印度尼西亚城市成年人超重/肥胖相关因素

H. Khusun, Luh Ade Wiradnyani, Nora Siagian
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引用次数: 11

摘要

超重/肥胖在包括印度尼西亚在内的发展中国家正在增加,在城市地区比农村地区更为普遍。了解超重/肥胖的相关因素对干预目的很重要。该研究的目的是评估印尼城市人群中与超重/肥胖相关的因素。本横断面研究收集了印度尼西亚5个主要城市864名18-45岁成年人的原始数据。测量体重、身高、腰围和臀围,超重/肥胖定义为BMI>25 kg/ m2。通过逻辑回归得出与超重/肥胖相关的因素。研究表明,女性超重/肥胖的比例明显高于男性(42.8%和29.2%)。总能量摄入中位数是1974千卡/天,脂肪摄入中位数很高(75.3克;第25 -75百分位:49.6-109.4 g)。超过70%的受试者经常食用高能量密度的食物/饮料。只有27%的受试者有高强度的体育活动/PA水平,超过50%的受试者使用电视/电脑的时间超过6小时,表明PA水平较低。在对混杂因素进行调整后,高能量密度食物的摄入通常与超重/肥胖之间存在关联,尽管并不显著。此外,每天看电视或使用电脑超过6小时的久坐不动的男性和每天较少进行剧烈运动的女性超重/肥胖的几率分别高出1.4倍和3倍。因此,预防超重/肥胖应侧重于减少高密度能量食物的摄入,包括脂肪的摄入;此外,通过增加娱乐活动的时间和减少电视/电脑的使用,尤其是在已婚的城市老年人中,可以提高PA水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FACTORS ASSOCIATED WITH OVERWEIGHT/OBESITY AMONG ADULTS IN URBAN INDONESIA
Overweight/obesity is increasing in developing countries, including Indonesia, being more prevalent in urban than rural areas. Understanding about associated factors of overweight/obesity is important for intervention purposes. The study objective was to assess factors associated with overweight/obesity in urban Indonesians. This cross-sectional study involved primary data collection among 864 adults aged 18-45 years in five major urban cities of Indonesia. Weight, height, waist and hip circumference were measured, and overweight/obesity was defined as BMI>25 kg/m 2 . Factors associated to overweight/obesity was ellicited by logistic regression. The study showed that proportion of overweight/obesity was significantly higher among women than men (42.8% and 29.2%). Median total energy intake was 1974 kcal/day, and median fat intake was high (75.3 g; 25 th -75 th percentile: 49.6-109.4 g). More than 70 percent of subjects consumed high energy dense food/beverages often. Only around 27 percent of the subjects had high intensity physical activity/PA level and more than 50 percent spent >6 hours using TV/computer, indicating low PA level. After adjusting for confounders, often consumption of high energy dense food consistenly showed association, although not signficant, with overweight/obesity. Moreover, men with higher sedentary activities indicated by TV/computer usage >6 hours/day and women with less days of performing vigorous PA had 1.4 and 3 times higher odds to become overweight/obese, respectively. Thus, overweight/obesity prevention should focus on reduction of consumption of high-dense energy food, including fat intake; coupled with increasing PA level by having more days of vigourous recreational PA and reduction of TV/computer usage, especially among married older urban adult.
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