scholarly journals Trends in Obesity and Metabolic Status Among a Health Check-Up Population in Beijing and Hunan Between 2012 and 2020

2021 ◽  
Author(s):  
Ying Li ◽  
Lin Yang ◽  
Lu Yin ◽  
Qingqi Liu ◽  
Yaqin Wang ◽  
...  
Keyword(s):  
Weight Control ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Study Data ◽  
Metabolic Status ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Control Plan ◽  
Metabolically Healthy Obese ◽  
Prevalence Of Obesity

Abstract Background: Previous cross-sectional studies have reported the prevalence of obesity and metabolic status in China. However, the trend of change in obesity and metabolic status, especially in different sex and age groups are lacking. Methods: In a series cross-sectional study, data on 256,782 participants surveyed between 2014 and 2020 in Beijing and 697,170 participants surveyed between 2012 and 2020 in Hunan were analyzed. Anthropometrics, blood pressure measurements, and blood tests were performed according to standard protocols. Trends in obesity and metabolic status were evaluated using the Joinpoint software to estimate annual percentage changes in slopes.Results: Based on age- and sex-standardized values, the mean BMI values in Beijing and Hunan participants were 23.94 (95%CI: 23.93, 23.95) and 23.68 (95%CI: 23.67, 23.69) kg/m2, respectively. Between 2014-2020, the overall obesity prevalence among Beijing participants increased from 12.70% (95%CI: 12.17%, 13.23%) to 14.33% (95% CI: 13.97%, 14.70%) (P=0.009), mainly derived by the 20-39 and 40-59 age groups. Moreover, the prevalence of metabolically healthy obese significantly increased from 2.07% (95%CI: 1.84%, 2.30%) to 4.33% (95% CI: 4.13%, 4.53%) in Beijing. Between 2012-2020, no significant trend in obesity was found among overall Hunan participants, but the prevalence of metabolically unhealthy obese significantly increased from 5.36% (95% CI: 5.18%, 5.54%) to 7.35% (95% CI: 7.11%, 7.58%), mainly derived by the 20-39 and 40-59 age groups.Conclusions: The trends in obesity and metabolic status were different between Hunan and Beijing. National weight control plan is needed in China, with a particular focus on young and middle-aged population.

scholarly journals Trends in Obesity and Metabolic Status in Northern and Southern China Between 2012 and 2020

2022 ◽  
Vol 8 ◽  
Author(s):  
Ying Li ◽  
Lin Yang ◽  
Lu Yin ◽  
Qingqi Liu ◽  
Yaqin Wang ◽  
...  
Keyword(s):  
Weight Control ◽  
Southern China ◽  
Age Groups ◽  
Northern China ◽  
Cross Sectional Study ◽  
Study Data ◽  
Metabolic Status ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Control Plan

Background: The trends of obesity-associated metabolic status in Chinese are lacking, especially those from different regions.Objectives: To examine the trends of obesity and metabolic status among Chinese population in 2012–2020.Methods: In a series cross-sectional study, data on 256,782 participants surveyed between 2014 and 2020 in Beijing, northern China, and 697,170 participants surveyed between 2012 and 2020 in Hunan, southern China were analyzed. Anthropometrics, blood pressure measurements, and blood tests were performed according to standard protocols. Trends in obesity and metabolic status were evaluated using the Joinpoint software.Results: Based on age- and sex-standardized values, the mean BMI values in northern and southern participants were 23.94 (95% CI: 23.93, 23.95) and 23.68 (95% CI: 23.67, 23.69) kg/m2, respectively. Between 2014 and 2020, the overall obesity prevalence among northern participants increased from 12.70% (95% CI: 12.17, 13.23%) to 14.33% (95% CI: 13.97, 14.70%) (P = 0.009), mainly derived by the 20–39 and 40–59 age groups. Moreover, the prevalence of metabolically healthy obese significantly increased from 2.07% (95% CI: 1.84, 2.30%) to 4.33% (95% CI: 4.13, 4.53%) in Northerners. Between 2012 and 2020, no significant trend in obesity was found among overall southern participants, but the prevalence of metabolically unhealthy obese significantly increased from 5.36% (95% CI: 5.18, 5.54%) to 7.35% (95% CI: 7.11, 7.58%), mainly derived by the 20–39 and 40–59 age groups.Conclusions: The trends in obesity and metabolic status were different between southern and northern Chinese. A national weight control plan is needed in China, focusing on young and middle-aged population.

