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阿联酋迪拜成年人超重和肥胖的患病率及相关危险因素:一项基于人群的迪拜横断面调查。

Prevalence and associated risk factors of overweight and obesity among adult population in Dubai: a population-based cross-sectional survey in Dubai, the United Arab Emirates.

机构信息

Department of Data Analysis, Dubai Health Authority, Dubai, UAE.

Department of Family Health, Alexandria University, Alexandria, Egypt.

出版信息

BMJ Open. 2023 Jan 24;13(1):e062053. doi: 10.1136/bmjopen-2022-062053.

Abstract

OBJECTIVE

To study the prevalence of overweight and obesity and determine the associated risk factors among adults in Dubai.

DESIGN AND SETTING

A cross-sectional survey with a multistage, stratified random sampling design was conducted in the Emirate of Dubai in 2019.

PARTICIPANTS

The study included 2142 adults aged 18+ years in the Emirate of Dubai.

RESULTS

The overall prevalence of obesity, which was defined as body mass index (BMI) ≥30 kg/m, was 17.8%. The highest obesity rates were reported among women (21.6%) and the United Arab Emirates (UAE)-nationals (39.6%). Moreover, 39.8% of the population was overweight (BMI ≥25-29.9 kg/m). Multivariate logistic regression showed associations between obesity and age, sex, nationality, hypertension and occupation. Obesity increases with age, with the highest risk at age group 50-59 years (OR 4.30; 95% CI 1.57 to 11.78) compared with the reference group (18-24 years). Females had a higher risk of obesity than males (OR 1.62; 95% CI 1.10 to 2.38). Compared with those in the reference group (Western and others), UAE nationals, other Arabs and Asians were more likely to be obese ((OR 2.08; 95% CI 1.18 to 3.67), (OR 3.61; 95% CI 2.41 to 5.44) and (OR 1.98; 95% CI 1.12 to 3.50), respectively). Clerical and service workers (OR 4.50; 95% CI 2.54 to 8.00) and elementary and unskilled occupation categories (OR 2.57; 95% CI 1.56 to 4.25) had higher risks of obesity than the reference group (professionals), p<0.01). Hypertensive individuals had a higher risk of obesity than normotensive individuals (OR=3.96; p<0.01).

CONCLUSIONS

Obesity and overweight are highly prevalent among adults in Dubai and are remarkably associated with sociodemographic and behavioural risk factors. Comprehensive strategic initiatives are urgently needed to control obesity in the high-risk populations in the Emirate of Dubai.

摘要

目的

研究迪拜成年人超重和肥胖的流行情况,并确定相关的危险因素。

设计和设置

2019 年在迪拜酋长国进行了一项横断面调查,采用多阶段、分层随机抽样设计。

参与者

研究包括迪拜酋长国的 2142 名 18 岁以上成年人。

结果

肥胖的总体患病率为 17.8%,定义为体重指数(BMI)≥30kg/m。女性(21.6%)和阿联酋国民(39.6%)的肥胖率最高。此外,39.8%的人群超重(BMI≥25-29.9kg/m)。多变量逻辑回归显示,肥胖与年龄、性别、国籍、高血压和职业有关。肥胖随年龄增长而增加,与参考组(18-24 岁)相比,50-59 岁年龄组的风险最高(OR 4.30;95%CI 1.57 至 11.78)。女性肥胖的风险高于男性(OR 1.62;95%CI 1.10 至 2.38)。与参考组(西方人及其他)相比,阿联酋国民、其他阿拉伯人和亚洲人更容易肥胖(OR 2.08;95%CI 1.18 至 3.67)、(OR 3.61;95%CI 2.41 至 5.44)和(OR 1.98;95%CI 1.12 至 3.50),p<0.01)。文书和服务人员(OR 4.50;95%CI 2.54 至 8.00)和初级和非熟练职业类别的肥胖风险高于参考组(专业人员),p<0.01)。高血压个体肥胖的风险高于血压正常个体(OR=3.96;p<0.01)。

结论

迪拜成年人肥胖和超重的发生率很高,与社会人口统计学和行为危险因素显著相关。迫切需要在迪拜酋长国的高危人群中实施综合战略举措来控制肥胖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d03/9884894/8961276038d7/bmjopen-2022-062053f01.jpg

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