塔吉克斯坦成年人口肥胖筛查:选定地区的试点项目

S.M. ABDULLOZODA, G.M. USMANOVA
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Results: Out of a total of 1,306 respondents, 74 (5.68%) were identified as underweight, with 33 males (5.63%) and 41 females (5.71%), p>0.05; 637 (48.85%) had normal body weight (NBW), with 338 males (57.67%) and 299 females (41.64%), p<0.001. OW was found in 330 respondents (25.3%) with 207 females (28.83%) and 123 males (20.98%), p<0.01; OB of various degrees was found in 263 respondents (20.17%) with 171 females (23.81%) and 92 males (15.69%), p<0.001. Among males, OB classes II and III were almost as common as among females, while OB class I was 3.7 times more prevalent in females (17.13% vs. 4.61%, p<0.001). The prevalence of OB class II was 5.01% and 0.34%, while OB class III was 4.09% and 1.67% in females and males, respectively (p>0.05). On average, waist circumference was 90.6±18.3 cm, hips were 99.5±17.4 cm, and neck was 34.2±6.1 cm in this cohort. The average waist circumference in this cohort was 90.6±18.3 cm, hips were 99.5±17.4 cm, and neck was 34.2±6.1 cm. OW was most often noted among residents of rural areas (n=308; 47.3%) compared with urban residents (n=285; 43.6%), p<0.001. A study comparing the occurrence of OW and OB between urban and rural residents found that the rural population had higher rates of both, with OW at 25.7% (p<0.001) and OB at 21.7%, compared to 24.9% (p<0.001) and 18.7% for the capital residents, respectively. Significant RFs for the development of OW and OB among the examined cohort include female gender, young age (18-44 years), smoking, frequent food consumption (more than 5 times a day), high intake of bakery products and sweets, a tendency to overeat upon breaking fasting during Ramadan, daily stress, and sedentary work. Conclusion: Screening results indicate that 45.5% of adults in the country are OW (25.3%) or OB (20.2%). OW mainly affects young and middle-aged men living in urban areas and young and middle-aged women in rural areas. 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引用次数: 0

摘要

目的:在试点地区的背景下,筛查塔吉克斯坦成年人口中超重(OW)和肥胖(OB)及其发展的可能危险因素(rf)。方法:对居住在塔吉克斯坦共和国杜尚别及Rudaki和Gissar地区(试点地区)农村地区的1304名参与者(女性718人,男性586人)进行OW和OB筛查,平均年龄为41.1±13.6岁。根据所采取的人体测量,确定参与者患有OW和OB。所有受访者都自愿书面同意参加该筛查计划。值得注意的是,受访者没有获得可能影响研究结果的经济或其他奖励。结果:1306名被调查者中,体重过轻74人(5.68%),其中男性33人(5.63%),女性41人(5.71%),p gt;0.05;体重正常(NBW) 637例(48.85%),其中男性338例(57.67%),女性299例(41.64%),p < 0.001。其中女性207例(28.83%),男性123例(20.98%),p < 0.01;263人(20.17%)存在不同程度的OB,其中女性171人(23.81%),男性92人(15.69%),p < 0.001。在男性中,II级和III级OB与女性几乎相同,而I级OB在女性中的患病率是女性的3.7倍(17.13% vs. 4.61%, p<0.001)。女性和男性OB II类患病率分别为5.01%和0.34%,OB III类患病率分别为4.09%和1.67% (p < 0.05)。平均腰围为90.6±18.3 cm,臀围为99.5±17.4 cm,颈围为34.2±6.1 cm。该队列的平均腰围为90.6±18.3 cm,髋部为99.5±17.4 cm,颈部为34.2±6.1 cm。OW在农村居民中最为常见(n=308;47.3%),而城市居民(n=285;43.6%),术中;0.001。一项比较城乡居民OW和OB发病率的研究发现,农村人口OW和OB的发病率都较高,分别为25.7% (p<0.001)和21.7%,而首都居民分别为24.9% (p<0.001)和18.7%。研究队列中发生OW和OB的重要影响因素包括女性、年轻(18-44岁)、吸烟、频繁进食(每天超过5次)、大量摄入烘焙产品和糖果、在斋月期间禁食时暴饮暴食、日常压力和久坐不动的工作。结论:筛查结果显示,全国45.5%的成年人为OW(25.3%)或OB(20.2%)。OW主要影响生活在城市地区的中青年男性和农村地区的中青年女性。从结果可以明显看出,需要在塔吉克斯坦人口中提倡健康的生活方式、健康饮食和体育活动。关键词:超重,肥胖,筛查,危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SCREENING FOR OBESITY IN TAJIKISTAN ADULT POPULATION: A PILOT PROJECT IN SELECTED DISTRICTS
Objective: Screening for overweight (OW) and obesity (OB), as well as possible risk factors (RFs) for their development among the adult population of Tajikistan in the context of pilot areas. Methods: OW and OB screening was conducted on 1304 participants (718 females, 586 males) with a mean age of 41.1±13.6 residing in Dushanbe and rural areas of Rudaki and Gissar districts (pilot areas) in the Republic of Tajikistan without prior randomization. Based on the anthropometric measurements taken, it was determined that the participants have OW and OB. All respondents gave voluntary written consent to participate in this screening program. Notably, the respondents received no financial or other rewards that could impact the study results. Results: Out of a total of 1,306 respondents, 74 (5.68%) were identified as underweight, with 33 males (5.63%) and 41 females (5.71%), p>0.05; 637 (48.85%) had normal body weight (NBW), with 338 males (57.67%) and 299 females (41.64%), p<0.001. OW was found in 330 respondents (25.3%) with 207 females (28.83%) and 123 males (20.98%), p<0.01; OB of various degrees was found in 263 respondents (20.17%) with 171 females (23.81%) and 92 males (15.69%), p<0.001. Among males, OB classes II and III were almost as common as among females, while OB class I was 3.7 times more prevalent in females (17.13% vs. 4.61%, p<0.001). The prevalence of OB class II was 5.01% and 0.34%, while OB class III was 4.09% and 1.67% in females and males, respectively (p>0.05). On average, waist circumference was 90.6±18.3 cm, hips were 99.5±17.4 cm, and neck was 34.2±6.1 cm in this cohort. The average waist circumference in this cohort was 90.6±18.3 cm, hips were 99.5±17.4 cm, and neck was 34.2±6.1 cm. OW was most often noted among residents of rural areas (n=308; 47.3%) compared with urban residents (n=285; 43.6%), p<0.001. A study comparing the occurrence of OW and OB between urban and rural residents found that the rural population had higher rates of both, with OW at 25.7% (p<0.001) and OB at 21.7%, compared to 24.9% (p<0.001) and 18.7% for the capital residents, respectively. Significant RFs for the development of OW and OB among the examined cohort include female gender, young age (18-44 years), smoking, frequent food consumption (more than 5 times a day), high intake of bakery products and sweets, a tendency to overeat upon breaking fasting during Ramadan, daily stress, and sedentary work. Conclusion: Screening results indicate that 45.5% of adults in the country are OW (25.3%) or OB (20.2%). OW mainly affects young and middle-aged men living in urban areas and young and middle-aged women in rural areas. The need to promote a healthy lifestyle, healthy eating, and physical activity among the population of Tajikistan is evident from the results. Keywords: Overweight, obesity, screening, risk factors.
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