scholarly journals Large heterogeneity of the obesity epidemic in Danish adults

2004 ◽  
Vol 7 (3) ◽  
pp. 453-460 ◽  
Author(s):  
Berit L Heitmann ◽  
Ulla Strøger ◽  
Kim L Mikkelsen ◽  
Claus Holst ◽  
Thorkild IA Sørensen
Keyword(s):  
Age Groups ◽  
Secular Change ◽  
Obesity Prevalence ◽  
Birth Cohorts ◽  
Linear Change ◽  
Cross Sectional ◽  
Men And Women ◽  
Obesity Epidemic ◽  
Increasing Trend ◽  
Prevalence Of Obesity

AbstractObjective:To examine to what extent the obesity epidemic is a general phenomenon in adults by assessing the secular change, by birth cohort and age, in the prevalence of obesity and median body mass index (BMI) in Danish men and women measured between 1964 and 1994.Design:Multiple cross-sectional population surveys.Setting:The greater Copenhagen area of Denmark.Subjects:The study included 17 065 men (30 336 observations) and 13 417 women (24 065 observations), aged 20–84 years.Main outcome measures:Trends in median BMI and prevalence of obesity estimated from measured height and weight in 10-year age groups.Results:In general the prevalence of obesity was increasing, although in an irregular way: among men in two phases, during the 1970s and 1990s and among women only during the 1990s. Great heterogeneity was observed between birth cohorts and age groups. There was only little indication of an increasing trend in obesity prevalence for women, except for the 55–64-year-olds. In men, the prevalence of obesity was increasing in all age groups except in the youngest ones, and it was statistically significant only for men aged 35–74 years. There was no significant linear change in median BMI in any group, except for an increasing trend among men aged 50 years and above.Conclusion:Although the overall Danish trend for obesity prevalence, similar to trends world-wide, showed a marked increase, the trend was very heterogeneous and generally neither uniform nor significantly positive; the changes were irregular, different among men and women, and different in the different age and birth cohorts. The obesity problem in middle-aged and older men of certain birth cohorts poses a specific public health challenge. Future studies of determinants behind the heterogeneity in the development of the obesity epidemic may provide clues to its causes.

Disparities in obesity prevalence and obesity-related behaviors among adolescents in Trinidad and Tobago

2017 ◽  
Vol 0 (0) ◽  
Author(s):  
Colwick Wilson ◽  
Susan Woolford ◽  
Leon Wilson ◽  
David Williams ◽  
Winetta Oloo
Keyword(s):  
Trinidad And Tobago ◽  
Weight Status ◽  
Cross Sectional Study ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Race And Gender ◽  
Stratified Sample ◽  
Control And Prevention ◽  
Prevalence Of Obesity ◽  
And Gender

Abstract Objective African Americans adolescents have disproportionately high rates of obesity compared to their Caucasian peers. Little is known about the rates of obesity among adolescents of African descent in countries with diverse populations. Therefore, we aimed to determine the prevalence of obesity and weight-related behaviors among adolescents in Trinidad and Tobago and to explore differences by race and gender. Methods In this cross-sectional study, students from a national stratified sample of high schools (n = 42) in Trinidad and Tobago completed a self-administered survey regarding their health habits. Body mass index (BMI) was calculated from measured height (via a portable stadiometer) and weight (via a digital scale), and BMI percentiles determined using Centers for Disease Control and Prevention (CDC) growth charts. Univariate calculations and χ2 analyses were performed to determine obesity prevalence and explore associations between obesity and self-reported demographic factors and weight-related behaviors. One-way analysis of variance (ANOVA) was used to test mean difference in weight status and multivariate analyses explored the role of gender and race after adjusting for covariates. Results Of the 3618 adolescents in the study, 56.3% were female. Race: 31.9% Black-Trinidadian, 33.7% Indo-Trinidadian and 33.4% Mixed-Race. Mean age was 17.6 years. The overall prevalence of obesity was 7%, but this differed by race (Black-Trinidadians 17%, Mixed-Trinidadians 2%, Indo-Trinidadians 1%). Black-Trinidadian girls were most likely to be obese (28.1%) and to engage in obesity related habits than their peers. Conclusion Black-Trinidadian girls have a significantly higher prevalence of obesity than their peers. Further work should explore culturally tailored interventions to address obesity prevention and treatment in this group.

