al-Shammari S A, Khoja T A, al-Maatouq M A, al-Nuaim L A
Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia.
J Trop Med Hyg. 1994 Jun;97(3):183-8.
A cross-sectional study of 1385 Saudi females attending 15 health centres in urban and rural areas in the Riyadh region was conducted during September and October 1992 to determine the prevalence of obesity and its associated factors. The mean age was 32.2 +/- 11.7 years and body mass index (BMI) 29.2 +/- 7.0 kg m-2. Only 26.1% of subjects were their ideal weight (BMI < 25 kg m-2), while 26.8% were overweight (BMI 25-29.9 kg m-2), 41.9% were moderately obese (BMI 30-40 kg m-2) and 5.1% were morbidly obese (BMI > 40 kg m-2). High-risk groups for obesity were mostly middle aged, multiparous housewives. Patients living in rural areas had greater BMIs than those living in urban areas (P < 0.01). Thirty per cent of overweight participants did not think they were overweight. The study emphasizes the need for community based programmes for preventing and reducing obesity since weight control is effective in ameliorating most of the disorders associated with obesity such as Type 2 non-insulin dependent diabetes mellitus, hypertension, stroke, heart disease, sleep apnoea syndrome and osteoarthritis of the knees. The focus of efforts should be directed towards young mothers who are at risk of developing obesity and who play a central role in perpetuating it in their offspring.
1992年9月至10月，对利雅得地区城乡15个健康中心的1385名沙特女性进行了一项横断面研究，以确定肥胖症的患病率及其相关因素。平均年龄为32.2±11.7岁，体重指数（BMI）为29.2±7.0kg/m²。只有26.1%的受试者体重理想（BMI<25kg/m²），而26.8%超重（BMI 25-29.9kg/m²），41.9%为中度肥胖（BMI 30-40kg/m²），5.1%为病态肥胖（BMI>40kg/m²）。肥胖的高危人群大多是中年经产妇家庭主妇。农村地区的患者BMI高于城市地区的患者（P<0.01）。30%的超重参与者认为自己不超重。该研究强调需要开展以社区为基础的预防和减少肥胖的项目，因为控制体重对于改善大多数与肥胖相关的疾病有效，如2型非胰岛素依赖型糖尿病、高血压、中风、心脏病、睡眠呼吸暂停综合征和膝关节骨关节炎。努力的重点应指向有肥胖风险且在子女肥胖延续中起核心作用的年轻母亲。
