Gofin J, Abramson J H, Kark J D, Epstein L
Department of Social Medicine, Hadassah Medical Organization, Jerusalem, Israel.
Int J Obes Relat Metab Disord. 1996 Mar;20(3):260-6.
To study the prevalence and correlates of overweight and obesity in Jerusalem, and changes over a 15-17 year period.
Two cross-sectional surveys in 1970 and in 1986, among residents aged 50 years and more in a defined neighbourhood.
The study samples comprised 1267 individuals in 1970 and 1858 in 1986.
In 1986, 33% of women and 16% of men were obese (BMI > or = 30.0 kg/m2). There was a decreasing trend in the prevalence of obesity with age among women, and in men there was no overall trend but the lowest prevalence was in the 75-84 age-group. Significant relationships with education and region of birth were observed in women only. Prevalence was lowest in the more educated and in women born in Europe and America. Subjects' self-appraisal and their report of physicians' diagnosis of health disorders, revealed a significantly higher prevalence of ill-health among obese people. In 1986 the mean body mass index and the prevalence of obesity were higher than in 1970, in both sexes and in almost all age groups. The prevalence rate of obesity (standardized by sex and age) was 21% in 1970 and 25% in 1986, the difference was statistically significant (p = 0.008). The age standardized prevalence rate in each sex was also higher in 1986 although statistically significant only in men (p = 0.037).
A community study in Jerusalem revealed a high prevalence of overweight and obesity in 1986 in this middle-aged and elderly population; and a higher mean body mass index and an increased prevalence of obesity were found in 1986 than in 1970, in both sexes. The increased prevalence of obesity among men could not be explained by changes in the age, education and ethnic composition of the population. Among women, the possibility cannot be excluded that part of the increase in obesity was attributable to changes in the distribution of the population by region of birth.
研究耶路撒冷超重和肥胖的患病率及其相关因素，以及15至17年间的变化情况。
1970年和1986年在一个特定社区对50岁及以上居民进行了两次横断面调查。
1970年的研究样本包括1267人，1986年为1858人。
1986年，33%的女性和16%的男性肥胖（体重指数≥30.0千克/平方米）。女性肥胖患病率随年龄呈下降趋势，男性则无总体趋势，但在75至84岁年龄组患病率最低。仅在女性中观察到与教育程度和出生地有关的显著关系。受教育程度较高以及出生在欧美地区的女性患病率最低。受试者的自我评估及其对医生诊断健康问题的报告显示，肥胖人群中健康状况不佳的患病率显著更高。1986年，男女两性以及几乎所有年龄组的平均体重指数和肥胖患病率均高于1970年。肥胖患病率（按性别和年龄标准化）1970年为21%，1986年为25%，差异具有统计学意义（p = 0.008）。1986年各性别年龄标准化患病率也更高，不过仅在男性中具有统计学意义（p = 0.037）。
耶路撒冷的一项社区研究显示，1986年该中老年人群中超重和肥胖的患病率较高；1986年男女两性的平均体重指数更高，肥胖患病率也有所增加。男性肥胖患病率的增加无法用人口年龄、教育程度和种族构成的变化来解释。在女性中，不能排除肥胖增加的部分原因是按出生地划分的人口分布变化。