scholarly journals The Association Between Food-Away-From-Home Frequency and a Higher BMI Varies by Food Security Status in US Adults

2020 ◽  
Author(s):  
Mayra S Crespo-Bellido ◽  
Stephanie K Grutzmacher ◽  
Yumie Takata ◽  
Ellen Smit
Keyword(s):  
Food Security ◽  
Health Outcomes ◽  
Multinomial Logistic Regression ◽  
Positive Association ◽  
Cross Sectional Study ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Food Away From Home ◽  
Food Security Status ◽  
Prevalence Of Obesity

ABSTRACT Background For decades, Americans have increasingly relied on food away from home (FAFH) despite its association with negative health outcomes. Little is known about FAFH frequency and expenditures of adults with lower food security (FS) and their association with health outcomes, such as BMI. Objectives We evaluated patterns of adults’ FAFH purchases by FS status and other demographic characteristics, and examined the association between FAFH frequency and BMI in adults of varying levels of FS. Methods This cross-sectional study used data from the Consumer Behavior Survey, Food Security Survey, and anthropometric measurements to assess FAFH frequency and expenditures, FS, and calculated BMI of adults (≥18 y) who participated in the NHANES 2007–2014 (n = 20,733). We used multinomial logistic regression to examine the association between FAFH frequency quartiles (quartile 1: 0 n/wk; quartile 2: 1–2 n/wk; quartile 3: 3–4 n/wk; quartile 4: ≥5 n/wk) and BMI by FS category. Results Although FAFH frequency was similar across FS levels, adults with high FS spent more dollars (${\$}$213.60) and a greater proportion (29.4%) of their food budget on FAFH compared with adults with marginal, low, and very low FS (${\$}$133.00, ${\$}$116.20, ${\$}$103.30 and 21.4%, 19.7%, 20.0%, respectively). Obesity prevalence was highest in adults with low FS (42.9%) and very low FS (41.5%), and lowest in adults with high FS (33.7%). FAFH frequency and BMI were positively associated in adults with high (P < 0.001), marginal (P = 0.025), and low (P = 0.024) FS, but not in adults with very low FS (P = 0.589). Conclusions FAFH is frequent in adults regardless of FS status. The positive association between FAFH and BMI is the strongest in adults with high FS, the group with the lowest prevalence of obesity. Conversely, BMI was not associated with FAFH in adults with very low FS, despite their higher prevalence of obesity.

scholarly journals Composite index of anthropometric failure among under 5 children attending the Immunoprophylaxis clinic in a tertiary care hospital in Nagpur, Maharashtra, India

2018 ◽  
Vol 5 (3) ◽  
pp. 888
Author(s):  
Abhijit Kherde ◽  
Chaitanya R. Patil ◽  
Jyotsna Deshmukh ◽  
Prithvi B. Petkar
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Composite Index ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Study Data ◽  
Care Hospital ◽  
Global Public Health ◽  
Cross Sectional

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

scholarly journals Gender Difference in Obesity Prevalence Among General Population of Lahore, Pakistan

2021 ◽  
Vol 3 (3) ◽  
pp. 55-58
Author(s):  
Shahrukh Khan ◽  
Hina Nauman ◽  
Sania Saher ◽  
Hafiza Arifa Imtiaz ◽  
Amina Bibi ◽  
...  
Keyword(s):  
General Population ◽  
Fast Food ◽  
Weight Status ◽  
Statistical Tests ◽  
Female Gender ◽  
Mean Value ◽  
Study Data ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Prevalence Of Obesity

