The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults
The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults
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DOI：
10.1038/sj.ijo.0802026
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发表时间：
2002-09-01
影响因子：
4.9
通讯作者：
Bray, GA
中科院分区：
文献类型：
--
作者：
Paeratakul, S;Lovejoy, JC;Bray, GA
目的：根据性别、种族和社会经济地位调查美国成年人肥胖相关慢性疾病。方法：采用美国农业部/农业研究局（USDA/ARS） 1994-1996年个人食物摄入持续调查（1994-1996 CSFII）的数据进行分析。相关数据包括自我报告的体重和身高、自我报告的医生诊断的糖尿病、高血压、心脏病和高血清胆固醇。根据性别、种族、收入水平和教育程度进行分析。结果：几乎所有性别、种族和社会经济群体的糖尿病、高血压和高血清胆固醇都随着体重的增加而逐渐增加。在肥胖个体中，黑人受试者的高血压患病率较高，而受教育程度较低的个体的糖尿病、高血压和心脏病患病率较高。在调整了年龄、性别、种族、收入、教育程度和吸烟等因素后，患糖尿病、高血压、心脏病和高血清胆固醇的几率随着体重的增加而增加。结论：虽然是横断面研究，但我们的研究结果表明，人群中与肥胖相关的疾病负担可能是巨大的。这种负担随着肥胖严重程度的增加而增加。我们的研究结果支持了目前的观点，即尽管肥胖相关健康风险的性质在所有人群中都是相似的，但与特定肥胖水平相关的具体风险水平可能因性别、种族和社会经济条件而异。
OBJECTIVE: To examine the obesity-related chronic diseases in the US adult population according to gender, race and socioeconomic status.METHODS: Data from the 1994-1996 Continuing Survey of Food Intakes by Individuals (1994-1996 CSFII) conducted by the US Department of Agriculture/Agricultural Research Service (USDA/ARS) were used in the analysis. Relevant data included self-reported weight and height, self-reported physician-diagnosed diabetes mellitus, hypertension, heart disease and high serum cholesterol. Analysis was conducted according to gender, race, income level and education level.RESULTS: There was a graded increase in diabetes, hypertension and high serum cholesterol with increasing body weight in nearly all gender, racial and socioeconomic groups. Among the obese individuals, the prevalence of hypertension was higher in black subjects and the prevalence of diabetes, hypertension and heart disease was higher in individuals with lower education compared to their counterparts. The odds of having diabetes, hypertension, heart disease and high serum cholesterol increased with increasing body weight after adjusting for age, gender, race, income, education and smoking.CONCLUSION: Although cross-sectional in nature, our results suggest that the disease burden associated with obesity in the population may be substantial. This burden increases with increasing severity of obesity. Our findings support the current opinion that, although the nature of obesity-related health risks is similar in all populations, the specific level of risk associated with a given level of obesity may be different depending on gender, race and socioeconomic condition.