Obesity Trends Among US Adults With Doctor-Diagnosed Arthritis 2009-2014
Obesity Trends Among US Adults With Doctor-Diagnosed Arthritis 2009-2014
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DOI：
10.1002/acr.22958
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发表时间：
2017-03-01
影响因子：
4.7
通讯作者：
Hootman, Jennifer M.
中科院分区：
文献类型：
--
作者：
Barbour, Kamil E.;Helmick, Charles G.;Hootman, Jennifer M.
目的：关节炎和肥胖是常见的并发症，可增加残疾和不良结局的风险（例如，方法：我们估计了2009年至2014年关节炎成年人的近期肥胖趋势，总体上以及各种社会人口统计学和健康特征，使用来自国家健康访谈调查的数据，这是一项正在进行的，具有全国代表性的，对美国非制度化平民进行的亲自家庭自我报告调查。第二个目的是检查成人和无arthrits.Results的身体质量指数类别的分布：肥胖患病率并没有随着时间的推移显着改变，无论是整体（P=0.925，两组）或人口和健康特征的中年和年轻的成年人与医生诊断的关节炎。在医生诊断为关节炎的老年人中，2009年未经调整的肥胖患病率为29.4%，2014年为34.3%;在调整所有人口统计学和健康特征后，肥胖患病率（15% [95%置信区间6-25]）和随时间推移（P=0.001）显著相对增加。医生诊断为关节炎的成年人中肥胖和肥胖亚类I、II和III的年龄标准化患病率（与没有医生诊断的关节炎的成年人相比）分别为40.3%和26.3%，20.1%和16.4%，10.4%和6.2%，9.8%和3.6%，结论：肥胖在患有关节炎的老年人中随时间显著增加，并且与没有关节炎的成年人相比仍然很高。为了减少与肥胖和关节炎相关的不良后果，需要更广泛地传播以体育活动和饮食为重点的干预措施。
Objective: Arthritis and obesity are common co-occurring conditions that can increase disability and the risk of adverse outcomes (e.g., total knee replacement).Methods: We estimated recent obesity trends among adults with arthritis from 2009 to 2014, overall and by various sociodemographic and health characteristics using data from National Health Interview Survey, an ongoing, nationally representative, in-person household self-reported survey of the noninstitutionalized civilian US. A secondary aim was to examine the distribution of body mass index categories among adults with and without arthritis.Results: Obesity prevalence did not change significantly over time among middle-aged and younger adults with doctor-diagnosed arthritis either overall (P=0.925 for both groups) or by demographic and health characteristics. Among older adults with doctor-diagnosed arthritis, the unadjusted obesity prevalence was 29.4% in 2009 and 34.3% in 2014; after adjusting for all demographic and health characteristics, there was a significant relative increase in obesity prevalence (15% [95% confidence interval 6-25]) and over time (P=0.001). The age-standardized prevalence of obesity and the obesity subclasses I, II, and III among adults with doctor-diagnosed arthritis (compared with adults without doctor-diagnosed arthritis) was 40.3% versus 26.3%, 20.1% versus 16.4%, 10.4% versus 6.2%, and 9.8% versus 3.6%, respectively (P < 0.001 for all 4 comparisons).Conclusion: Obesity increased significantly over time among older adults with arthritis and remains high when compared with adults without arthritis. A greater dissemination of interventions focused on physical activity and diet are needed in order to reduce adverse outcomes associated with obesity and arthritis.