Double burden: a cross-sectional survey assessing factors associated with underweight and overweight status in Danang, Vietnam.
Double burden: a cross-sectional survey assessing factors associated with underweight and overweight status in Danang, Vietnam.
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DOI：
10.1186/1471-2458-13-35
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发表时间：
2013-01-14
影响因子：
4.5
通讯作者：
Fitzpatrick AL
中科院分区：
文献类型：
--
作者：
Ly KA;Ton TG;Ngo QV;Vo TT;Fitzpatrick AL
许多低收入和中等收入国家面临着超重/肥胖患病率不断上升的问题，而体重不足的患病率仍然很高，这种双重负担被称为“双重负担”；两者都是慢性病的关键危险因素。这项横断面研究使用世界卫生组织标准和建议的亚洲特定体重指数临界值，评估了越南岘港成年人体重不足和超重/肥胖的患病率和因素。 2010年，采用多阶段整群抽样方法，从岘港市56个城乡和城乡混合公社中的6个公社的900户中抽取了1713名年龄≥35岁的居民参与； 1621 名合格成人注册。参与者根据世界卫生组织慢性病危险因素监测逐步方法以及有关胸痛和中风症状的其他问题完成了健康调查。进行了人体测量和其他测量。根据世界卫生组织标准临界值和建议的亚洲特定临界值（<18.5 kg/m2 或 23-27.49 kg/m2；以及 ≥27.5 kg/m2），使用相对风险回归来确定体重不足或超重/肥胖的独立危险因素。根据世界卫生组织标准，我们观察到体重不足的发生率为 12.4%，超重/肥胖的发生率为 16.0%。当应用亚洲特定的临界值时，超重/肥胖的患病率增加了一倍（33.7%）。对于这两个定义，农村公社的体重不足发生率最高，而城市公社的超重/肥胖发生率最高。体重过轻与城市化程度较低有关。与体重不足独立相关的因素包括年龄较大、农村生活、当前吸烟和较低的收缩压。与亚洲人特有的体重指数（BMI）定义的超重/肥胖独立相关的因素包括年龄较大、城市化、较高的收缩压和糖尿病。年龄不是世卫组织标准临界值的独立因素；然而，心肌梗塞和糖尿病显示出很强的关联性。在岘港观察到的体重不足和超重/肥胖的双重负担与正在经历快速经济增长和生活方式城市化的越南大城市的模式一致。根据世界卫生组织标准和亚洲特定定义，与体重不足和超重/肥胖状态独立相关的因素包括城市化和可改变的生活方式因素。需要进一步研究来确定越南特定种族的 BMI 临界值，并探索降低超重/肥胖患病率上升的策略。
Many low- to middle-income countries are faced with an increasing prevalence of overweight/obesity while that for underweight remains high, a duality termed “double burden”; both are key risk factors for chronic diseases. This cross-sectional study assesses the prevalence and factors for underweight and overweight/obesity among adults in Danang, Vietnam, using WHO standard and suggested Asian-specific BMI cut-offs. In 2010, 1713 residents age ≥35 years from 900 households in 6 of 56 urban, rural and mixed urban–rural communes in Danang were selected using multistage-cluster sampling methodology to participate; 1621 qualified adults enrolled. Participants completed a health survey based on WHO STEPwise Approach to Chronic Disease Risk Factor Surveillance and additional questions on chest pain and stroke symptoms. Anthropometric and other measurements were conducted. Relative risk regression was used to identify independent risk factors for underweight or overweight/obesity according to WHO standard cut-offs and suggested Asian-specific cut-offs (<18.5 kg/m2 or 23–27.49 kg/m2; and ≥27.5 kg/m2). We observed 12.4% prevalence of underweight and 16.0% for overweight/obesity using WHO standard. The prevalence of overweight/obesity doubled (33.7%) when Asian-specific cut-offs were applied. For both definitions, rural communes had the highest prevalence of underweight while urban communes had the highest prevalence of overweight/obesity. Being underweight was associated with less urbanization. Factors independently associated with being underweight included older age, rural living, current smoking, and lower systolic pressure. Factors independently associated with Asian-specific BMI definition for being overweight/obese included older age, urbanization, higher systolic pressure, and diabetes. Age was not an independent factor with WHO standard cut-offs; however, myocarial infarction and diabetes showed strong associations. The double burden of underweight and overweight/obesity observed in Danang is consistent with patterns found for large cities in Vietnam that are undergoing rapid economic growth and urbanization of lifestyle. Factors independently associated with underweight and overweight/obesity status by WHO standard and Asian-specific definitions include urbanization and modifiable lifestyle factors. Further studies are needed to define ethnic specific BMI cut-offs for Vietnam and to explore strategies to reduce the rising prevalence of overweight/obesity.
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影响因子：
4.5
作者：
Ha do TP;Feskens EJ;Deurenberg P;Mai le B;Khan NC;Kok FJ
通讯作者：
Kok FJ
影响因子：
4.9
作者：
Aekplakorn, W.;Kosulwat, V.;Suriyawongpaisal, P.
通讯作者：
Suriyawongpaisal, P.
影响因子：
7.2
作者：
Foucan, L;Hanley, J;Suissa, S
通讯作者：
Suissa, S
DOI：
10.1093/geronj/49.2.m85
发表时间：
1994-03-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
GURALNIK, JM;SIMONSICK, EM;WALLACE, RB
通讯作者：
WALLACE, RB
影响因子：
4.7
作者：
Cuong, T. Q.;Dibley, M. J.;Loan, T. T. H.
通讯作者：
Loan, T. T. H.