Prevalence of obesity in primary care patients: The IBERICAN study.

IF 3.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Nutrition Metabolism and Cardiovascular Diseases Pub Date : 2024-10-20 DOI:10.1016/j.numecd.2024.09.021

Sergio Cinza-Sanjurjo, Miguel A Prieto-Díaz, Vicente Pallares-Carratala, Rafael Manuel Mico-Pérez, Alfonso Barquilla-García, Sonsoles M Velilla-Zancada, José Polo-García, Verónica Ortiz-Ainaga, Antonio Segura-Fragoso, Leovigildo Ginel-Mendoza, Vicente Martín-Sánchez

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Abstract

Background and aims: Obesity has an important role in the prognosis of the patients, and important regional differences were described in Spain. The aim is to determine the prevalence of obesity in Spanish primary care patients and its geographical distribution.

Methods and results: Prevalence study that included patients from the baseline interview of the IBERICAN study. Obesity was defined as a body mass index (BMI) greater than or equal to 30 kg/m² and abdominal obesity as a WC greater than or equal to 102 cm in men and 88 cm in women. Prevalence risks were calculated using unconditional logistic regression models, adjusting for socio-demographic variables and lifestyles. 58.8 % of the patients were obese according to any of the criteria used and 30.5 % met both criteria simultaneously. 33.7 % had a BMI greater than or equal to 30 kg/m² and 55.6 % had abdominal obesity. Women, older patients, rural residents, and retirees presented a higher risk of obesity. On the other hand, a higher economic status or education, regular exercise and high adherence to a Mediterranean diet were protective factors. The prevalence of obesity was heterogeneously distributed, and Canary Islands, Cantabria and Castilla la Mancha had significantly high risks of combined obesity (aOR = 1.80; 1.50 and 1.46 respectively).

Conclusions: Obesity is a highly prevalent disease in primary care patients, with significant geographical differences in Spain.

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肥胖症在初级保健患者中的流行：伊比利亚研究。

背景与目的：肥胖对患者的预后有重要影响，在西班牙有重要的地区差异。目的是确定西班牙初级保健患者的肥胖患病率及其地理分布。方法和结果：患病率研究，包括来自伊比利亚研究基线访谈的患者。肥胖定义为体重指数（BMI）大于或等于30 kg/m2，腹部肥胖定义为腰围男性大于或等于102 cm，女性大于或等于88 cm。使用无条件逻辑回归模型计算患病率风险，调整社会人口变量和生活方式。58.8%的患者符合其中任何一项标准，30.5%的患者同时符合两项标准。33.7%的人BMI大于或等于30 kg/m2, 55.6%的人患有腹部肥胖。女性、老年患者、农村居民和退休人员的肥胖风险较高。另一方面，较高的经济地位或受教育程度、经常锻炼和高度坚持地中海饮食是保护因素。肥胖患病率呈非均匀分布，加那利群岛、坎塔布里亚和卡斯蒂利亚-拉曼查合并肥胖风险较高(aOR = 1.80；1.50和1.46)。结论：肥胖是初级保健患者中非常普遍的疾病，在西班牙具有显著的地理差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrition Metabolism and Cardiovascular Diseases 医学-内分泌学与代谢

CiteScore

6.80

自引率

2.60%

发文量

332

审稿时长

57 days

期刊介绍： Nutrition, Metabolism & Cardiovascular Diseases is a forum designed to focus on the powerful interplay between nutritional and metabolic alterations, and cardiovascular disorders. It aims to be a highly qualified tool to help refine strategies against the nutrition-related epidemics of metabolic and cardiovascular diseases. By presenting original clinical and experimental findings, it introduces readers and authors into a rapidly developing area of clinical and preventive medicine, including also vascular biology. Of particular concern are the origins, the mechanisms and the means to prevent and control diabetes, atherosclerosis, hypertension, and other nutrition-related diseases.