شيوع چاقي عمومي و چاقي مركزي و فاكتورهاي مرتبط با آن در جمعيت بزرگسال شهرستان يزد در سال 1394 - 1393

Prevalence of general obesity and central adiposity and its related factors in adult population of Yazd

مقدمه: چاقي به عنوان يكي از مشكلات مهم بهداشت عمومي، در سراسر جهان درحال رشد بوده و با بسياري از بيماري هاي غير واگير مرتبط است. اين مطالعه با هدف بررسي شيوع چاقي عمومي و چاقي مركزي و فاكتورهاي مرتبط با آن انجام گرفت. روش بررسي: داده هاي اين پژوهش از مطالعه سلامت مردم يزد (yahs) كه مبتني بر جمعيت و روي 99-11 فرد بزرگسال 70-20 سال شهرستان يزد در سال 1394-1393انجام شد، استخراج شده است.. نمايه توده بدني bmi < 18.5، 18/5 - 24/9، 25-29/9 و ≥30 كيلوگرم بر متر مربع به ترتيب لاغر، نرما ل، اضافه وزن و چاق در نظر گرفته شد. در مردان دور كمر (wc) of ≥ 102 و در زنان ≥ 88 سانتي متر و همچنين نسبت دور كمر به دور لگنwhr در مردان who ≥ 0.90 و در زنان ≥0.85 به عنوان چاقي مركزي تعريف شد. آزمون آماري كاي دو و anova يك طرفه براي آناليز هاي تك متغيره استفاده شد.نتيجه گيري: اضافه وزن و چاقي بيش از نصف جمعيت (64%) شهرستان يزد را درگير كرده است و همچنين چاقي شكمي نيز شيوع بالايي داشته است.

Introduction: Obesity as one of the most important public health problems is growing worldwide and it is associated with many non-communicable diseases. The aim of this study was investigating the prevalence of general obesity and central obesity and their related factors. Methods: The data of this research were extracted from a population health survey of Yazd province، Iran (YaHS)، which was conducted on 9911 adults aged 20-70 years in 2014-2015. Body Mass Index (BMI) < 18.5 was considered underweight، in the range of 18.5 -24.9 healthy، from 25 to 29.9 overweight، and ≥30 was interpreted as obese. Central obesity was defined as the waist circumference (WC) of ≥ 102 cm for men and ≥ 88 cm for women as well as waist to hip ratio (WHO) ≥ 0.90 for men and ≥0.85 for women. Chi-square and one-way ANOVA tests were used for univariate analysis. Results: The prevalence of underweight، overweight، and obesity in both genders were 3.7 % (4.0% in men and 3.4% in women)، 37.7% (39.9% in men and 35.6% in women)، and 27 % (19.3% in men and 34.7% in women)، respectively. The prevalence of abdominal obesity based on WC and WHR were 44.8 (23.9% in males and 65.4% in females) and 69.8% (69.4% in males and 70.2% in females)، respectively. Gender (female)، old age، being married for both genders، and low education in women were associated with an increase in both types of obesity. Conclusion: Overweight and obesity have affected more than half of the population (64%) and abdominal obesity has high prevalence in Yazd