Predictors of overweight and obesity among adults aged 50 years and above: Serbian national health survey

Background/Aim. Obesity is a complex and multifactorial condition related to morbidity, mortality, poor quality of life and many other problems. The aim of the study was to determine the prevalence of overweight and obesity and factors associated with them (demographic, socioeconomic factors and lifestyle) in adults aged 50 years and above in Serbia. Methods. This cross-sectional study, representative for the population in Serbia, was carried out in one-year period, including 6,932 people aged 50 and over. Individuals were interviewed and anthropometrically examined. The association between overweight and obesity with demographic, socioeconomic and behavioral factors was analyzed using multivariate logistic regression. Results. Age, level of education and smoking were significantly associated with overweight and obesity, regardless of gender. Marital status was significantly associated with obesity, regardless of gender and with overweight only in women. Breakfast consumption habit was significantly associated with obesity only in men. There was no significant association of overweight and obesity with the type of settlement, alcohol consumption and physical activity, regardless of gender. Conclusion. The results of our study indicate the need for more intensive implementation of measures affecting the factors which contribute to overweight and obesity. Emphasis should be put on the population-based policies and programs that support environmental changes.

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Falls among the elderly: risk factors in a population-based study

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400030011 ◽

2014 ◽

Vol 17 (3) ◽

pp. 705-718 ◽

Cited By ~ 9

Author(s):

Iara Guimarães Rodrigues ◽

Gustavo Pereira Fraga ◽

Marilisa Berti de Azevedo Barros

Keyword(s):

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Cluster Sampling ◽

Elderly Adults ◽

Cross Sectional ◽

Population Based Study ◽

Factors Associated ◽

Gender And Age ◽

Policies And Programs

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.

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Prevalence and Risk Factors for Self-Report Diabetes Mellitus: A Population-Based Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186497 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6497

Author(s):

Isabela Silva Levindo de Siqueira ◽

Rafael Alves Guimarães ◽

Samira Nascimento Mamed ◽

Thays Angélica de Pinho Santos ◽

Suiany Dias Rocha ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Adult Population ◽

Total Sample ◽

Population Based ◽

National Health Survey ◽

Overweight And Obesity ◽

Self Report ◽

Cross Sectional ◽

West Region

The aim of this study was to estimate the prevalence and risk factors for self-reported diabetes mellitus (DM) in the adult population of the Central-West region of Brazil. In 2013, a cross-sectional study using the data from the National Health Survey and comprising 7519 individuals aged ≥18 years from the Central-West region was conducted. Participants were interviewed at their homes about sociodemographic data and risk factors for DM. To verify the risk factors with DM, the Poisson regression model was used. The analyses were performed for the total sample and stratified according to sex. The prevalence of DM was 6.5% (95% confidence interval [95% CI], 5.7–7.3). The diagnosis of self-reported DM was 4.3% in men and 7.5% in women. In the global sample, it was found that age between 40–59 years and ≥60 years, previous smoking (former smoker), self-reported hypertension, self-reported dyslipidemia, overweight, and obesity were independently associated with self-reported DM. In men, risk factors were: Age ≥ 60 years, self-reported hypertension, self-reported dyslipidemia, and obesity. In women, risk factors were: Age 30–39 years, 40–59 years, and ≥60 years, previous smoking (former smoker), self-reported hypertension, self-reported dyslipidemia, overweight, and obesity. Conclusion: The prevalence of DM was 6.5%. DM was associated with advanced age; previous smoking (former smoker), hypertension, dyslipidemia, overweight, and obesity. Some differences in risk factors between men and women were noted.

