences throughout life. Monitoring obesity trends is important to plan and implement public heath interventions adapted to specific target groups. We aimed to analyze the development of obesity prevalence in the Austrian population using data from the most recent representative Austrian Health Interview Surveys. METHODS: The three cross-sectional Austrian health interview surveys from 2006/2007, 2014 and 2019 were used (n = 45,707). Data correction for self-reported body mass index (BMI) was applied. Sex, age, education level, employment status, country of birth, urbanization, and family status were used as sociodemographic factors. Logistic regression models were applied. RESULTS: Prevalence of obesity increased in both sexes in the study period (men 13.7% to 20.0%, women 15.2% to 17.8%, p < 0.001). Adjusted odds ratios (95% confidence interval [CI]) for the increase in obesity prevalence was 1.47 (95% CI: 1.38-1.56). In men, obesity prevalence almost doubled from 2006/2007 to 2019 in subgroups of 15-29-year-olds (4.8% to 9.0%), unemployed (13.5% to 27.6%), men born in non-EU/non-EFTA countries (13.9% to 26.2%), and not being in a relationship (8.1% to 15.4%). In women, the largest increase was found in subgroups of 30-64-year-olds (15.8% to 18.7%), women born in non-EU/non-EFTA countries (19.9% to 22.8%) and in women living in the federal capital Vienna (16.5% to 19.9%). CONCLUSION: Obesity prevalence in the Austrian population continues to rise significantly. We identified distinct subgroups with a fast-growing obesity prevalence in recent years, emphasizing the importance of regular long-term data collection as a basis for sustainable and target group-specific action planning.
背景:肥胖与终生不良健康后果相关。监测肥胖趋势对于规划和实施针对特定目标群体的公共卫生干预措施非常重要。我们旨在使用最近的奥地利健康访谈调查的代表性数据,分析奥地利人群中肥胖流行率的发展情况。
方法:使用了 2006/2007 年、2014 年和 2019 年的三次横断面奥地利健康访谈调查(n=45707)。应用了对自我报告的体重指数(BMI)进行数据校正。性别、年龄、教育程度、就业状况、出生地、城市化和家庭状况被用作社会人口学因素。应用了逻辑回归模型。
结果:在研究期间,男性和女性的肥胖患病率均有所增加(男性从 13.7%增加到 20.0%,女性从 15.2%增加到 17.8%,p<0.001)。肥胖患病率增加的调整比值比(95%置信区间[CI])为 1.47(95%CI:1.38-1.56)。在男性中,15-29 岁年龄段(从 4.8%增加到 9.0%)、失业者(从 13.5%增加到 27.6%)、非欧盟/欧洲自由贸易联盟国家出生者(从 13.9%增加到 26.2%)和非单身者(从 8.1%增加到 15.4%)的肥胖患病率几乎翻了一番。在女性中,最大的增幅出现在 30-64 岁年龄段(从 15.8%增加到 18.7%)、非欧盟/欧洲自由贸易联盟国家出生者(从 19.9%增加到 22.8%)和联邦首都维也纳居住者(从 16.5%增加到 19.9%)。
结论:奥地利人群的肥胖患病率仍在显著上升。我们确定了近年来肥胖患病率增长迅速的特定亚组,强调了定期长期数据收集作为可持续和针对特定目标群体的行动规划基础的重要性。
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