Influence of education in the prevalence of obesity in Iranian northern adults

Veghari, Gholamreza; Sedaghat, Mehdi; Maghsodlo, Siavash; Banihashem, Samieh; Moharloei, Pooneh; Angizeh, Abdolhamid; Tazik, Ebrahim; Moghaddami, Abbas

doi:10.1016/j.jcdr.2013.02.002

Cited by 14 publications

(6 citation statements)

References 34 publications

(30 reference statements)

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“…Consistent with previous studies [ 24 , 27 , 28 ], we found that the risk of abdominal obesity increased with aging. However, interestingly, although evidence existed of a positive relation between aging and general obesity [ 29 , 30 ], an inverse association was observed in the present population. This might be explained in part by the fact that aging caused a loss of subcutaneous fat, decrease of lean mass and accumulation of visceral fat [ 31 – 33 ], leading to a large proportion of the population developing abdominal obesity rather than general obesity.…”

Section: Discussioncontrasting

confidence: 70%

An update on overweight and obesity in rural Northeast China: from lifestyle risk factors to cardiometabolic comorbidities

et al. 2014

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BackgroundNot enough is known about the prevalence of overweight and obesity in rural China in the current decade. We aim to update our knowledge of the prevalence of obesity and its associated risk factors and comorbidities in a large population sample in rural Northeast China.MethodsA population-based survey of 11,579 participants aged 35 years and older was conducted in rural areas of Liaoning Province during 2012–2013. Anthropometric measurements, information on health-related variables and blood biochemical indexes were collected by well-trained personnel.ResultsThe prevalence of general obesity and overweight was found to be 7.8% and 37.2%, respectively. The overall prevalence of abdominal obesity was 15.1%. Female gender, ethnic minority, middle-school education and a family income of 5,000–20,000 CNY per year were found to be risk factors for general obesity, while older age, female gender, ethnic minority and longer sleep duration (>8 h/d) increased the risk of abdominal obesity, after adjusting for confounders. Overweight and obese participants had significantly higher risks to develop prehypertension, hypertension, high LDL-C and low HDL-C compared with normal weight participants, while abdominal obesity was associated with increased risks of diabetes and high TG after adjusted for multiple factors. Compared with participants with a normal BMI and no abdominal obesity, the participants classified as abdominally obese and normal BMI; as abdominally obese and overweight; and abdominally obese and generally obese each had a progressive increase in the odds of hypertension (OR: 1.961, 95% CI: 1.154 to 3.331, OR: 2.744, 95% CI: 2.126 to 3.541, and OR: 8.990, 95% CI: 5.858 to 13.795, respectively) and high TG (OR: 3.165, 95% CI: 2.183 to 4.588, OR: 3.980, 95% CI: 3.332 to 4.755, and OR: 4.340, 95% CI: 3.574 to 5.271, respectively).ConclusionsThe prevalence of obesity in rural Northeast China exhibited a remarkably increasing upwards trend. General and abdominal obesity were associated with different subtypes of cardiometabolic comorbidities, the combined effects of which on the comorbidities dramatically increased.

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Section: Discussioncontrasting

confidence: 70%

An update on overweight and obesity in rural Northeast China: from lifestyle risk factors to cardiometabolic comorbidities

et al. 2014

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“…Though in some settings it may be a marker of (and confounded by) socio economic status, there is no doubt that literacy enhances health awareness an association that has been demonstrated in numerous studies. To this effect, literacy was selected as a target for the Millennium Development Goals by the WHO and UN [ 11 , 18 , 19 ]. In Afghanistan, as a result of political forces the provision of universal literacy has been complex and challenging.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of adult hypertension in Kabul, Afghanistan

