Prevalence of general obesity and central adiposity and its related factors in adult population of Yazd

Mirzaei, Masoud; Sharifnia, Golnaz; Khazaei, Zaher; Sadeghi, Erfan; Fallahzadeh, Hossein; Namayandeh, Seyedeh Mahdieh

Volume 25, Issue 9 (Nov 2017) JSSU 2017, 25(9): 736-747 | Back to browse issues page

Mendeley

Zotero

RefWorks

Mirzaei M, Sharifnia G, Khazaei Z, Sadeghi E, Fallahzadeh H, Namayandeh S M. Prevalence of general obesity and central adiposity and its related factors in adult population of Yazd . JSSU 2017; 25 (9) :736-747
URL: http://jssu.ssu.ac.ir/article-1-4268-en.html

Prevalence of general obesity and central adiposity and its related factors in adult population of Yazd

Masoud Mirzaei

, Golnaz Sharifnia ^*

, Zaher Khazaei

, Erfan Sadeghi

, Hossein Fallahzadeh

, Seyedeh Mahdieh Namayandeh

Abstract: (11490 Views)

Introduction: Obesity as one of the most important public health problems is growing worldwide and it is associated with many non-communicable diseases. The aim of this study was investigating the prevalence of general obesity and central obesity and their related factors.
Methods: The data of this research were extracted from a population health survey of Yazd province, Iran (YaHS), which was conducted on 9911 adults aged 20-70 years in 2014-2015. Body Mass Index
(BMI) < 18.5 was considered underweight, in the range of 18.5 -24.9 healthy, from 25 to 29.9 overweight, and ≥30 was interpreted as obese. Central obesity was defined as the waist circumference (WC) of ≥ 102 cm for men and ≥ 88 cm for women as well as waist to hip ratio (WHO) ≥ 0.90 for men and ≥0.85 for women. Chi-square and one-way ANOVA tests were used for univariate analysis.
Results: The prevalence of underweight, overweight, and obesity in both genders were 3.7 % (4.0% in men and 3.4% in women), 37.7% (39.9% in men and 35.6% in women), and 27 % (19.3% in men and 34.7% in women), respectively. The prevalence of abdominal obesity based on WC and WHR were 44.8 (23.9% in males and 65.4% in females) and 69.8% (69.4% in males and 70.2% in females), respectively. Gender (female), old age, being married for both genders, and low education in women were associated with an increase in both types of obesity.
Conclusion: Overweight and obesity have affected more than half of the population (64%) and abdominal obesity has high prevalence in Yazd

Keywords: Obesity, Central Obesity, Overweight, Prevalence, Risk Factors, Waist Circumference, Hip circumference

Full-Text [PDF 1269 kb] (2165 Downloads)

Type of Study: Original article | Subject: Epidemiology
Received: 2017/07/27 | Accepted: 2017/10/14 | Published: 2018/01/9

References

1. Andersen K, Gudnason V. Chronic non-communicable diseases: a global epidemic of the 21st century. Laeknabladid 2012; 98(11): 591-95.

2. Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. International J obesity 2004; 28: 2-9.

3. Janghorbani M, Amini M, Willett WC, Gouya MM, Delavari A, Alikhani S, et al. First nationwide survey of prevalence of overweight, underweight, and abdominal obesity in Iranian adults. Obesity 2007; 15(11): 2797-808.

4. Obesity and overweight [updated June 2016]. Available from:. http://www.who.int/topics/obesity/en

5. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world—a growing challenge. New England J med 2007; 356(3): 213-5.

6. Alwan A. Global status report on noncommunicable diseases 2010. World Health Organization; 2011.

7. Hosseinpanah F, Barzin M, Eskandary PS, Mirmiran P, Azizi F. Trends of obesity and abdominal obesity in Tehranian adults: a cohort study. BMC public health 2009; 9(1): 426.

