Author/Authors :
Bahri ، Sara Endocrinology and Metabolism Research Center - Hormozgan University of Medical Sciences , Kheirandish ، Masoumeh Endocrinology and Metabolism Research Center - Hormozgan University of Medical Sciences , Rafati ، Shideh Social Determinants in Health Promotion Research Center - Hormozgan University of Medical Sciences , Nejatizadeh ، Azim Molecular Medicine Research Center, Hormozgan Health Institute - Hormozgan University of Medical Sciences , Shahbazi ، Roghayeh Cellular and Molecular Medicine Department - Faculty of Medicine - University of Ottawa , Zoghi ، Ghazal Endocrinology and Metabolism Research Center - Hormozgan University of Medical Sciences , Davoudi ، Hossein Department of Clinical Nutrition - School of Nutrition Sciences and Food Technology - Shahid Beheshti University of Medical Sciences , Shareghi Brojeni ، Masoud Endocrinology and Metabolism Research Center - Hormozgan University of Medical Sciences , Hajiabdolrassouli ، Ladan Endocrinology and Metabolism Research Center - Hormozgan University of Medical Sciences
Abstract :
Background: Obesity is a major health problem in many countries such as Iran. This study aimed to evaluate the prevalence of overweight and obesity and their associated risk factors in Bandare-Kong, Hormozgan, Iran. Materials and Methods: This cross-sectional survey included 3921 participants of the Bandare-Kong Cohort Study (BKNCD). Their baseline data were used for analysis. General obesity was defined as the body mass index (BMI) ≥ 30 kg/m² and overweight as 25≤BMI 30. Central obesity was defined as waist circumference (WC) ≥ 95 cm. Results: The prevalence of overweight, general, and central obesity was 39%, 24%, and 30.5%, respectively. Female gender (adjusted odds ratio [aOR] = 5.11, 95% confidence interval [CI]: 3.74-6.96 and aOR = 1.70, 95% CI: 1.34-2.16), hypertension (aOR = 2.43, 95% CI: 1.81-3.26 and aOR = 1.26, 95% CI: 1.04-1.52), and hypertriglyceridemia (aOR = 1.76, 95% CI: 1.31-2.38 and aOR = 1.26, 95% CI: 1.05-1.51) were significantly associated with both general and central obesity. Higher WC (aOR = 503.89, 95% CI: 331.76-765.32), higher calorie intake (aOR = 1.03, 95% CI: 1.02-1.04), and urban residency (aOR = 2.99, 95% CI: 2.06-4.32) were correlated with general obesity. BMI ≥ 25 kg/m² (aOR = 46.81, 95% CI: 35.53-61.67), higher fasting plasma glucose (aOR = 1.03, 95% CI: 1.01-1.04), older age (aOR = 1.03, 95% CI: 1.02-1.04) and being unemployed (aOR = 1.49, 95% CI: 1.18-1.89) were significantly associated with central obesity. Conclusion: Overall, a significant correlation was found among female gender, hypertension, and hypertriglyceridemia with general and central obesity in this study. Given the high prevalence of obesity in this population, regional public health authorities should take appropriate measures to reduce these rates in order to prevent obesity-associated complications.