Prevalence of obesity among adults from rural and urban areas of the United States: findings from NHANES (2005-2008).
Prevalence of obesity among adults from rural and urban areas of the United States: findings from NHANES (2005-2008).
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DOI：
10.1111/j.1748-0361.2012.00411.x
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Perri MG
中科院分区：
文献类型：
--
作者：
Befort CA;Nazir N;Perri MG
与城市居民相比，农村居民的慢性病发病率更高，肥胖可能是造成这种差异的主要原因。这项研究是第一次使用测量身高和体重的身体质量指数分类来分析农村和城市成年人的肥胖患病率。此外，人口，饮食和身体活动的肥胖在农村和城市居住的相关性进行了检查。分析2005-2008年全国健康和营养检查调查（NHANES）中7，325名城市和1，490名农村成年人的体重指数（BMI），饮食和身体活动。农村成年人的肥胖患病率为39.6%（SE = 1.5），而城市成年人为33.4%（SE = 1.1）（P = 0.006）。控制人口统计学、饮食和体力活动变量后，农村成年人的肥胖患病率仍显著高于城市成年人（比值比= 1.18，P = 0.03）。种族/民族和来自脂肪的卡路里百分比是农村和城市成年人肥胖的重要相关因素。已婚仅与农村居民的肥胖有关，而年龄较大、受教育程度较低和不活动仅与城市居民的肥胖有关。美国农村地区的成年人比城市地区的成年人肥胖率明显更高，估计比自我报告数据的研究所显示的比率高得多。肥胖在美国农村应该得到更多的关注。
Rural residents have higher rates of chronic diseases compared to their urban counterparts, and obesity may be a major contributor to this disparity. This study is the first analysis of obesity prevalence in rural and urban adults using body mass index classification with measured height and weight. In addition, demographic, diet, and physical activity correlates of obesity across rural and urban residence are examined. Analysis of body mass index (BMI), diet, and physical activity from 7,325 urban and 1,490 rural adults in the 2005–2008 National Health and Nutrition Examination Survey (NHANES). The obesity prevalence was 39.6% (SE = 1.5) among rural adults compared to 33.4% (SE = 1.1) among urban adults (P = .006). Prevalence of obesity remained significantly higher among rural compared to urban adults controlling for demographic, diet, and physical activity variables (odds ratio = 1.18, P = .03). Race/ethnicity and percent kcal from fat were significant correlates of obesity among both rural and urban adults. Being married was associated with obesity only among rural residents, whereas older age, less education, and being inactive was associated with obesity only among urban residents. Obesity is markedly higher among adults from rural versus urban areas of the United States, with estimates that are much higher than the rates suggested by studies with self-reported data. Obesity deserves greater attention in rural America.
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影响因子：
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作者：
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影响因子：
--
作者：
Perri, Michael G.;Limacher, Marian C.;Durning, Patricia E.;Janicke, David M.;Lutes, Lesley D.;Bobroff, Linda B.;Dale, Martha Sue;Daniels, Michael J.;Radcliff, Tiffany A.;Martin, A. Daniel
通讯作者：
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