8. Khazaei S, Rezaeian S, Khazaei Z, Molaeipoor L, Nematollahi S, Lak P, et al. National breast cancer mortality and incidence rates according to the human development index: an ecological Study. Advances in Breast Cancer Res 2016; 5(01): 30.

9. Khazaei S, Mansori K, Soheylizad M, Gholamaliee B, Shadmani FK, Khazaei Z, et al. Epidemiology of Lung Cancer in Iran: Sex Difference and Geographical Distribution. Middle East J Cancer 2017; 8(4): 223-8.

10. Rahimi Pordanjani S, Baeradeh N, Khazaei Z, Goodarzi E, Beiranvand R, Alikhani A, et al. Epidemiological Trend and Distribution of Prevalent Cancers in Razavi Khorasan Province during 2005-2010, Iran. International J Preventive and Public Health Sci 2017.

11. Ashwell M, Cole TJ, Dixon AK. Obesity: new insight into the anthropometric classification of fat distribution shown by computed tomography. Br Med J (Clin Res Ed) 1985; 290(6483): 1692-4.

12. Vague J. The degree of masculine differentiation of obesities a factor determining predisposition to diabetes, atherosclerosis, gout, and uric calculous disease. The American J clinical nutrition 1956; 4(1): 20-34.

13. González AS, Bellido D, Buño MM, Pértega S, De Luis D, Martínez-Olmos M, et al. Predictors of the metabolic syndrome and correlation with computed axial tomography. Nutrition 2007; 23(1): 36-45.

14. Shils ME, Shike M. Modern nutrition in health and disease. Lippincott Williams & Wilkins; 2006.

15. Kavousi E, Khazaei Z, Amini A, Fattahi E, Panahi A, Sohrabivafa M, et al. Promoting Behaviors of Healthiness in two Domains of Physical Activity and Nutrition Statue in High School Students. Int J Pediatr 2017;5(5):4839-47.

16. Buss J. Limitations of body mass index to assess body fat. Workplace health & safety 2014; 62(6): 264-.

17. Consultation WE. Waist circumference and waist-hip ratio: Report of a WHO Expert Consultation.Geneva 2008: 8-11.

18. Karimi F, Jahandideh D, Dabbaghmanesh M, Fattahi M, Omrani GR. The prevalence of metabolic syndrome and its components among adults in a rural community, Fars, Iran. Int cardiovasc res j 2015; 9: 94-9.

19. Ghadiri-Anari A, Jafarizadah M, Zare A, Mozaffari-Khosravi H, Afkhami-Ardekani M, Shojaoddiny-Ardekani A. 003CC Prevalence of obesity and overweight among adults in Iranian population (Yazd Province). Iranian J Diabetes and Obesity 2013; 5(2): 67-70.

20. Available from: URL: https://academic.oup.com/ije/advance- articl-abstract/doi/10.1093/ije/dyx231/ 4658812? redirectedFrom=fulltext

21. World Health Organization. BMI classification [Online]. [cited 2006]; Available from: URL: http://apps.who.int/bmi/index.jsp?introPage=intro_3.html

23. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. Jama 2014; 311(8): 806-14.

24. Gutiérrez‐Fisac J, Guallar‐Castillón P, León‐Muñoz L, Graciani A, Banegas J, Rodríguez‐Artalejo F. Prevalence of general and abdominal obesity in the adult population of Spain, 2008–2010: the ENRICA study. Obesity reviews 2012; 13(4): 388-92.

25. Jafar TH, Chaturvedi N, Pappas G. Prevalence of overweight and obesity and their association with hypertension and diabetes mellitus in an Indo-Asian population. Canadian Med Association J 2006; 175(9): 1071-7.

26. Delibasi T, Karaaslan Y, Ustun I, Koroglu E, Hosgor S. National prevalence of underweight, overweight and obesity in Turkey: cross sectional study of a representative adult population. Open Medicine 2007; 2(3): 294-303.