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Prevalence of obesity, food choices and socio-economic status: a cross-sectional study in the north-west of Iran

Public Health Nutrition ◽

10.1017/phn2006982 ◽

2006 ◽

Vol 9 (8) ◽

pp. 996-1000 ◽

Cited By ~ 29

Author(s):

Saeed Dastgiri ◽

Reza Mahdavi ◽

Helda TuTunchi ◽

Elnaz Faramarzi

Keyword(s):

Dairy Products ◽

Population Based ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Sectional Study ◽

Cross Sectional ◽

Essential Information ◽

North West ◽

The North ◽

Prevalence Of Obesity

AbstractAimTo document the epidemiological features and influencing factors of obesity in the north-west of Iran, to provide baseline information for setting up a regional population-based centre to control and prevent obesity-related disorders in the area.MethodsIn this cross-sectional study, a total of 300 subjects were selected/studied in Tabriz, one of the major cities in Iran. Data on basic characteristics, anthropometric measurements, dietary assessment and physical activity were collected. Obesity was defined as body mass index ≥ 30 kg m− 2for both women and men.ResultsTotal prevalence of obesity in the area was 22.4% (95% confidence interval (CI): 18.0–27.6). The prevalence of obesity was 24% (95% CI: 18.5–31.4) for women and 18% (95% CI: 12.5–25.6) for men. For both women and men obesity prevalence showed a positive association with age (P < 0.001), while there was a negative correlation of obesity with education and income (P < 0.001). Fruit consumption decreased the risk of obesity in both women and men (odds ratio (OR) = 0.60, 95% CI: 0.49–0.71 vs. OR = 0.62, 95% CI: 0.51–0.74, respectively). The same significant pattern was observed for the consumption of green vegetables (OR = 0.71, 95% CI: 0.57–0.63 vs. OR = 0.86, 95% CI: 0.77–0.98 for women and men, respectively), legumes (OR = 0.70, 95% CI: 0.59–0.84 vs. OR = 0.78, 95% CI: 0.66–0.91 for women and men, respectively) and dairy products (OR = 0.73, 95% CI: 0.61–0.91 vs. OR = 0.77, 95% CI: 0.63–0.93 for women and men, respectively).ConclusionsOur study showed that educational attainment, higher income and consumption of certain food groups (i.e. vegetables, fruits, legumes and dairy products) may decrease the risk of obesity. Our findings also indicate the crucial necessity of establishing a population-based centre for obesity in the area. The essential information is now achieved to propose to local health authorities to act accordingly. However, more population-based investigations on dietary choices are needed to develop effective preventive strategies to control overweight and obesity disorders in different regions.

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Prevalence and severity of differing dimensions of breathlessness among elderly males in the population

ERJ Open Research ◽

10.1183/23120541.00553-2021 ◽

2021 ◽

pp. 00553-2021

Author(s):

Max Olsson ◽

David C Currow ◽

Miriam J Johnson ◽

Jacob Sandberg ◽

Gunnar Engström ◽

...

Keyword(s):

Population Based ◽

Cross Sectional Study ◽

Postal Survey ◽

Cross Sectional ◽

Dimension Score ◽

Clinically Important Difference ◽

Elderly Males ◽

One Year ◽

D 12 ◽

Affective Dimensions

Breathlessness is common in the general population. Existing data were obtained primarily with the uni-dimensional modified Medical Research Council (mMRC) breathlessness scale that does not assess intensities of unpleasantness nor physical, emotional, and affective dimensions. The aim of this research was to determine the prevalence and intensity of these dimensions of breathlessness in elderly males and any associations with their duration, change over time, and mMRC grade. We conducted a population-based, cross-sectional study of 73-year-old males in a county in southern Sweden. Breathlessness was self-reported at one time-point using a postal survey including the Dyspnoea-12 (D-12), the Multidimensional Dyspnoea profile (MDP), and the mMRC. Presence of an increased dimension score was defined as a score≥minimal clinically important difference for each dimension scale. Association with mMRC, recalled change since age 65, and duration of breathlessness were analysed with linear regression. Among 907 men, an increased dimension score was present in 17% (D-12 total score), 33% (MDP A1 unpleasantness), 19% (D-12 physical), 17% (MDP immediate perception), 10% (D-12 affective), and 17% (MDP emotional response). The unpleasantness and affective dimensions were strongly associated with mMRC ≥3. Higher MDP and D-12 scores were associated with worsening of breathlessness since age 65, and higher MDP A1 unpleasantness was associated with breathlessness of less than one year duration. Increased scores of several dimensions of breathlessness are prevalent in 73-year-old males and are positively correlated with mMRC scores, worsening of breathlessness after age 65, and duration of less than one year.

