Risk Factors for Overweight and Obesity among Thai Adults: Results of the National Thai Food Consumption Survey

Risk Factors for Overweight and Obesity among Thai Adults: Results of the National Thai Food Consumption Survey
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DOI:
10.3390/nu2010060
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发表时间:
2010-01-01
期刊:
影响因子:
5.9
通讯作者:
Poston, Walker S. C.
Poston, Walker S. C.
中科院分区:
医学2区
文献类型:
--
作者:
Jitnarin, Nattinee;Kosulwat, Vongsvat;Poston, Walker S. C.

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我们评估了泰国成年人超重和肥胖与社会经济地位 (SES)、行为因素和饮食摄入量之间的关联。 2004 年至 2005 年期间,对具有全国代表性的 6,445 名泰国成年人(18 至 70 岁)进行了调查。获得的信息包括人口统计、社会经济地位特征、饮食摄入量和人体测量学。总体而言,使用亚洲切点,35.0% 的男性和 44.9% 的女性超重或肥胖(BMI >= 23 kg/m(2))。回归模型表明,无论性别,年龄都与超重呈正相关。在按性别分层的分析中,年龄较大、居住在城市地区、家庭年收入较高且不吸烟的男性受访者更有可能被归类为超重和肥胖。年龄较大、受过高等教育、没有婚姻关系且从事半职业的女性超重和肥胖的风险更大。研究发现,高碳水化合物和蛋白质摄入量与 BMI 呈正相关,而频繁食用乳制品与男性的 BMI 呈负相关。本研究发现,社会经济地位因素与泰国成年人的超重和肥胖相关,但性别之间的相关性有所不同。针对肥胖及其相关并发症的健康促进策略是必要的。
We evaluated the associations between overweight and obesity and socioeconomic status (SES), behavioral factors, and dietary intake in Thai adults. A nationally representative sample of 6,445 Thais adults (18-70 years) was surveyed during 2004-2005. Information including demographics, SES characteristics, dietary intake, and anthropometrics were obtained. Overall, 35.0% of men, and 44.9% of women were overweight or obese (BMI >= 23 kg/m(2)) using the Asian cut-points. Regression models demonstrated that age was positively associated with being overweight in both genders. In gender-stratified analyses, male respondents who were older, lived in urban areas, had higher annual household income, and did not smoke were more likely to be classified as overweight and obese. Women who were older, had higher education, were not in a marriage-like relationship and were in semi-professional occupation were at greater risk for being overweight and obese. High carbohydrate and protein intake were found to be positively associated with BMI whereas the frequent use of dairy foods was found to be negatively associated with BMI among men. The present study found that SES factors are associated with being classified as overweight and obese in Thai adults, but associations were different between genders. Health promotion strategies regarding obesity and its related co-morbidity are necessary.