The prevalence and increasing trends of overweight, general obesity, and abdominal obesity among Chinese adults: a repeated cross-sectional study
Year: 2019
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: To assess the prevalence of obesity and abdominal obesity in Turkish adults. METHODS: This is a nationally representative cross-sectional study. From both urban and rural areas of seven geographical regions of Turkey 2110 men and 2154 women with a mean age of 40.9+/-14.9 years (range 20-90) were included in this study. Demographic, anthropometric data were collected and biochemical analyses of blood lipids and glucose levels were performed in all participants. Statistical analyses were performed using Chi-square, unpaired t and two-way ANOVA tests. Stepwise logistic regression analysis was applied for the study of association of obesity with cardiometabolic risk factors. RESULTS: The prevalence of overweight was 36.0% (41.5% in men and 30.6% in women) and the prevalence of obesity was 30.4% (20.6% in men and 39.9% in women). The prevalence of obesity was similar in rural and urban areas. The prevalence of abdominal obesity and metabolic syndrome were 36.2% and 40.9 % according to American Heart, Lung, and Blood Institute criteria and 58.7% and 42.6% according to International Diabetes Federation criteria, respectively. Abdominal obesity and metabolic syndrome were significantly more prevalent among women. After adjusting for age, sex and other cardiometabolic risk factors, abdominal obesity was significantly associated with increases in body mass index (odds ratio [OR] per 5 kg/m2 increase 1.61, 95% CI 1.52-1.69) and triglycerides (OR per 10 unit increase 1.02, 95% CI 1.01-1.02) and negatively associated with total cholesterol (OR 0.95, 95% CI 0.94-0.96), high-density lipoprotein cholesterol (OR 0.96, 95% CI 0.93-0.99), systolic blood pressure (OR 0.95, 95% CI 0.92-0.98) and diastolic blood pressure (OR 0.94, 95% CI 0.90-0.99). CONCLUSION: Obesity and abdominal obesity are major problems for Turkish adults, especially for Turkish women. Our finding is alarming for cardio-metabolic complications and underscores the need for population-based strategies to modify lifestyle related risk factors.
Source: BMC Public Health
Authors: Yongjie Chen, Qin Peng, Yu Yang, Senshuang Zheng, Yuan Wang, Wenli Lu
Institution: Tianjin Medical University
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,390
Funders: National Natural Science Foundation of China, National Institutes of Health, University of North Carolina at Chapel Hill, China-Japan Friendship Hospital, Fogarty International Center, National Institute of Diabetes and Digestive and Kidney Diseases, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Carolina Population Center, University of North Carolina at Chapel Hill
Awards: G1272327966, Monitoring Social Change: Health and Human Capital from Childhood to Adulthood, G2030104575, G2635978647, G2819737562, G3012680925, G3113852452, G323978439, G3252528535, G3543835603, G3592121235, G4093089406, G5005921354, G5996566020, CHILD HEALTH EFFECTS OF RAPID SOCIO-DEMOGRAPHIC CHANGE, G626113671, G6385815541, G6455772360, G707193669, G8516651261, G8790543847, G8948866618, G9000012514, G9000033332, G9000035393, G9000144966, G9000237716, G9000311843, Nutrition Obesity Research Center (NORC)
OpenAlex ID: W2980654151