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Association of number of siblings, birth order, and thinness in 3- to 12-year-old children: a population-based cross-sectional study in Shanghai, China

10.21203/rs.2.16330/v2 ◽

2020 ◽

Author(s):

Tingting Yu ◽

Chang Chen ◽

Zhijuan Jin ◽

You Yang ◽

Yanrui Jiang ◽

...

Keyword(s):

Birth Order ◽

Population Based ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Sectional Study ◽

Cross Sectional ◽

Grade 3 ◽

Childhood Thinness ◽

Older Siblings

Abstract Background: Sibship size and structure have a significant association with overweight and obesity in children, but the relationship with thinness has not been fully studied and understood, especially in Asia. This study evaluated the associations among number of siblings, birth order, and childhood thinness and investigated the association of number of younger or older siblings with childhood thinness.Methods: In this study, we performed a population-based cross-sectional study among 84,075 3- to 12-year-old children in Shanghai using multistage stratified cluster random sampling. We defined grades 1, 2, and 3 thinness according to the body mass index cutoff points set by the International Obesity Task Force and used multinomial logistic regression models to estimate the odds ratio (OR) and 95% confidence interval (95% CI).Results: Compared with only children, for boys, children with two or more siblings were more likely to suffer from grade 2 (OR = 1.29, 95% CI 1.02, 1.64) and grade 3 thinness (OR = 1.60, 95% CI 1.07, 2.40); and the youngest child faced a higher risk of grade 2 (OR = 1.44, 95% CI 1.09, 1.90) and grade 3 thinness (OR = 1.53, 95% CI 1.01, 2.33). For girls, children with one sibling were more likely to suffer from grade 1 thinness (OR = 1.22, 95% CI 1.05, 1.42); the oldest child, middle child, and youngest child faced a higher risk of grade 1 (OR = 1.42, 95% CI 1.09, 1.84), grade 2 (OR = 1.26, 95% CI 1.03, 1.54), and grade 1 thinness (OR = 1.87, 95% CI 1.21, 2.88) respectively. There was no statistically significant relationship, however, between a larger number of younger or older siblings and childhood thinness.Conclusions: Regardless of sex, having either siblings or a higher birth order was positively associated with childhood thinness. The present study has suggested that future interventions to prevent childhood thinness should consider family background as an important factor, especially in multi-child-families.

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Prevalence and Cluster of Cardiometabolic Biomarkers in Overweight and Obese Schoolchildren: Results from a Large Survey in Southwest Germany

Clinical Chemistry ◽

10.1373/clinchem.2007.094821 ◽

2008 ◽

Vol 54 (2) ◽

pp. 317-325 ◽

Cited By ~ 42

Author(s):

Gabriele Nagel ◽

Kilian Rapp ◽

Martin Wabitsch ◽

Gisela Büchele ◽

Anja Kroke ◽

...

Keyword(s):

Regression Models ◽

Task Force ◽

Population Based ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Metabolic Changes ◽

