Obesity in adults: an emerging problem in urban areas of Ho Chi Minh City, Vietnam
Obesity in adults: an emerging problem in urban areas of Ho Chi Minh City, Vietnam
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DOI：
10.1038/sj.ejcn.1602563
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发表时间：
2007-05-01
影响因子：
4.7
通讯作者：
Loan, T. T. H.
中科院分区：
文献类型：
--
作者：
Cuong, T. Q.;Dibley, M. J.;Loan, T. T. H.
目的：评估生活在越南胡志明市（HCMC）城市地区的越南成年人超重、肥胖和体重不足的患病率。设计图：这项横断面调查是在2004年3月至4月的两个月期间，在胡志明市所有13个城区的30个随机选择的病房的地方卫生站进行的。对象：共1488名年龄在20 - 60岁的参与者完成了访谈、体格检查和静脉采血。测量值：采用体重、身高、腰围和臀围等人体测量指标构建肥胖指标，包括体重指数（MI）、腰围、腰高比和腰臀比。收缩压和舒张压以及心血管疾病和II型糖尿病风险的生化指标（血脂和空腹血糖）也进行了测量。结果如下：使用亚洲特定BMI临界值23.0和27.5 kg/m2，超重和肥胖的年龄和性别标准化患病率分别为26.2%和6.4%。女性超重和肥胖的患病率（33.6%）略高于男性（1.6%），并随年龄增长而逐渐增加。年龄和性别标准化的患病率体重不足（BMI 18.5 kg/m2）的越南成年人生活在胡志明市是20.4%。男性的患病率（22.0%）略高于女性（18.9%），年轻女性在所有体重不足类别中的患病率都远高于男性，但老年男性的情况正好相反。结论：越南胡志明市的成年人口处于早期的“营养过渡”阶段，低BMI和高BMI的患病率大致相等。越南城市成年人超重和肥胖的患病率低于其他东亚和东南亚国家。
Objective: To assess the prevalence of overweight, obesity and underweight among Vietnamese adults living in urban areas of Ho Chi Minh City (HCMC), Vietnam. Design: This cross-sectional survey was conducted in the local health stations of 30 randomly selected wards, which represent all 13 urban districts of HCMC, over a period of 2 months from March to April 2004. Subjects: A total of 1488 participants aged 20 - 60 years completed the interview, physical examination and venous blood collection. Measurements: Anthropometric measurements of body weight, height, waist and hip circumference were taken to construct indicators of adiposity including body mass index (MI), waist circumference, and waist-to-height and waist-to-hip ratios. Both systolic and diastolic blood pressure and biochemical indicators of cardiovascular disease and type II diabetes risk (lipid profile and fasting blood glucose) were also measured. Results: The age and sex standardized prevalence of overweight and obesity using Asian specific BMI cutoffs of 23.0 and 27.5 kg/ m 2 was 26.2 and 6.4%, respectively. The prevalence of overweight and obesity was slightly higher in females (33.6%) than males (1.6%), and progressively increased with age. The age and sex-standardized prevalence of underweight (BMI o18.5 kg/ m 2) among Vietnamese adults living in HCMC was 20.4%. The prevalence was slightly higher in males (22.0%) than in females (18.9%), and there was a much higher prevalence in all underweight categories in younger women than in men but this was reversed for older men. Conclusion: The adult population in HCMC Vietnam is in an early 'nutrition transition' with approximately equal prevalence of low and high BMI. The prevalence of overweight and obesity of Vietnamese urban adults was lower than that reported for other east and southeast Asian countries.