Obesity has become a pandemic problem and it is infamous for causing both physical and psychological disorders. Even though obesity is influenced by many factors which include fast food, menopause, socioeconomic status, and genetics, however, gender has paramount importance as a factor that affects obesity when we do not consider other factors. Thus, our current research study was aimed to evaluate the prevalence of obesity and influence of gender on it. Our current cross-sectional descriptive study was finished in almost 6 months from August 2020 to January 2021 among general population of Pak Aran Society Lahore, Punjab, Pakistan. 183 people were recruited in study in accordance to set criteria of exclusion and inclusion. Only those people whose age was from above 20 years to below 61 years, and who had no physical or mental illness and were willing to participate were enrolled in study. Data collection was done through one self-structured proforma and WHO Classification of Weight Status established on BMI. SPSS version 25 was applied to perform data analysis. Various statistical tests like Chi-square test, Independent Sample t-test, and One-Way ANOVA test were used to evaluate the study variables and their relationship. Overall, our current study indicates high prevalence (19.10%) of obesity among all participants, nevertheless, mean of BMI value was higher among women (26.26 SD of ±3.70) as compared to men (25.06 with SD of ±4.27) which shows that women had higher risk of development of obesity than men. However, relationship between obesity and gender was statistically insignificant (p=0.262). The difference of BMI mean value between women and men was significant statistically (p=0.046). Significance difference was also observed in BMI mean value of across four grades of weight status (p=0.0001). In summary, in general, prevalence of obesity is higher among women than among men which means female gender raises the obesity incidence among women.

scholarly journals High plasma salivary α-amylase, but not high AMY1 copy number, associated with low obesity rate in Qatari adults: cross-sectional study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Neyla Al-Akl ◽  
Richard I. Thompson ◽  
Abdelilah Arredouani
Keyword(s):  
Copy Number ◽  
High Plasma ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Whole Genome Sequencing Data ◽  
Obesity Prevalence ◽  
Sequencing Data ◽  
Cross Sectional ◽  
Prevalence Of Obesity ◽  
The Relationship

Abstract The relationship between salivary α-amylase activity (psAAa) or AMY1 copy number and the risk of obesity remains controversial. We aimed to assess this relationship in a cohort from Qatar, where obesity affects 43% of adults. The relationship was investigated cross-sectionally in 923 Qatari adults from the Qatar biobank cohort. AMY1 CN was estimated form whole genome sequencing data. The associations with obesity prevalence were assessed by linear and logistic regressions. We found no difference in AMY1 CN between obese and normal-weight individuals. However, the psAAa was significantly lower in obese individuals. Significant inverse correlations were found between adiposity markers and psAAa in both sexes, but were marginally stronger in men. A significant effect of high psAAa, but not AMY1 CN, on reduced obesity rates was identified in men (OR per psAAa unit 0.957 [95% CI 0.937–0.977], p < 0.001, with psAAa ranging between 5 to 66 U/L). A significantly higher prevalence of obesity was observed in the lowest quartile of psAAa in men (75% (Q1) vs. 36% (Q4), p < 0.001) and women (74% (Q1) vs 56% (Q4), p = 0.009). Our findings suggest that high psAAa, but not AMY1 CN, has a potential positive benefit against obesity in the Qatari population.

Prevalence of Obesity and Overweight among Adolescent School Children in Jaipur, India

2016 ◽  
Vol 2 (2) ◽  
pp. 98-102
Author(s):  
Hossain S ◽  
Singh S ◽  
Samdarshi N ◽  
Khatri V
Keyword(s):  
School Children ◽  
Age Groups ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sampling Procedure ◽  
Cross Sectional ◽  
Obesity And Overweight ◽  
Diet Preference ◽  
Health Related ◽  
Prevalence Of Obesity

Objective: The potential public health problem that is emerging now a days is an increasing incidence of childhood obesity and overweight in developing countries. It lead to a number of health related problems among children. This study was carried outto study the prevalence of obesity and overweight among adolescent school children of Achrol, Jaipur. Moreover, this study was alsoto identify any differences as per age, gender, life style disorders and diet preference. Setting and design: It was a school based cross-sectional study carried out over a period of 2 months in three different schools of Achrol village. Materials and methods: Adolescent school children between 12 to 15 years of age were analyzed by a random sampling procedure in three different selected schools. Results: The overall prevalence of obesity was 2% and of overweight was 10.2% among adolescent school children. The prevalence of overweight was 9.5% among boys and 10.9% among girls indicating that girls were at a greater risk of becoming obese. Conclusion: Overweight was marginally higher in the pubertal age groups of 13 to 15 years in Achrol and timely intervention is required for its control.

scholarly journals Survey of the pattern of antibiotic dispensing in private pharmacies in Nepal

