Gender-specific weight-control behaviors : Utilizing the Narcotics Information Management System and Community Health Survey in 2020

IF 4.7 3区医学 Q1 INFECTIOUS DISEASES

Journal of Infection and Public Health Pub Date : 2025-05-15 DOI:10.1016/j.jiph.2025.102830

Kyung Sun Oh , Euna Han

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引用次数: 0

Abstract

Background

The prevalence of obesity and weight management differ by gender in Korea. This study aims to examine these differences by analyzing the patterns of pharmacological prescriptions of narcotic appetite suppressants and non-pharmacological weight control methods across genders.

Methods

This study utilized two datasets: the Community Health Survey (CHS), representing non-pharmacological interventions on a national scale, and the Narcotics Information Management System (NIMS), detailing pharmacological practices for weight control. The CHS provided data on obesity, physical activity, nutrition information, and lifestyle behaviors (smoking, drinking, walking), while NIMS data encompassed the use of narcotic appetite suppressants for weight management. A comparative analysis of the two data sources was conducted.

Results

Obesity rates were higher among men in their 30 s (51.3 %) and 40 s (46.5 %), whereas women showed increased obesity in their 50 s (25.7 %) and 60 s (31.4 %). Weight control attempts were more prevalent among women, who were more likely to engage in nutritional interventions and pharmacological treatments, particularly opioid appetite suppressants. Over 60 % of these prescriptions were given to women in their 30 s and 40 s, with phendimetrazine and phentermine being the most commonly prescribed. In men, the use of narcotic appetite suppressants was positively associated with high levels of physical activity (β = 9.16, 95 % CI: 2.92–15.41), while in women, prescriptions were associated with favorable health behaviors (β = 11.63, 95 % CI: 3.54–19.73).

Conclusions

It is vital to recommend gender- and age-specific weight control strategies, both non-pharmacological and pharmacological. To prevent misuse, societal consensus on the appropriate prescription of narcotic appetite suppressants is crucial.

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基于性别的体重控制行为：利用2020年毒品信息管理系统和社区健康调查

在韩国，肥胖的患病率和体重管理因性别而异。本研究旨在通过分析不同性别的麻醉性食欲抑制剂和非药物体重控制方法的药物处方模式来检验这些差异。方法本研究使用了两个数据集：社区卫生调查（CHS），代表了全国范围内的非药物干预措施，以及麻醉品信息管理系统（NIMS），详细说明了药物控制体重的做法。CHS提供了肥胖、体育活动、营养信息和生活方式行为（吸烟、饮酒、步行）的数据，而NIMS数据包括使用麻醉食欲抑制剂进行体重管理的数据。对两个数据源进行了对比分析。结果男性在30岁 年龄段（51.3% %）和40岁 年龄段（46.5% %）肥胖率较高，女性在50岁 年龄段（25.7% %）和60岁 年龄段（31.4% %）肥胖率较高。控制体重的尝试在女性中更为普遍，她们更有可能参与营养干预和药物治疗，特别是阿片类食欲抑制剂。这些处方中60% %以上是给30 岁和40 岁的妇女开的，其中苯地美嗪和芬特明是最常用的处方。在男性中，麻醉性食欲抑制剂的使用与高水平的身体活动呈正相关（β = 9.16, 95 % CI: 2.92-15.41），而在女性中，处方与良好的健康行为相关（β = 11.63, 95 % CI: 3.54-19.73）。结论推荐针对性别和年龄的体重控制策略至关重要，包括非药物和药物控制策略。为了防止滥用，对麻醉食欲抑制剂的适当处方达成社会共识至关重要。

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

Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES

CiteScore

13.10

自引率

1.50%

发文量

203

审稿时长

96 days

期刊介绍： The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.