Relationship between employment status and obesity in a Korean elderly population, based on the 2007-2009 Korean National Health and Nutrition Examination Survey (KNHANES)

Relationship between employment status and obesity in a Korean elderly population, based on the 2007-2009 Korean National Health and Nutrition Examination Survey (KNHANES)
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DOI:
10.1016/j.archger.2013.02.004
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发表时间:
2013-07-01
影响因子:
4
通讯作者:
Shim, Jae-Yong
Shim, Jae-Yong
中科院分区:
医学2区
文献类型:
--
作者:
Kang, Hee-Taik;Lee, Hye-Ree;Shim, Jae-Yong

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我们使用具有全国代表性的样本,调查了一位韩国老年人的就业状况与肥胖患病率之间的关系。这项横断面研究包括2991名年龄在60岁或以上的参与者(1396名男性和1595名女性)。根据一份自填式问卷,就业状况被分为全职员工、兼职员工和失业群体。根据世界卫生组织(WHO)和国际肥胖工作组(IOTF)的亚太地区指南,肥胖被定义为身体质量指数(BMI)=25公斤/米(2)。女性的平均BMI在失业人群中最高,而男性的平均BMI在不同就业群体之间没有显著差异。男性全职、兼职和失业人群的肥胖率分别为25.1%、25.5%和27.1%,女性分别为36.0%、37.9%和40.4%。在调整了年龄、生活方式因素(体力活动、饮酒、吸烟状况、每日卡路里摄入量)、社会经济因素(教育水平和家庭收入)后,与全职员工相比,兼职员工肥胖的优势比(OR)(95%可信区间)分别为1.172(0.765~1.795)和1.164(0.843~1.609);失业人群中男性和女性肥胖的优势比(OR)分别为1.451(1.054~1.999)和1.399(1.090~1.795)。炎症因子(白细胞计数)。不论年龄、生活方式、社会经济因素和炎症因素,失业似乎与韩国老年人口中肥胖的高患病率显著相关。(C)2013爱思唯尔爱尔兰有限公司。保留所有权利。
We investigated the relationship between employment status and obesity prevalence in an elderly Korean, using a nationally representative sample. This cross-sectional study included 2991 participants (1396 men and 1595 women) aged 60 years or older. Employment status was categorized into full-time employees, part-time employees, and an unemployed group, based on a self-reported questionnaire. According to Asia Pacific regional guidelines from the World Health Organization (WHO) and International Obesity Task Force (IOTF), obesity was defined as a body mass index (BMI) >= 25 kg/m(2). Mean BMI in women was highest in the unemployed group, whereas the mean BMI in men did not differ significantly between employment groups. The obesity prevalence in full-time employees, part-time employees, and the unemployed group were 25.1%, 25.5%, and 27.1% in men and 36.0%, 37.9%, and 40.4% in women, respectively. Compared to the full-time employees, the odds ratios (ORs) (95% confidence intervals) for obesity were 1.172 (0.765-1.795) and 1.164 (0.843-1.609) in the part-time employees, and 1.451 (1.054-1.999) and 1.399 (1.090-1.795) in the unemployed group, for men and women, respectively, after adjusting for age, lifestyle factors (physical activity, alcohol consumption, smoking status, daily calorie intake), socioeconomic factors (education level and household income), and inflammatory factor (white blood cell (WBC) counts). Unemployment appears to be significantly related to a higher prevalence risk of obesity in an elderly Korean population, regardless of age, lifestyle, socioeconomic factors, and inflammatory factor. (C) 2013 Elsevier Ireland Ltd. All rights reserved.