2014

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BackgroundThe prevalence of hypertension is rising worldwide with an estimated one billion people now affected globally and is of near epidemic proportions in many parts of South Asia. Recent turmoil has until recently precluded estimates in Afghanistan so we sought, therefore, to establish both prevalence predictors in our population.MethodsWe conducted a cross-sectional study of adults ≥40 years of age in Kabul from December 2011-March 2012 using a multistage sampling method. Additional data on socioeconomic and lifestyle factors were collected as well as an estimate of glycaemic control. Bivariate and multivariable analyses were undertaken to explore the association between hypertension and potential predictors.ResultsA total of 1183 adults (men 396, women 787) of ≥ 40years of age were assessed. The prevalence of hypertension was 46.2% (95% CI 43.5 – 49.3). Independent predictors of hypertension were found to be: age ≥50 (OR = 3.86, 95% CI: 2.86 – 5.21); illiteracy (OR = 1.90, 1.05 – 1.90); the consumption of rice >3 times per week (OR = 1.43, 1.07 – 1.91); family history of diabetes (OR = 2.20, 1.30 – 3.75); central obesity (OR = 1.67, 1.23 – 2.27); BMI ≥ 30 Kg/meter squared (OR = 2.08, 1.50 – 2.89). The consumption of chicken and fruit more than three times per week were protective with ORs respectively of 0.73 (0.55-0.97) and 0.64 (0.47 – 0.86).ConclusionsHypertension is a major public health problem in Afghan adults. We have identified a number of predictors which have potential for guiding interventions.

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“…Prevalence of overweight and obesity among women of child bearing age is especially important because of its association with multiple adverse health outcomes for the mother and foetus once [21]; and usually, women of reproductive age tend to accumulate fat much faster than those who are post menopause or those who are pre-menarche. There are several reasons for this condition including among others high energy intake [22], physical inactivity [23,17], age, place of residence, educational level and social economic status [7,18,24,25]. For example, lower levels of education among women, makes them less likely to find better paying jobs as such, fail to access food rich in minerals and nutrients.…”

Section: Introductionmentioning

confidence: 99%

Rural-urban differentials in the prevalence of overweight and obesity among women of child bearing age in Zambian

Bwalya

Mapoma

Mulenga

2022

ebph

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Introduction: Overweight and obesity have become leading causes of non-communicable diseases and millions of deaths worldwide every year are attributed to these conditions. Currently, diseases such as high blood pressure, strokes, type II diabetes, cancer among others, are attributable to overweight and obesity. This study sought to determine demographic and socioeconomic aspects associated with overweight and obesity among women residing in rural and urban areas of Zambia. It further examined the differences in factors that affect the prevalence of overweight and obesity among women residing in urban and those in rural areas of Zambia. Methods: The study analysed the BMI from a total of (6967) urban and (7855) rural women using data from the 2013-14 Zambia Demographic and Health Survey (ZDHS). Both univariate and bivariate analyses were performed to describe the study population. Binary logistic regression analysis was used to examine the effect of demographic and socioeconomic factors on overweight and obesity among women in rural and urban areas of Zambia. Results: overweight and obesity prevalence were (21.2 percent and 10.8 percent) among urban women versus (11.9 percent and 2.9 percent) among rural women. Age, region of residence, educational level and household wealth of women were significant predictors of both overweight and obesity among women regardless of place of residence. Women in urban areas who resided in male headed households, had (4-6 children) and drunk alcohol had higher odds of being overweight, whereas, women in male headed households only and reported having been drinking alcohol were associated with being obese. Literacy was found to be a major contributor of overweight among rural women. Conclusion: Overweight and obesity are markedly higher among urban women than rural women, and that differences on how these occur between these two groups of women have a socioeconomic and demographic dimension. In order to deal with increasing overweight and obesity challenges among women in Zambia, the paper recommends continued sensitizations about dangers of overweight and obesity with emphasis on behaviour changes in feeding or eating practices focussing more on traditional low fat and low calorie foods which in actual sense are cheaper and produce healthier results. Added to this recommendation is the need to change life styles to include routine exercising and increased medical check-ups.

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Influence of education in the prevalence of obesity in Iranian northern adults

Abstract: The obesity as a health problem in Iranian northern adults supported in this study and it was negatively associated with educational levels. Public health programs that aim to reduce obesity should primarily focus on the illiterate and low-educated people.

Cited by 14 publications

References 34 publications

An update on overweight and obesity in rural Northeast China: from lifestyle risk factors to cardiometabolic comorbidities

An update on overweight and obesity in rural Northeast China: from lifestyle risk factors to cardiometabolic comorbidities

Prevalence and predictors of adult hypertension in Kabul, Afghanistan

Rural-urban differentials in the prevalence of overweight and obesity among women of child bearing age in Zambian

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