Prevalence of obesity and associated risk factors in a Turkish population (Trabzon City, Turkey)

Prevalence of obesity and associated risk factors in a Turkish population (Trabzon City, Turkey)
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DOI:
10.1038/oby.2004.140
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发表时间:
2004-07-01
期刊:
OBESITY RESEARCH
影响因子:
--
通讯作者:
Telatar, M
Telatar, M
中科院分区:
其他
文献类型:
--
作者:
Erem, C;Arslan, C;Telatar, M

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目标:估计特拉布宗地区超重和肥胖(一般和中部)的患病率及其与人口因素(年龄、性别、婚姻状况、女性生育史和教育水平)、社会经济因素(家庭收入和职业)、特定医疗状况家族史(糖尿病、高血压和肥胖)、生活方式因素(吸烟习惯、体力活动和饮酒)和 研究方法和程序:从中部特拉布宗省及其五个城镇(Surmene、Vakfikebir、Macka、Hayrat 和 Tonya)系统地抽取家庭样本。该研究共有 5016 名受试者(2728 名女性和 2288 名男性)。 20岁以上的个人是从他们的家庭健康卡中选择的。所有参与者都获得了人口统计因素、社会经济因素、选定医疗状况的家族史和生活方式因素。测量所有受试者的收缩压和舒张压水平。研究程序在每个城镇的当地卫生中心进行,历时 8 个月。肥胖定义为BMI大于或等于30 kg/m(2),超重定义为BMI = 25.0至29.9 kg/m(2)。结果:肥胖患病率为23.5%:女性为29.4%,男性为16.5%。超重和肥胖的总患病率为60.3%。腹部肥胖的患病率为29.4%:女性为38.9%,男性为18.1%。肥胖患病率随着年龄的增长而增加,在 60 至 69 岁年龄组中最高(40.8%),但在 70 岁以上年龄组中再次较低。肥胖与婚姻状况、产次、戒烟、饮酒和家庭收入呈正相关,与教育水平、吸烟和体力活动呈负相关。此外,肥胖与高血压呈正相关。讨论:在特拉布宗地区,60.3% 的成年人口体重有些超重。肥胖是一个主要的公共卫生问题,需要采取普遍的干预措施来预防成年人的肥胖。
Objective: To estimate the prevalence of overweight and obesity (general and central) in the Trabzon Region and its associations with demographic factors (age, sex, marital status, reproductive history in women, and level of education), socioeconomic factors (household income and occupation), family history of selected medical conditions (diabetes, hypertension, and obesity), lifestyle factors (smoking habits, physical activity, and alcohol consumption), and hypertension in the adult population.Research Methods and Procedures: A sample of households was systematically selected from the central province of Trabzon and its five towns, namely, Surmene, Vakfikebir, Macka, Hayrat, and Tonya. A total of 5016 subjects (2728 women and 2288 men) were included in the study. Individuals more than 20 years old were selected from their family health cards. Demographic factors, socioeconomic factors, family history of selected medical conditions, and lifestyle factors were obtained for all participants. Systolic blood pressure and diastolic blood pressure levels were measured for all subjects. Study procedures were carried out in the local health centers in each town over an 8-month period. Obesity was defined as BMI greater than or equal to30 kg/m(2) and overweight as BMI = 25.0 to 29.9 kg/m(2).Results: The prevalence of obesity was 23.5%: 29.4% in women and 16.5% in men. The combined prevalence of both overweight and obesity was 60.3%. The prevalence of abdominal obesity was 29.4%: 38.9% among women and 18.1% among men. The prevalence of obesity increased with age, being highest in the 60- to 69-year-old age group (40.8%) but lower again in the 70+ age group. Obesity was associated positively with marital status, parity, cessation of cigarette smoking, alcohol consumption, and household income and inversely with level of education, cigarette use, and physical activity. Also, obesity was associated positively with hypertension.Discussion: In the Trabzon Region, 60.3% of the adult population presents with some excess weight. Obesity is a major public health problem that requires generalized interventions to prevent it among the adult population.