Comparison of the factors that influence obesity prevalence in three district municipalities of the same city with different socioeconomical status: a survey analysis in an urban Turkish population
Comparison of the factors that influence obesity prevalence in three district municipalities of the same city with different socioeconomical status: a survey analysis in an urban Turkish population
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DOI：
10.1016/j.ypmed.2004.05.018
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发表时间：
2005-02-01
影响因子：
5.1
通讯作者：
Ercan, K
中科院分区：
文献类型：
--
作者：
Ersoy, C;Imamoglu, S;Ercan, K
背景资料。[方法]对构成布尔萨市中心的三个直辖市与不同社会经济状况的居民进行肥胖状况、肥胖相关因素及合并症的评估。共有1632名年龄大于或等于18岁的居民接受了采访。采用分层抽样的方法，得出每个DM的样本数与其总体成正比。在1632名调查对象中，随机抽取1543名调查对象，填写调查问卷，内容包括人口学、社会和行为特征。与其他DM相比，生活在DM中的参与者具有最高的社会经济地位(SES)得分和教育水平，其身体质量指数(BMI)和体脂百分比(%BF)最低。糖尿病肥胖患病率最低(30.8%vs.36.4%和39.3%)可能是由于年龄较小、女性比例较低、职业较活跃、吸烟比例较高、食用蔬菜、橄榄油或玉米油较多以及碳水化合物较少所致。为了评估可能影响肥胖风险的因素，我们用Logistic回归模型分别考察了这些因素对男性和女性的影响。男性久坐不动、生活方式异常、失业、文化程度低、女性有高血压、男女家族性肥胖均与肥胖风险增加有关。布尔萨的肥胖率正在增加，尽管居民正在采取一些与他们的社会经济和教育水平平行的预防措施。在布尔萨和土耳其，肥胖正成为一个更令人担忧的公共卫生问题，就像世界上大多数其他地区一样，这迫使我们发明新的预防政策。此外，我们的研究结果强调了这样一个事实，即为了降低未来几代人的肥胖率，尤其是女性教育需要更多的关注。(C)2004年癌症预防研究所和爱思唯尔公司。保留所有权利。
Background. To evaluate the obesity status, factors and comorbidities related to it in three district municipalities (DM) that compose city center of Bursa with inhabitants of different socioeconomic status.Methods. A total of 1632 inhabitants greater than or equal to 18 years of age were interviewed. The number of sample in each DM was obtained proportional to their populations by stratified sampling method. Among 1632, a total of 1543 subjects were included by random sampling and a questionnaire was filled in including demographic, social and behavioral features.Results. The participants living in DM with the highest socioeconomical status (SES) score and level of education had the lowest body mass index (BMI) and body fat percentage (%BF) compared to other DMs. The lowest obesity prevalence (30.8% vs. 36.4% and 39.3%) in that DM was possibly due to younger age, lower female ratio, more active professional, higher percentage of smoking, more consumption of vegetables, olive or corn oil, and less carbohydrate. For the evaluation of the factors that may influence obesity risk, we investigated the effects of these factors in men and women separately with logistic regression model. Sedentary life style and dyslipidemia (DL) in men, being unemployed, having lower level of education and having hypertension (HT) in women and familial obesity in both gender were found to be related to increased obesity risk.Conclusions. The prevalence of obesity in Bursa is increasing although inhabitants are taking some precautions parallel to their socioeconomical and educational levels. Obesity is becoming a more alarming public health problem in Bursa and Turkey like in most other parts of the world, which forces us to invent new prevention policies. Besides, the results of our study highlight the fact that especially female education requires more attention for decreasing obesity prevalence in coming generations. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.