Overweight and obesity in Saudi Arabian adult population, role of sociodemographic variables

Overweight and obesity in Saudi Arabian adult population, role of sociodemographic variables
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DOI:
10.1023/a:1025177108996
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发表时间:
1997-06-01
影响因子:
5.9
通讯作者:
AlMazrou, Y
AlMazrou, Y
中科院分区:
医学4区
文献类型:
--
作者:
AlNuaim, AA;Bamgboye, EA;AlMazrou, Y

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这项基于社区的全国流行病学家庭调查于1990年至1993年间进行,其目标是估计沙特阿拉伯超重和肥胖的患病率,并研究其与成年人口社会人口特征的关系。使用多级分层整群抽样技术选择了20岁及以上的沙特人样本,其概率与规模成比例。选择的受试者被要求访问当地的初级卫生保健中心。这些诊所的医生测量身高和体重,并收集其他相关数据。肥胖是通过使用克托莱指数的身体质量指数来衡量的。结果显示,10,651名受试者的样本中,50.8%为男性,平均年龄为35.8岁(SD = 14.27岁)。超重的患病率为31.2%(95%置信区间:30.3%,32.1%);男性为33.1%,女性为29.4%。肥胖症的总体患病率为22.1%,男性为17.8%,女性为26.6%。研究设计表明,这些估计值可能更接近真实值。多因素Logistic回归分析显示年龄、居住地、地区、收入、性别、文化程度是肥胖的显著预测因素。女性肥胖患病率高于男性,生活在农村地区的受试者的传统生活方式低于城市化环境中的受试者,并且随着年龄的增长而增加。观察到的超重和肥胖症的流行率和模式与年龄和性别相似,在阿拉伯社区和一些西方国家。有必要增加体育活动和更好的营养教育方案,以减少肥胖的程度,防止严重的健康后果,特别是在中年群体中。
The objectives of this Community-based National Epidemiological Household Survey, conducted between 1990-1993, were to estimate the prevalence of overweight and obesity in Saudi Arabia and to examine its association with the socio-demographic characteristics of the adult population. A sample of Saudis 20 years and over was selected using a multistage stratified cluster sampling technique with probability proportionate to size. The selected subjects were requested to visit primary health care centers in their localities. Physicians in these clinics took measurements of heights and weights and collected other relevant data. Obesity was measured by the Body Mass Index, using the Quetelet Index. The results showed the sample of 10,651 subjects of which 50.8% were males, had a mean age of 35.8 years (SD = 14.27 years). The prevalence of overweight was 31.2% (95% confidence interval: 30.3%, 32.1%); 33.1% for males and 29.4% for females. For obesity, the overall prevalence was 22.1%; males 17.8% and females 26.6%. The study design suggested that these estimates could be closer to the true values. The multiple logistic regression analysis showed that age, residential area, region, income, gender, and education are statistically significant predictors of obesity. The prevalence of obesity was higher in females than males, lower in subjects living in rural areas with traditional lifestyles than those in more urbanized environments, and increased with increasing age. The observed prevalence and pattern of overweight and obesity with age and gender is similar to those observed in the Arab community and some Western nations. There is a need for increased physical activity and better nutrition education programs to reduce the extent of obesity and to prevent the serious health consequences, especially, in the middle age group.