Low Grade ◽

Linear Regression Models ◽

Cross Sectional ◽

Cardiometabolic Markers

Abstract Background: Obesity is associated with substantial metabolic changes and subclinical inflammation. We explored associations between body mass index (BMI) and cardiometabolic biomarkers and their clustering in overweight and obese schoolchildren. Methods: In this population-based, cross-sectional study among 450 children 10 years old, we measured adiponectin, leptin, inflammatory markers, apolipoprotein (apo) AI and B, and lipoprotein-associated phospholipase A2 (Lp-PLA2). Except for adiponectin and apoAI (10th percentile) the 90th percentile was used as cutoff point. Body weight was categorized in age- and sex-specific BMI percentiles and overweight and obesity according to International Obesity Task Force definitions. Results: In linear regression models, all cardiometabolic markers except apoB were statistically significantly associated with overweight. In logistic regression models, compared with the reference category (25th–75th percentile of BMI), overweight was associated with increased concentrations of leptin [odds ratio (OR) 59.80; 95% CI 16.68–214.39], C-reactive protein (6.30; 2.95–13.45), fibrinogen (2.82; 1.33–6.01), and low apoAI (2.62; 1.19–5.75). Overweight was positively associated with interleukin-6, Lp-PLA2, and apoB concentrations and inversely with adiponectin concentrations. Most importantly, in obese children 35% showed one, 20% two, 10% three, and 15% four or more abnormal cardiometabolic biomarkers. The number of abnormal cardiometabolic markers increased in overweight (ptrend <0.001) and obese (ptrend <0.001) children. Conclusions: Overweight and obesity in children are associated with complex metabolic changes and a low-grade inflammatory response, and thus might not only accelerate cardiovascular disease later on, but may also be associated with the initiation of atherosclerosis in early life.

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Infrequent Denture Cleaning Increased the Risk of Pneumonia among Community-dwelling Older Adults: A Population-based Cross-sectional Study

Scientific Reports ◽

10.1038/s41598-019-50129-9 ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 2

Author(s):

Taro Kusama ◽

Jun Aida ◽

Tatsuo Yamamoto ◽

Katsunori Kondo ◽

Ken Osaka

Keyword(s):

Older Adults ◽

Oral Care ◽

Population Based ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

One Year ◽

Community Dwelling Older Adults

Abstract Pneumonia is a leading cause of death among older adults. The effectiveness of oral care in preventing pneumonia in nursing homes and hospitals has been reported. However, in community-dwelling older adults, the role of denture cleaning in preventing pneumonia remains unknown. We aimed to investigate the association between infrequent denture cleaning and the risk of pneumonia in community-dwelling older adults. This cross-sectional study was based on the self-reported questionnaire targeting towards community-dwelling older adults aged ≥65 years. Responses of 71,227 removable full/partial denture users were included. The incidence of pneumonia within the last one-year and the frequency of denture cleaning (daily/non-daily) were treated as dependent and independent variables, respectively. The odds ratio (OR) and 95% confidence interval (CI) were calculated by the inverse probability weighting (IPW) method based on the logistic regression model. The mean age of the participants was 75.2 ± 6.5 years; 48.3% were male. Overall, 4.6% of the participants did not clean their dentures daily; 2.3% and 3.0% who did and did not clean their dentures daily, respectively, experienced pneumonia. After IPW, infrequent denture cleaning was significantly associated with pneumonia incidence (OR = 1.30, 95% CI = 1.01–1.68)). This study suggests that denture cleaning could prevent pneumonia among community-dwelling older adults.

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Overweight and obesity among adolescents in Poland: gender and regional differences

Public Health Nutrition ◽

10.1017/s1368980010002235 ◽

2010 ◽

Vol 13 (10A) ◽

pp. 1688-1692 ◽

Cited By ~ 6

Author(s):

Maria Jodkowska ◽

Anna Oblacinska ◽

Izabela Tabak

Keyword(s):

Regional Differences ◽

Task Force ◽

Population Based ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Future Research ◽

