Trends in the socioeconomic patterning of overweight/obesity in India: a repeated cross-sectional study using nationally representative data.
Trends in the socioeconomic patterning of overweight/obesity in India: a repeated cross-sectional study using nationally representative data.
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DOI：
10.1136/bmjopen-2018-023935
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发表时间：
2018-10-21
期刊：
影响因子：
2.9
通讯作者：
Kinra S
中科院分区：
文献类型：
--
作者：
Luhar S;Mallinson PAC;Clarke L;Kinra S
我们的目的是研究1998年至2016年期间印度成年人超重/肥胖患病率的趋势，按社会经济地位（SEP）划分。重复的横断面研究使用了1998/1999年，2005/2006年和2015/2016年收集的印度全国代表性数据。多水平回归用于评估1998/99年，2005/2006年和2015/2016年分别在9月26日，29日和36日印度州或联邦领土的超重/肥胖患病率趋势。628 795名15-49岁的已婚妇女和93 618名15-54岁的男子。超重/肥胖定义为体重指数>24.99 kg/m2。1998年至2016年期间，城市和农村地区男性和女性的超重/肥胖患病率均有所增加。在所有时期，超重/肥胖的患病率始终是最高的SEP较高的个人。在城市地区，超重/肥胖的患病率在研究期间大大增加了较低的SEP成人。例如，在1998年至2016年期间，没有受过教育的城市女性的超重/肥胖患病率从约15%增加到32%。虽然受过高等教育的城市男性的患病率在2005年至2016年间从26%增加到34%，但我们在1998年至2016年间没有观察到高SEP城市女性的任何显着变化。在农村地区，在整个研究期间，所有人的超重/肥胖患病率都有更相似的增加，无论SEP如何。在受过高等教育的农村妇女中，超重/肥胖从1998年的16%增加到2016年的25%，而没有受过教育的农村妇女的患病率从4%增加到14%。我们发现，城市地区男性和女性的SEP中超重/肥胖患病率存在一定的趋同性，而农村地区SEP组的趋同迹象较少。因此，需要努力减缓所有印度人超重/肥胖的增长趋势，因为我们发现有证据表明，它可能不再被视为“富裕疾病”。
We aimed to examine trends in prevalence of overweight/obesity among adults in India by socioeconomic position (SEP) between 1998 and 2016. Repeated cross-sectional study using nationally representative data from India collected in 1998/1999, 2005/2006 and 2015/2016. Multilevel regressions were used to assess trends in prevalence of overweight/obesity by SEP. 26, 29 and 36 Indian states or union territories, in 1998/99, 2005/2006 and 2015/2016, respectively. 628 795 ever-married women aged 15–49 years and 93 618 men aged 15–54 years. Overweight/obesity defined by body mass index >24.99 kg/m2. Between 1998 and 2016, overweight/obesity prevalence increased among men and women in both urban and rural areas. In all periods, overweight/obesity prevalence was consistently highest among higher SEP individuals. In urban areas, overweight/obesity prevalence increased considerably over the study period among lower SEP adults. For instance, between 1998 and 2016, overweight/obesity prevalence increased from approximately 15%–32% among urban women with no education. Whereas the prevalence among urban men with higher education increased from 26% to 34% between 2005 and 2016, we did not observe any notable changes among high SEP urban women between 1998 and 2016. In rural areas, more similar increases in overweight/obesity prevalence were found among all individuals across the study period, irrespective of SEP. Among rural women with higher education, overweight/obesity increased from 16% to 25% between 1998 and 2016, while the prevalence among rural women with no education increased from 4% to 14%. We identified some convergence of overweight/obesity prevalence across SEP in urban areas among both men and women, with fewer signs of convergence across SEP groups in rural areas. Efforts are therefore needed to slow the increasing trend of overweight/obesity among all Indians, as we found evidence suggesting it may no longer be considered a ‘diseases of affluence’.
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DOI：
10.1111/j.1467-789x.2012.01017.x
发表时间：
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期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
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作者：
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影响因子：
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发表时间：
2003-01-01
期刊：
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影响因子：
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