《家庭问题》：印度成年人中超重与肥胖的家庭层面聚集性的多层次分析

'Family Matters': A multilevel analysis of household-level clustering of overweight and obesity among adults in India.

作者信息

Singh Prashant Kumar, Singh Lucky, Borkotoky Kakoli, Usman Mohd, Kumar Chandan, Singh Shalini

机构信息

Division of Preventive Oncology & Population Health, ICMR-National Institute of Cancer Prevention and Research, Indian Council of Medical Research (ICMR), Noida, Uttar Pradesh, India; Faculty of Medical Research, The Academy of Scientific and Innovative Research (AcSIR), New Delhi, India.

Indian Council of Medical Research (ICMR), New Delhi, India; Faculty of Mathematical & Information Sciences, Academy of Scientific and Innovative Research (AcSIR), New Delhi, India.

出版信息

Public Health. 2025 Jun 18;246:105814. doi: 10.1016/j.puhe.2025.105814.

DOI:10.1016/j.puhe.2025.105814

PMID:40554183

Abstract

OBJECTIVES

To examine the clustering of overweight and obesity among adults within Indian households.

STUDY DESIGN

Nationally representative cross-sectional study.

METHODS

Data from the fifth round of the National Family Health Survey (NFHS-5, 2019-21) were analyzed to assess the prevalence of overweight and obesity among adults aged 15-54 years. The study encompassed 636,699 households and 761,885 individuals. Households were categorized based on the presence of overweight or obese members, and multilevel logistic regression was used to evaluate variations at the household, community, district, and regional levels.

RESULTS

Nearly 20 % (95 % CI:19.1-19.5) of households in India had all adults classified as overweight, and 10 % (95 % CI:9.4-9.7) had all adults classified as obese. In states, such as Manipur, Kerala, Arunachal Pradesh, and Sikkim, over 30 % of households had all adults overweight. Additionally, in Tamil Nadu and Punjab, two out of every five households had all adults classified as obese. Among the households belonging to the richest wealth quintile, one in four had all members overweight, and 17.3 % (95 % CI:16.8-17.7) had all members classified as obese. The proportion of households with all obese members was nearly twice as high in urban areas (14.3-15.0 %) compared to their rural counterparts (7.1-7.4 %). Households belonging to Scheduled Tribes reported the lowest proportion of households with all members classified as obese, at only 4.2% (95% CI: 3.9-4.5), while households belonging to forward ('others') social group recorded the highest proportion, at 12.2% (95% CI: 11.8-12.5).

CONCLUSION

The clustering of overweight and obesity within households, particularly in southern states, among affluent populations, and in urban settings, underscores the importance of family-centered approaches to obesity prevention and intervention.

摘要

目的

研究印度家庭中成年人超重和肥胖的聚集情况。

研究设计

具有全国代表性的横断面研究。

方法

分析了第五轮全国家庭健康调查（NFHS - 5，2019 - 2021年）的数据，以评估15 - 54岁成年人中超重和肥胖的患病率。该研究涵盖636,699户家庭和761,885人。根据超重或肥胖成员的存在情况对家庭进行分类，并使用多水平逻辑回归来评估家庭、社区、地区和区域层面的差异。

结果

印度近20%（95%置信区间：19.1 - 19.5）的家庭中所有成年人都被归类为超重，10%（95%置信区间：9.4 - 9.7）的家庭中所有成年人都被归类为肥胖。在曼尼普尔邦、喀拉拉邦、阿鲁纳恰尔邦和锡金邦等邦，超过30%的家庭中所有成年人超重。此外，在泰米尔纳德邦和旁遮普邦，每五个家庭中有两个家庭的所有成年人被归类为肥胖。在最富裕的五分之一财富阶层的家庭中，四分之一的家庭所有成员超重，17.3%（95%置信区间：16.8 - 17.7）的家庭所有成员被归类为肥胖。所有成员均为肥胖的家庭比例在城市地区（14.3 - 15.0%）几乎是农村地区（7.1 - 7.4%）的两倍。属于部落的家庭中所有成员被归类为肥胖的家庭比例最低，仅为4.2%（95%置信区间：3.9 - 4.5），而属于先进（“其他”）社会群体的家庭比例最高，为12.2%（95%置信区间：11.8 - 12.5）。