Do associations between education and obesity vary depending on the measure of obesity used? A systematic literature review and meta-analysis.
Do associations between education and obesity vary depending on the measure of obesity used? A systematic literature review and meta-analysis.
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DOI：
10.1016/j.ssmph.2021.100884
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Verstappen SMM
中科院分区：
文献类型：
--
作者：
Witkam R;Gwinnutt JM;Humphreys J;Gandrup J;Cooper R;Verstappen SMM
一致的证据表明，较低的教育程度与使用体重指数（BMI）定义的总体肥胖之间存在关系;然而，尚未对教育程度与总体肥胖（BMI ≥30 kg/m2）和中心性肥胖（男性腰围（WC）> 102 cm，女性腰围> 88 cm）之间的关系进行比较。本系统性文献综述（SLR）和荟萃分析旨在了解i）教育与肥胖之间的关联是否因所使用的肥胖指标（BMI和WC）而异，以及ii）探索这些关系是否因性别和地区而异。检索了Medline、Embase和Web of Science，以确定调查经济合作与发展组织（OECD）国家一般人群中成人教育与总体和中心性肥胖之间关系的研究。在可比研究的子集中进行荟萃分析和荟萃回归（n=36项研究; 724，992例受试者）。确定了86项合格研究（78项横断面研究和8项纵向研究）。在女性中，大多数研究报告了教育程度较低与总体和中心性肥胖之间的关联。在男性中，教育程度较低与中心性肥胖之间的相关性弱于与总体肥胖之间的相关性（男性中心性肥胖与总体肥胖的OR为0.79（95% CI 0.60，1.03））。与男性相比，女性受教育程度较低与肥胖之间的相关性更强（OR女性vs男性1.66（95% CI 1.32，2.08））。在来自北方的女性中，教育程度较低与肥胖之间的关系不如南欧（北方与南欧女性的OR为0.37（95% CI 0.27，0.51）），但在男性中并非如此。教育和肥胖之间的关联取决于男性是否使用完全或中心肥胖，而不是女性。这些联系在妇女中比在男子中更强，特别是在南欧国家。受教育程度较低与总体和中心性肥胖的关联在女性中比男性更强。在男性中，受教育程度低与总体肥胖的关系比与中心性肥胖的关系更密切。在南欧和北欧的妇女中，教育和肥胖的关系更密切。
Consistent evidence suggests a relationship between lower educational attainment and total obesity defined using body mass index (BMI); however, a comparison of the relationships between educational attainment and total obesity (BMI ≥30 kg/m2) and central obesity (waist circumference (WC) > 102 cm for men and WC > 88 cm for women) has yet to be carried out. This systematic literature review (SLR) and meta-analyses aimed to understand whether i) the associations between education and obesity are different depending on the measures of obesity used (BMI and WC), and ii) to explore whether these relationships differ by gender and region. Medline, Embase and Web of Science were searched to identify studies investigating the associations between education and total and central obesity among adults in the general population of countries in the Organisation for Economic Co-operation and Development (OECD). Meta-analyses and meta-regression were performed in a subset of comparable studies (n=36 studies; 724,992 participants). 86 eligible studies (78 cross-sectional and eight longitudinal) were identified. Among women, most studies reported an association between a lower education and total and central obesity. Among men, there was a weaker association between lower education and central than total obesity (OR central vs total obesity in men 0.79 (95% CI 0.60, 1.03)). The association between lower education and obesity was stronger in women compared with men (OR women vs men 1.66 (95% CI 1.32, 2.08)). The relationship between lower education and obesity was less strong in women from Northern than Southern Europe (OR Northern vs Southern Europe in women 0.37 (95% CI 0.27, 0.51)), but not among men. Associations between education and obesity differ depending on whether total or central obesity is used among men, but not in women. These associations are stronger among women than men, particularly in Southern European countries. Associations of lower education with total and central obesity are stronger among women than men. There was a stronger association of lower education and total obesity than central obesity in men. Education and obesity were more strongly associated in women from South vs North Europe.
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影响因子：
6.9
作者：
Charles, Marie-Aline;Eschwege, Eveline;Basdevant, Arnaud
通讯作者：
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5.1
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影响因子：
2.1
作者：
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