Geographic variation in the prevalence of obesity, diabetes, and obesity-related behaviors
Geographic variation in the prevalence of obesity, diabetes, and obesity-related behaviors
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DOI：
10.1038/oby.2005.15
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发表时间：
2005-01-01
期刊：
影响因子：
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通讯作者：
Serdula, MK
中科院分区：
文献类型：
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作者：
Ford, ES;Mokdad, AH;Serdula, MK
目的：在美国100个大都市统计区，通过健康提供者的减肥咨询以及其他潜在的肥胖相关决定因素，研究肥胖和2型糖尿病患病率的变化。研究方法和程序：我们使用来自2000年行为风险因素监测系统的数据进行了一项横断面研究，该系统是美国最大的健康行为电话调查，年龄调整后的肥胖患病率、2型糖尿病、每天摄入≥ 5份水果和蔬菜、每周参加150分钟的休闲体育活动、接受体重管理建议以及18岁以上男性和女性试图减肥或保持体重的报告。年龄校正的肥胖患病率范围为13.1%至30.0%，2型糖尿病患病率范围为3.3%至9.2%。在过去12个月内接受过医生常规检查的参与者中，13.1%至27.1%的参与者回忆起接受过健康专业人员关于其体重的建议，11.7%至34.6%的超重或肥胖参与者回忆起接受过维持或减肥的建议。在大都市统计区之间，肥胖和自我报告的2型糖尿病的患病率以及关于体重管理建议的医疗实践模式存在显着差异。这些结果表明，研究这些变化的原因可能有助于缓解目前肥胖症的流行，并确定肥胖和糖尿病预防工作可能需要针对的领域。
Objective: To examine the variation in the prevalences of obesity and type 2 diabetes in weight loss counseling by health providers and in other potential obesity-related determinants in 100 metropolitan statistical areas in the United States.Research Methods and Procedures: We performed a cross-sectional study using data from the 2000 Behavioral Risk Factor Surveillance System, the largest telephone survey of health behaviors in the United States, of age-adjusted prevalence of obesity, type 2 diabetes, intake of >= five servings of fruits and vegetables per day, participation in 150 minutes of leisure-time physical activity per week, receipt of weight management advice, and reports of trying to lose or maintain weight among men and women more than 18 years old.Results: The age-adjusted prevalence of obesity ranged from 13.1% to 30.0% and that of type 2 diabetes from 3.3% to 9.2%. Among participants who had visited a physician for a routine checkup in the previous 12 months, 13.1% to 27.1% of all participants recalled receiving advice from a health professional about their weight, and 11.7% to 34.6% of overweight or obese participants recalled receiving advice to maintain or lose weight.Discussion: Significant differences in the prevalence of obesity and self-reported type 2 diabetes and in medical practice patterns regarding weight management advice exist among metropolitan statistical areas. These results suggest important opportunities to investigate reasons for these variations that could potentially be used to mitigate the current epidemic of obesity and to identify areas where obesity and diabetes prevention efforts may need to be targeted.