Cross Sectional ◽

Population Based Study ◽

Urban Rural ◽

Overweight Or Obesity

AbstractObjectiveTo examine the prevalence of overweight and obesity in Polish adolescents in 2005 using both the International Obesity Task Force (IOTF) cut-offs and a national reference; to compare this to data collected in 1995; and to assess whether there were differences in overweight or obesity by gender and place of residence in 1995–2005.DesignBMI was calculated from measured height and weight, collected in a cross-sectional study in five regions of Poland in 2005. Adolescents were categorised as normal, overweight or obese based on IOTF cut-off values, and by national weight for stature tables, where the 90th and 97th percentiles were used as cut-off values for overweight and obesity.SettingPopulation-based study set in Poland.SubjectsA two-stage sampling method was used to recruit 8065 pupils (3980 boys and 4085 girls) aged 13–15 years.ResultsThe prevalence of overweight and obesity was 12·5 % and 1·9 %, respectively. No significant gender differences were found, either in overweight or obesity. The prevalence of overweight and obesity in 2005 had increased 2 % compared to 1995. Overweight and obesity among adolescents were not related to urban–rural residence, but there were significant regional differences.ConclusionsMonitoring trends in overweight and obesity among adolescents in all regions of Poland using the same reference criteria is important. Since regional differences in overweight and obesity rates among adolescents were observed both in 1995 and 2005, future research should investigate the potential causes of these differences.

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Determine the Prevalence of Overweight and Obesity and Effective Factors in Iranian Females: A Population-Based Cross-Sectional Study

ACTA MEDICA IRANICA ◽

10.18502/acta.v58i2.3713 ◽

2020 ◽

Author(s):

Maryam Taghdir ◽

Abbas Rezaianzadeh ◽

Mojtaba Sepandi ◽

Sepideh Abbaszadeh ◽

Yousef Alimohamadi

Keyword(s):

Screening Program ◽

Population Based ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Sectional Study ◽

Cross Sectional ◽

Female Population ◽

Total Prevalence ◽

Obesity And Overweight ◽

Prevalence Of Obesity

The aim of this study was to determine the prevalence of overweight and obesity and their associated factors in the female population of Shiraz, South of Iran. This population-based cross-sectional study is based on a screening program on 11850 women referring to a gynecological clinic between 2004 and 2012. Overweight and obesity were defined as a body mass index (BMI) of 25-29.9 kg/m2 and a BMI ≥30 kg/m2, respectively. The mean age of participants was 41.1±10.6 yrs. Mean BMI were 27 kg/m2 (95% CI: 26.90-27.10). The total prevalence of overweight and obesity was 41.4% (95% CI: 40.5-42.3) and 24.10% (95% CI: 23.3-24.9), respectively. In addition, 50-54-year-old women were more likely to have a BMI ≥25 than Youngers. The high prevalence of obesity and overweight in the present study indicates the need for planning preventive programs for the health system in this population.

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Anthropometric Profile of Latin American Population: Results From the ELANS Study

Frontiers in Nutrition ◽

10.3389/fnut.2021.740361 ◽

2021 ◽

Vol 8 ◽

Author(s):

Marianella Herrera-Cuenca ◽

Irina Kovalskys ◽

Alejandro Gerardi ◽

Pablo Hernandez ◽

Yaritza Sifontes ◽

...

Keyword(s):

Risk Factors ◽

Socioeconomic Status ◽

Costa Rica ◽

Latin American ◽

Cross Sectional Study ◽

Poor Quality ◽

Overweight And Obesity ◽

Cross Sectional ◽

Prevalence Of Obesity ◽

Quality Diet

Background: Latin America has experienced changes in lifestyle since 1960.Aim: The aim was to determine the prevalence of obesity and stunting among eight countries of Latin American and to identify the determinant risk factors for obesity.Subjects and Methods: Data were obtained from 9,218 participants of the Latin American Study of Nutrition and Health (ELANS), a multicenter cross-sectional study of the representative samples in eight Latin American countries. All the participants completed a standard protocol to investigate the nutrient intake and anthropometric variables (weight, height, and circumferences) analyzed by country, gender, age, and socioeconomic status.Results: The prevalence of obesity was higher in Costa Rica and Venezuela (29%) and lower in Colombia (16%), stunting was reported higher in Peru (47%) and lower in Argentina (17%), and waist and neck circumferences showed the higher values in Costa Rica (43%) and Chile (52%) and lower values in Colombia (23 and 26%).Conclusion: This study indicates an increasing trend toward overweight and obesity that are associated with lower socioeconomic status, being a woman, and concurs with inadequate intakes of calcium, which may be related to poor quality diet and in the long term could constitute risk factors for the chronic diseases and a health burden to the region.

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