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e032422 ◽  
Author(s):  
Anant Nepal ◽  
Delia Hendrie ◽  
Suzanne Robinson ◽  
Linda A Selvey
Keyword(s):  
Respiratory Infections ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Study Data ◽  
Antibiotic Prescribing ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Middle Income ◽  
Frequency Distributions ◽  
Low Middle Income Countries

ObjectivesPrivate pharmacies are widely established in most low/middle-income countries (LMICs) including Nepal, and are often considered as a patient’s first point of contact for seeking healthcare. The aim of this study was to investigate the pattern of antibiotic dispensing in private pharmacies through exit interviews with patients to review their medication information.Design and settingCross-sectional study. Data collection was carried out in 60 days at 33 randomly selected private pharmacies in the Rupandehi district of Nepal.ParticipantsPatients attending private pharmacies (n=1537).Main outcome measureThe pattern of antibiotic prescribing and dispensing was investigated using WHO’s core prescribing indicator, ‘the percentage of patients prescribed an antibiotic’. Frequency distributions were presented based on patients’ characteristics, sources of antibiotic, registration status of pharmacies and education of the pharmacist or drug retailer, and disease or condition. χ2tests and regression analysis were applied to explore factors associated with the pattern of antibiotic dispensing.ResultsOf patients attending private pharmacies, the proportion receiving at least one antibiotic (38.4%) was above the WHO recommended value (20.0%–26.8%). The most commonly dispensed antibiotics were cefixime (16.9%) and the third-generation cephalosporins (38.0%) class. High dispensing rates of antibiotics for selected conditions (eg, respiratory infections, diarrhoeal cases) appeared contrary to international recommendations. The percentage of antibiotic dispensed was highest for patients who obtained their medicines from unlicensed pharmacies (59.1%). Young people were more likely to receive antibiotics than other age groups.ConclusionsThe antibiotic dispensing pattern from private pharmacies in Nepal was high compared with WHO guidelines, suggesting initiatives to reduce inappropriate use of antibiotics should be implemented. The findings of this study may be generalisable to other LMICs in order to assist in developing policies and guidelines to promote more appropriate dispensing and prescribing practices of antibiotics and limit the spread of antibiotic resistance.

scholarly journals Maternal Outcome in Ruptured Uterus: A Review of 72 Cases

2016 ◽  
Vol 5 (1) ◽  
pp. 20-26
Author(s):  
Nibedita Roy ◽  
Kamrun Nahar ◽  
Uttam Kumar Sarker ◽  
Fouzia Akter ◽  
Ayesha Beg ◽  
...  
Keyword(s):  
Age Groups ◽  
Cross Sectional Study ◽  
Study Data ◽  
Maternal Outcome ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Data Collection Sheet ◽  
Death Cases ◽  
Ruptured Uterus

This descriptive type of cross-sectional study of 72 cases of uterine rupture was conducted over 1 year (from September 2006 to August 2007) in the department of Obstetrics and Gynaecology, Mymensingh Medical College Hospital, Bangladesh to evaluate the maternal outcome of different types of surgery, to assess the maternal mortality and maternal morbidity. All cases of ruptured uterus which were received & treated and did not die within 30 minutes of admission are included in the study. Data were collected by preformed data collection sheet. The results showed that the common age groups were between 20-30 years in 31(68.00%) cases. Among all ruptured cases, 6 cases (8.33%) were Primigravida, 52 cases (72.22%) were between gravida 2nd to 4th and 14 cases (19.44%) were gravida 5th or above. Among all cases, 66 cases (91.66%) required blood transfusion; Subtotal hysterectomy was done in 36 cases (50.00%), total hysterectomy in 4 cases (5.56%), and repair of the rent in 32 cases (44.44%). Associated operations were done along with repair or hysterectomy in 13 (18.05%) cases. Postoperative complications were found in 23 (31.94%) cases. The shortest stay was 8 days & the longest stay was 62 days. The hospital staying was about 2 weeks in 48(66.70%) cases. Among 10 death cases (13.90%) maximum patient died within first 5 hours. The causes of maternal death were due to septicemia, renal failure and shock in 20%, 30% and 50% respectfully. CBMJ 2016 January: Vol. 05 No. 01 P: 20-26

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