Prevalence of overweight and obesity and its associated factors: findings from National Nutrition and Health Survey in Taiwan, 1993–1996

Lin, Yi-Chin; Yen, Lee-Lan; Chen, Ssu-Yuan; Kao, Mei-Ding; Tzeng, Min-Su; Huang, Po-Chao; Pan, Wen‐Harn

doi:10.1016/s0091-7435(03)00119-1

Cited by 107 publications

(92 citation statements)

References 12 publications

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“…13,[24][25][26] However, there is Hepatitis B infection and metabolic syndrome S-L Yen et al little information on obesity among the adolescents in Asia. Compared with college students who have normal weight, overweight students have higher blood pressure, fasting insulin, cholesterol and triglycerides levels.…”

Section: Discussionmentioning

confidence: 99%

Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen

Chiu

et al. 2007

Int J Obes

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Objective: To investigate the prevalence of metabolic syndrome and its associated risk factors in a cohort of university freshmen. Design: A cross-sectional study in a university health center in North Taiwan. Subjects: A total of 8226 students (mean age: 19.272.3 years) receiving pre-entrance health examinations and lifestyle questionnaires during the 2005-2006 academic year were recruited. Measurements: A fasting plasma glucose, lipids, uric acid and hepatitis B serology were measured for each subject. The prevalence of metabolic syndrome and its individual components were examined using the America Heart Association and National Heart Lung Blood Institute criteria. The risk factors for metabolic syndrome were identified using a multivariate logistic regression analysis. Results: The prevalence of overweight, obesity and metabolic syndrome was 12.7% (17.0% in men and 7.6% in women), 13.0% (18.4% in men and 6.4% in women) and 4.6% (6.4% in men and 2.4% in women). The risk for metabolic syndrome increased with an increase of body mass index and plasma uric acid level, and decreased with the vigorous physical activity and current alcohol drinking. Furthermore, as compared to subjects with seroprotective titers from hepatitis B vaccination (antiHBs( þ ) and anti-HBc(À)), those without protective titers of anti-HBs after vaccination or without hepatitis B infection (antiHBs(À) and anti-HBc(À)) had 34% higher risk for metabolic syndrome, and those with natural infection of hepatitis B (anti-HBc( þ )) had 58% higher risk for metabolic syndrome. Conclusions: Overweight, obesity and metabolic syndrome were more common among men than women in university freshmen. Hepatitis B vaccination with anti-HBs( þ ) was associated with a lower risk of metabolic syndrome as compared to antiHBs(À). However, hepatitis B infection presented with anti-HBc( þ ) was associated with a higher risk of metabolic syndrome. The interplay between hepatitis B infection, hepatitis B vaccination and metabolic syndrome needs further investigation.

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Section: Discussionmentioning

confidence: 99%

Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen

Chiu

et al. 2007

Int J Obes

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“…This Caucasian standard corresponds approximately to X27 kg/m 2 for Taiwanese adults. 1,20 Obesity, as the dependent variable of the research, was accordingly defined by the criterion of BMIX27 kg/m 2 .…”

Section: Dependent Variablementioning

confidence: 99%

“…Together with the economic growth, the prevalence of obesity among Taiwanese adults has also exceeded 10%. 1 The purpose of this study was to explore the risk factors associated with obesity in Taiwan. In addition to various commonly reported risk factors, betel nut chewing was also included.…”

Section: Introductionmentioning

confidence: 99%

Betel nut chewing and other risk factors associated with obesity among Taiwanese male adults

et al. 2005

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Objective: The research aimed at examining betel nut chewing and other risk factors associated with obesity among Taiwanese male adults. Design: The research analyzed the data obtained by the 2001 National Health Interview Survey in Taiwan that covered all the administrative divisions in Taiwan. Multistage stratified systematic sampling design was adopted for survey. All members of a sampled household received the interview. Subjects: The research analyzed questionnaires answered by nonaboriginal male respondents aged between 20 and 59 years old, and the total number of samples analyzed read 6126. Since very few female subjects chewed betel nut, they were excluded from the analysis. Measurements: Criteria of obesity was defined as body mass indexX27 kg/m 2 . The variables incorporated for analysis included the respondents' status of betel nut chewing, age, educational background, presence of hypertension and diabetes mellitus, drinking and smoking status, exercise status, and demand for physical strength at job. Generalized estimating equations model was employed to estimate the odd ratios (with 95% CI) of obesity of each independent variable. Results: Approximately 16.2% of respondents were obese. The distribution of betel nut chewing was current chewers 15.9%, ex-chewers 4.3%, and nonchewers 79.8%. After controlling above-mentioned independent variables, hypertension, diabetes mellitus, betel nut chewing, never exercising, and sedentary jobs were closely associated with obesity. Conclusion: The research found that betel nut chewing closely associated with obesity. The increased appetite of betel nut chewers is speculated as the underlying cause. The prospective study is needed to clarify this issue. In addition to increasing the risk of developing oral cancer, betel nut chewing seemed to be related with another health hazard: obesity.

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“…[1][2][3][4][5][6] The prevalence rates of overweight and obesity in Taiwanese adults have increased in recent years, particularly in the male population. 7,8 Obesity is a risk factor of several major health problems including hypertension, diabetes, heart disease, certain cancers and other chronic diseases. 9,10 Thus, finding the factors contributing to obesity is of utmost importance.…”

Section: Introductionmentioning

confidence: 99%

Associations of breakfast skipping with obesity and health-related quality of life: evidence from a national survey in Taiwan

et al. 2010

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Objective: This study investigated the associations of breakfast skipping with obesity and health-related quality of life (QOL). We also tested the hypothesis that there is a dose-dependent relationship between frequency of breakfast consumption and prevalence of obesity. Subjects and Design: This cross-section study used a national representative sample (n ¼ 15 340) from the 2005 Taiwan National Health Interview Survey. Breakfast skippers were defined as those who ate breakfast about once a week or less often and those who never ate breakfast. Individuals were classified as 'obese' if their body mass index was X27. Health-related QOL was assessed using the Medical Outcome Studies 36-Item Short-Form (SF-36) Health Survey. Logistic regression was used to examine the odds ratio of obesity and associated 95% confidence intervals (CIs) in breakfast skippers compared with breakfast eaters. Multivariable logistic regression modeling was used to adjust all risk estimates for covariates. Results: The unadjusted odds ratio of obesity in breakfast skippers was 1.23 (95% CI: 1.06, 1.43). The odds of developing obesity for breakfast skippers was 1.34 (95% CI: 1.15, 1.56) controlling for age, sex, marital status, educational level, monthly income, smoking, alcohol, betel nut chewing and exercise habit. The Cochran-Armitage trend test revealed that the prevalence rate of obesity decreased as the frequency of breakfast consumption increased (P ¼ 0.005). Breakfast skippers had significantly worse health-related QOL than breakfast eaters (Po0.001). Moreover, breakfast skippers had significantly lower scores in 5 out of 8 domain scores of the SF-36, namely general health perceptions (Po0.001), vitality (Po0.001), social functioning (P ¼ 0.036), emotional role (Po0.001) and mental health (Po0.001).

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Prevalence of overweight and obesity and its associated factors: findings from National Nutrition and Health Survey in Taiwan, 1993–1996

Cited by 107 publications

References 12 publications

Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen

Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen

Betel nut chewing and other risk factors associated with obesity among Taiwanese male adults

Associations of breakfast skipping with obesity and health-related quality of life: evidence from a national survey in Taiwan

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