Obesity and health in Europeans aged 50 years and older
Obesity and health in Europeans aged 50 years and older
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DOI：
10.1016/j.puhe.2006.11.016
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发表时间：
2007-07-01
期刊：
影响因子：
5.2
通讯作者：
van Soest, A.
中科院分区：
文献类型：
--
作者：
Andreyeva, T.;Michaud, P.-C.;van Soest, A.
背景：肥胖在全球所有人群中都在增加。有限的数据是如何肥胖模式不同countries.Objective：为了记录肥胖的患病率和相关的健康状况为50岁及以上的欧洲人，并估计肥胖和健康结果之间的关联在10个欧洲国家。数据来自2004年欧洲健康、老龄化和退休调查，这是一项对22 777名50岁以上的欧洲大陆人进行的跨国调查。健康结果包括自我报告的健康，残疾，医生诊断的慢性健康状况和抑郁症。多变量回归分析被用来预测健康结果跨体重类（定义为身体质量指数[BMI]从自我报告的体重和身高）在汇总的样本和单独在每个county.Results：肥胖（BMI >= 30）的患病率范围从12.8%在瑞典到20.2%在西班牙的男性和从12.3%在瑞士到25.6%在西班牙的女性。调整各国之间的组成差异，在整个欧洲观察到的肥胖率的巨大异质性变化不大。与正常体重的个体相比，BMI较高的男性和女性患所有慢性健康状况的风险都显着较高，超重男性除外心脏病。只有女性的抑郁症与肥胖有关。在严重肥胖的人群中，健康受损和慢性健康状况的风险尤其明显。肥胖对健康的影响并没有显着不同countries.Conclusions：在欧洲老年人肥胖的患病率跨国差异是巨大的，超过社会人口的差异，体重过重。肥胖与50岁及以上欧洲人的健康状况显著较差有关，各国的影响相似。应该进一步调查整个欧洲肥胖的巨大异质性，以确定有效的公共政策领域。(C)2007年由Elsevier Ltd代表皇家公共卫生研究所出版。
Background: Obesity is increasing globally across all population groups. Limited data are available on how obesity patterns differ across countries.Objective: To document the prevalence of obesity and related health conditions for Europeans aged 50 years and older, and to estimate the association between obesity and health outcomes across 10 European countries.Methods: Data were obtained from the 2004 Survey of Health, Ageing and Retirement in Europe, a cross-national survey of 22 777 Continental Europeans over the age of 50 years. The health outcomes included self-reported health, disability, doctor-diagnosed chronic health conditions and depression. Multivariate regression analysis was used to predict health outcomes across weight classes (defined by body mass index [BMI] from self-reported weight and height) in the pooled sample and individually in each country.Results: The prevalence of obesity (BMI >= 30) ranged from 12.8% in Sweden to 20.2% in Spain for men and from 12.3% in Switzerland to 25.6% in Spain for women. Adjusting for compositional differences across countries changed little in the observed large heterogeneity in obesity rates throughout Europe. Compared with normal weight individuals, men and women with greater BMI had significantly higher risks for all chronic health conditions examined except heart disease in overweight men. Depression was linked to obesity in women only. Particularly pronounced risks of impaired health and chronic health conditions were found among severely obese people. The effects of obesity on health did not vary significantly across countries.Conclusions: Cross-country differences in the prevalence of obesity in older Europeans are substantial and exceed socio-demographic differentials in excessive body weight. Obesity is associated with significantly poorer health outcomes among Europeans aged 50 years and over, with effects similar across countries. Large heterogeneity in obesity throughout Europe should be investigated further to identify areas for effective public policy. (C) 2007 Published by Elsevier Ltd on behalf of The Royal Institute of Public Health.