Prevalence and Correlated Factors of Obesity, Overweight and Central Obesity in Southwest of Iran
Background: We assessed the prevalence of obesity, overweight, central obesity and their associated risk factors in an urban population in Ahvaz, southwest of Iran.
Methods: This population-based cross-sectional study was performed via random cluster sampling method in 6 health centers in Iran in 2015. A questionnaire was completed by each individual.
Results: Of 2575 participants, 1187 (46%) were men. Nearly 50% of the participants’ level of education was high school or higher. About 82% of the population was married and about one-third had positive family history of parental obesity. The total prevalence of obesity, overweight, and central obesity were 26.5%, 38.7%, and 28.6%, respectively. The rate of obesity in men was lower than in women (P<0.001). The prevalence of obesity increased until the age of 60 yr in both genders and decreased thereafter except for central obesity in women, which increased without any lag. Low level of education, marriage, positive history of parental obesity and parity ≥five were associated with increased odds of obesity (OR=2.14(1.52, 3.00), OR=2.4(1.75, 2.99), OR=2.7(1.71, 3.2) and 4.16(2.17, 7.65), respectively).
Conclusion: Obesity and overweight have a high prevalence in southwest of the country, increasing with age. Although several risk factors are associated with obesity, the prevalence of obesity and overweight can be reduced by controlling the risk factors in the community.
2. Gaziano JM. Global burden of cardiovascular disease (2005). Braunwald's Heart Disease 7th ed Philadelphia: Elsevier Saunders.pp.:423-55.
3. Rao SV, Donahue M, Pi-Sunyer FX, Fuster V(2001). Obesity as a risk factor in coronary artery disease. Am Heart J,142(6):1102-7.
4. Schulz TJ, Tseng Y-H(2009). Emerging role of bone morphogenetic proteins in adipogenesis and energy metabolism. Cytokine Growth Factor Rev, 20(5-6):523-31.
5. James PT, Leach R, Kalamara E, Shayeghi M (2001). The worldwide obesity epidemic. Obes Res, 9 Suppl 4:228S-233S..
6. Asgari F, Aghajani H, Haghazali M, Heidarian H (2009). Non-Communicable Diseases Risk Factors Surveillance in Iran. Iran J Public Health, 38(1) :119-22.
7. Esteghamati A, Alipasha M, Khalilzadeh O et al (2009). National surveillance of risk factors of non-communicable diseases (SuRFNCD-2007) in Iran: methods and results on prevalence of diabetes, hypertension, obesity, central obesity, and dyslipidemia. BMC Public Health, 9:167.
8. Janghorbani M, Amini M, Willett WC et al (2007). First Nationwide Survey of Prevalence of Overweight, Underweight, and Abdominal Obesity in Iranian Adults. Obesity (Silver Spring), 15 ( 11): 2797–2808.
9. WHO (2000). Obesity: preventing and managing the global epidemic: World Health Organization.
10. WHO (1997). Preventing and managing the global epidemic (report of a WHO Consultation on Obesity). Geneva: World Health Organization.
11. Aekplakorn W, Mo‐suwan L (2009). Prevalence of obesity in Thailand. Obes Rev, 10(6):589-92.
12. Azadbakht L, Mimiran P, Mehrabi Y, Azizi F, editors (2003). A survey of trend of obesity prevalence in Tehranian Adults during 1999–2001. Tehran Lipid Study. Proceeding of 2nd congress of prevention of non-communicable diseases, Tehran J Med Res Shahid Beheshti Univ Suppl.
13. Maddah M, Solhpour A (2009). Obesity in relation to gender, educational levels and living area in adult population in Rasht, northern Iran. Int J Cardiol, 145(2):310-1.
14. Hajian‐Tilaki K, Heidari B (2007). 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. Obes Rev, 8(1):3-10.
15. Fakhrzadeh H, Pourebrahim R, Nouri M et al (2003). Prevalence of overweight and obesity in normal population of area of 17 in Tehran. Proceeding of 2nd congress of prevention of non-communicable diseases, Tehran J Med Res Shahid Beheshti Univ Suppl.
16. Rashidy‐Pour A, Malek M, Eskandarian R, Ghorbani R (2009). Obesity in the Iranian population. Obes Rev, 10(1):2-6.
17. Veghari G, Sedaghat M, Joshaghani H et al (2010). The prevalence of obesity and its related risk factor in the north of iran in 2006. J Res Health Sci, 10(2):116-21.
18. Musaiger AO (2011). Overweight and obesity in eastern mediterranean region: prevalence and possible causes. J Obes, 2011:407237.
19. De Marins V, Almeida R, Pereira R, Barros M (2001). Factors associated with overweight and central body fat in the city of Rio de Janeiro: results of a two-stage random sampling survey. Public Health,115(3):236-42.
20. Sibai AM, Hwalla N, Adra N, Rahal B (2003). Prevalence and covariates of obesity in Lebanon: findings from the first epidemiological study. Obes Res, 11(11):1353-61.
21. Mohtasham-Amiri Z, Maddah M, Nagshpour P et al (2003). A study of obesity prevalence in middle age women in Rasht city/Iran. Proceeding of 2nd congress of prevention of non-communicable diseases, Tehran J Med Res Shahid Beheshti Univ Suppl.
22. Al-Riyami AA, Afifi MM (2003). Prevalence and correlates of obesity and central obesity among Omani adults. Saudi Med J, 24(6):641-6.
23. Shahbazian H, Latifi SM, Jalali MT et al (2013). Metabolic syndrome and its correlated factors in an urban population in South West of Iran. J Diabetes Metab Disord, 12(1):11.
24. Kac G, Velásquez-Meléndez G, Coelho MAS (2001). Factors associated with abdominal obesity among childbearing-age women. Rev Saude Publica, 35(1):46-51.
25. Koch E, Bogado M, Araya F et al (2008). Impact of parity on anthropometric measures of obesity controlling by multiple confounders: a cross-sectional study in Chilean women. J Epidemiol Community Health, 62(5):461-70.
26. Sturm R (2003). Increases in clinically severe obesity in the United States, 1986-2000. Arch Intern Med.163(18):2146-8.
27. Flegal KM, Carroll MD, Kit BK, Ogden CL (2012). Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA, 307(5):491-7.
28. Xi B, Liang Y, He T et al (2012). Secular trends in the prevalence of general and abdominal obesity among Chinese adults, 1993–2009. Obes Rev,13(3):287-96.
|Issue||Vol 48 No 7 (2019)|
|Obesity Overweight Central obesity Body mass index Prevalence|
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