27. Moghimi-Dehkordi B, Safaee A, Vahedi M, Pourhoseingholi A, Pourhoseingholi M, Ashtari S, et al. Overweight and obesity and related factors in urban Iranian population aged between 20 to 84 years. Annals of medical and health sciences res 2013; 3(2): 171-6.

28. Najafipour H, Yousefzadeh G, Forood A, Karamouzian M, Shadkam M, Mirzazadeh A.Overweight and obesity prevalence and its predictors in a general population: A community-based study in Kerman, Iran (Kerman coronary artery diseases risk factors studies). ARYA atherosclerosis 2016; 12(1): 18.

29. Hajian-Tilaki K, Heidari B. Association of educational level with risk of obesity and abdominal obesity in Iranian adults. J Public Health 2009; 32(2): 202-9.

30. Nikooyeh B, Abdollahi Z, Salehi F, Nourisaeidlou S, Hajifaraji M, Zahedirad M, et al. Prevalence of obesity and overweight and its associated factors in urban adults from West Azerbaijan, Iran: The National Food and Nutritional Surveillance Program (NFNSP). Nutrition and Food Sci Res 2016; 3(2): 21-6.

31. Rashidy‐Pour A, Malek M, Eskandarian R, Ghorbani R. Obesity in the Iranian population. Obesity reviews 2009; 10(1): 2-6.

32. Azadbakht, Mirmiran, Shiva, Azizi. General obesity and central adiposity in a representative sample of Tehranian adults: prevalence and determinants. International J vitamin and nutrition res 2005; 75(4): 297-304.

33. Hajian‐Tilaki K, Heidari B. Prevalence of obesity, central obesity and the associated factors in urban population aged 20–70 years, in the north of Iran: a population‐based study and regression approach. Obesity reviews 2007; 8(1): 3-10.

34. Jafari-Adli S, Jouyandeh Z, Qorbani M, Soroush A, Larijani B, Hasani-Ranjbar S. Prevalence of obesity and overweight in adults and children in Iran; a systematic review. J Diabetes & Metabolic Disorders 2014; 13(1): 121.

35. Seagle HM , Wyatt H, Hill JO. Obesity: overview of treatments and interventions. In: Coulston AM,Rock CL, Monsen ER (eds). Nutrition in the Prevention and Treatment of Disease, 1th edn. Academic Press: San Diego, CA 2001:465–681

36. Garawi F, Devries K, Thorogood N, Uauy R. Global differences between women and men in the prevalence of obesity: is there an association with gender inequality? European j clinical nutrition 2014; 68:1101-6.

37. Lifestyles Statistics Team HaSCIC. Statistics on obesity, physical activity and diet [Online]. [cited 2015 Mar 3]; Available from: URL: http://www.hscic.gov.uk/catalogue/PUB16988/obes

38. Cai L, Han X, Qi Z, Li Z, Zhang Y, Wang P, et al. Prevalence of overweight and obesity and weight loss practice among Beijing adults, 2011. PloS one 2014; 9(9): e98744.

39. Maddah M, Eshraghian M, Djazayery A, Mirdamadi R. Association of body mass index with educational level in Iranian men and women. European J Clinical Nutrition 2003; 57(7): 819-23.

40. Wu Y, Huxley R, Li M, Ma J. The growing burden of overweight and obesity in contemporary China. CVD Prevention and Control 2009; 4(1): 19-26.

41. Jeffery RW, Rick AM. Cross sectional and longitudinal associations between body mass index and marriage‐related factors. Obesity 2002; 10(8): 809-15.

42. Wang J, Thornton JC, Russell M, Burastero S, Heymsfield S, Pierson R. Asians have lower body mass index (BMI) but higher percent body fat than do whites: comparisons of anthropometric measurements. The American j clinical nutrition 1994; 60(1): 23-8.

43. Alperet DJ, Lim WY, Mok‐Kwee Heng D, Ma S, van Dam RM. Optimal anthropometric measures and thresholds to identify undiagnosed type 2 diabetes in three major Asian ethnic groups. Obesity 2016; 24(10): 2185-93.