Singh R B, Ghosh S, Beegom R, Mehta A S, De A K, Haque M, Dube G K, Wander G S, Kundu S, Roy S, Krishnan A, Simhadri H, Paranjpe N B, Agarwal N, Kalikar R H, Rastogi S S, Thakur A S
Centre of Nutrition, Medical Hospital and Research Centre, Moradabad, India.
J Cardiovasc Risk. 1998 Apr;5(2):73-7.
To study the prevalence of central obesity and age-specific waist:hip ratio of urban women from five Indian cities.
Cross-sectional surveys were conducted in 6-12 urban streets in different parts of India using similar methods of sample selection and criteria of diagnosis.
We randomly selected 3212 women, aged 25-64 years, from Moradabad (n = 902), Trivandrum (n = 760), Calcutta (n = 365), Nagpur (n = 405), and Bombay (n = 780). Evaluation was by a questionnaire administered by a physician and a dietician, a physical examination, and anthropometric measurements.
The overall prevalence of central obesity among the total number of women was 55.0%, with the highest prevalence in Calcutta (62.2%) and the lowest in Bombay (47.4%). Waist:hip ratio was 0.85 +/- 0.13 (mean +/- SD) with the highest ratio for women in Calcutta (0.87 +/- 0.12) and the lowest for women in Moradabad (0.84 +/- 0.16). After pooling of data from all five cities, multivariate logistic regression analysis showed that, regardless of age, body mass index (> 23 kg/m2; odds ratio 1.12), sedentary lifestyle (odds ratio 2.51), and family history of obesity (odds ratio 2.15) were strongly associated with central obesity. Excess intake of fat was weakly associated with central obesity but age was not a risk factor for central obesity, although the prevalence was highest among those aged over 55 years in Moradabad, Calcutta, and Nagpur.
The overall prevalence of central obesity among the urban women of India has increased, more so in Calcutta and Trivandrum. Body mass index, sedentary lifestyle, and family history of excess intake of fat were significant risk factors for central obesity.
研究印度五个城市城市女性中心性肥胖的患病率及特定年龄的腰臀比。
在印度不同地区的6 - 12条城市街道进行横断面调查，采用相似的样本选择方法和诊断标准。
我们从莫拉达巴德（n = 902）、特里凡得琅（n = 760）、加尔各答（n = 365）、那格浦尔（n = 405）和孟买（n = 780）随机选取了3212名年龄在25 - 64岁的女性。通过医生和营养师进行问卷调查、体格检查及人体测量进行评估。
所有女性中中心性肥胖的总体患病率为55.0%，加尔各答患病率最高（62.2%），孟买最低（47.4%）。腰臀比为0.85±0.13（均值±标准差），加尔各答女性的腰臀比最高（0.87±0.12），莫拉达巴德女性的腰臀比最低（0.84±0.16）。汇总所有五个城市的数据后，多因素逻辑回归分析显示，无论年龄如何，体重指数（> 23 kg/m²；比值比1.12）、久坐的生活方式（比值比2.51）和肥胖家族史（比值比2.15）与中心性肥胖密切相关。脂肪摄入过多与中心性肥胖的相关性较弱，但年龄不是中心性肥胖的危险因素，尽管在莫拉达巴德、加尔各答和那格浦尔55岁以上人群中患病率最高。
印度城市女性中心性肥胖的总体患病率有所上升，加尔各答和特里凡得琅更为明显。体重指数、久坐的生活方式和脂肪摄入过多的家族史是中心性肥胖的重要危险因素。
