Relationship between community prevalence of obesity and associated behavioral factors and community rates of influenza-related hospitalizations in the United States.
Relationship between community prevalence of obesity and associated behavioral factors and community rates of influenza-related hospitalizations in the United States.
复制标题
肥胖症的社区流行与相关行为因素与与流感相关住院的社区率之间的关系。
DOI：
10.1111/irv.12019
复制
发表时间：
2013-09
影响因子：
4.4
通讯作者：
Brownstein JS
中科院分区：
文献类型：
--
作者：
Charland KM;Buckeridge DL;Hoen AG;Berry JG;Elixhauser A;Melton F;Brownstein JS
Charland et al.（2012）美国社区肥胖患病率和相关行为因素与社区流感相关住院率之间的关系。流感和其他呼吸道病毒DOI: 10.1111/irv.12019。研究肥胖和急性呼吸道感染之间关系的研究结果并不一致。很少有研究评估肥胖相关行为因素（如饮食和运动）与急性呼吸道感染风险之间的关系。目的探讨社区肥胖患病率、低水果/蔬菜摄入量和缺乏运动是否与流感相关住院率相关。方法利用2002年至2008年美国274个县的数据，我们回归了县流感相关住院率与县肥胖患病率（BMI≥30）、低水果/蔬菜摄入量（<5份/天）和缺乏身体活动（<30分钟/月休闲运动）的关系，同时调整了社区水平的混杂因素，如保险覆盖率和每10万人中初级保健医生的数量。结果肥胖患病率增加5%与流感相关住院率增加12%相关[调整比率比（ARR） 1.12, 95%可信区间（CI） 1.07, 1.17]。同样，低水果/蔬菜消费和缺乏身体活动的患病率增加5%，分别与12% （ARR 1.12, 95% CI 1.08, 1.17）和11% （ARR 1.11, 95% CI 1.07, 1.16）相关。当所有三个变量都包含在同一模型中时，肥胖患病率增加5%、水果/蔬菜摄入量低和缺乏身体活动分别与流感相关住院率增加6%、8%和7%相关。结论：肥胖流行率越高的社区，流感相关住院率越高。同样，即使将肥胖因素考虑在内，体力活动较少、水果/蔬菜摄入量较低的人群也往往有较高的流感相关住院率。
Please cite this paper as: Charland et al.(2012) Relationship between community prevalence of obesity and associated behavioral factors and community rates of influenza‐related hospitalizations in the United States. Influenza and Other Respiratory Viruses DOI: 10.1111/irv.12019. Background Findings from studies examining the association between obesity and acute respiratory infection are inconsistent. Few studies have assessed the relationship between obesity‐related behavioral factors, such as diet and exercise, and risk of acute respiratory infection. Objective To determine whether community prevalence of obesity, low fruit/vegetable consumption, and physical inactivity are associated with influenza‐related hospitalization rates. Methods Using data from 274 US counties, from 2002 to 2008, we regressed county influenza‐related hospitalization rates on county prevalence of obesity (BMI ≥ 30), low fruit/vegetable consumption (<5 servings/day), and physical inactivity (<30 minutes/month recreational exercise), while adjusting for community‐level confounders such as insurance coverage and the number of primary care physicians per 100 000 population. Results A 5% increase in obesity prevalence was associated with a 12% increase in influenza‐related hospitalization rates [adjusted rate ratio (ARR) 1·12, 95% confidence interval (CI) 1·07, 1·17]. Similarly, a 5% increase in the prevalence of low fruit/vegetable consumption and physical inactivity was associated with an increase of 12% (ARR 1·12, 95% CI 1·08, 1·17) and 11% (ARR 1·11, 95% CI 1·07, 1·16), respectively. When all three variables were included in the same model, a 5% increase in prevalence of obesity, low fruit/vegetable consumption, and physical inactivity was associated with 6%, 8%, and 7% increases in influenza‐related hospitalization rates, respectively. Conclusions Communities with a greater prevalence of obesity were more likely to have high influenza‐related hospitalization rates. Similarly, less physically active populations, with lower fruit/vegetable consumption, tended to have higher influenza‐related hospitalization rates, even after accounting for obesity.
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DOI：
10.1161/circoutcomes.111.960922
发表时间：
2011-09
期刊：
Circulation. Cardiovascular quality and outcomes
影响因子：
--
作者：
Allen NB;Diez-Roux A;Liu K;Bertoni AG;Szklo M;Daviglus M
通讯作者：
Daviglus M
评估肥胖症是医学上参加实验室确认的流感的独立危险因素。
影响因子：
4.4
作者：
Coleman LA;Waring SC;Irving SA;Vandermause M;Shay DK;Belongia EA
通讯作者：
Belongia EA
影响因子：
16.2
作者：
Allard R;Leclerc P;Tremblay C;Tannenbaum TN
通讯作者：
Tannenbaum TN
影响因子：
4.4
作者：
Blumentals WA;Nevitt A;Peng MM;Toovey S
通讯作者：
Toovey S
影响因子：
120.7
作者：
Fry, AM;Shay, DK;Anderson, LJ
通讯作者：
Anderson, LJ