Ghannadi Shima, Khalagi Kazem, Ostad Mohammdi Leyla, Khazaei Reyhaneh, Balagabri Arash, Ejtahed Hanieh-Sadat, Pourgharib Shahi Mohammad Hosein, Hasani-Ranjbar Shirin
Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
J Diabetes Metab Disord. 2025 Apr 24;24(1):108. doi: 10.1007/s40200-025-01618-4. eCollection 2025 Jun.
Obesity is a major public health concern, particularly in resource-constrained areas where measuring it accurately is challenging due to insufficient equipment and trained personnel. In Iran, there is a notable lack of comprehensive longitudinal studies using modern tools to track adult obesity trends. This study employed body shape pictograms (BIP) to classify abdominal obesity and aimed to reveal trends in perceived obesity among Iranian adults.
This cross-sectional study involved individuals from the multidisciplinary obesity registry at Shariati Hospital, from 2013 to February 2021. It included patients aged 30 to 65 with morbid obesity (BMI ≥ 35) who were potential bariatric surgery candidates. Medical history, anthropometric data, laboratory data, and the obesity pictogram were collected through face-to-face private interviews.
We recruited 346 participants (287 females and 59 males). The study found an upward trend in obesity, indicated by pictogram scores across all categories ( <.001). Mean pictogram scores significantly varied by obesity levels based on BMI ( <.001) and were positively associated with waist and hip circumference ( <.001). No significant associations were found with diabetes or metabolic syndrome status.
This study underscores the significant trend of perceived obesity among Iranian adults, as assessed through pictograms. Accurate data on obesity trends among overweight and obese individuals over time can play a crucial role in shaping the country's health policies to combat obesity.
Not applicable.
肥胖是一个主要的公共卫生问题，在资源有限的地区尤其如此，那里由于设备不足和缺乏训练有素的人员，准确测量肥胖具有挑战性。在伊朗，明显缺乏使用现代工具追踪成人肥胖趋势的全面纵向研究。本研究采用身体形态象形图（BIP）对腹部肥胖进行分类，旨在揭示伊朗成年人中感知到的肥胖趋势。
这项横断面研究纳入了2013年至2021年2月间来自沙里亚蒂医院多学科肥胖登记处的个体。研究对象包括年龄在30至65岁之间、患有病态肥胖（BMI≥35）且有可能接受减肥手术的患者。通过面对面的私人访谈收集病史、人体测量数据、实验室数据和肥胖象形图。
我们招募了346名参与者（287名女性和59名男性）。研究发现，所有类别象形图得分均显示肥胖呈上升趋势（P<0.001）。根据BMI划分的肥胖水平，象形图平均得分存在显著差异（P<0.001），且与腰围和臀围呈正相关（P<0.001）。未发现与糖尿病或代谢综合征状态存在显著关联。
本研究强调了通过象形图评估的伊朗成年人中感知到的肥胖的显著趋势。随着时间推移，关于超重和肥胖个体肥胖趋势的准确数据对于制定该国对抗肥胖的卫生政策可能起到关键作用。
不适用。
