The Relationship between Physical Activity, Diet, Fatty Acid Composition and Obesity, in Tunisian Population

W. Khamlaoui, S. Mehri, R. Chaaba, S. Hammami, M. Hammami
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Abstract

Aim: To study the situation of obesity in the Tunisian population by identifying the factors of contributing to obesity and exploring its impact on both genders. Methods: This is a descriptive retrospective study. We studied 401 randomly selected Tunisian subjects. Participants were characterized as obese if their BMI was ≥ 30 kg/m2. Results: A total of 401 patients aged 30-62 years were included in this study with a mean age of 48.94 ± 9.57 years. About 60.8% of patients are men and 39.2% are women. One hundred fifty three of patients were overweight and 61.8% were obese. Regarding diet, the majority of men consumed high amounts of fried potato, biscuits and sweets, Fruits and vegetables, sandwiches and Soft drinks and processed juices. Most of patients were physically inactive (63.9% of male and 59.2% of female practiced light physical activity). The majority of patients was farmers, employers and retires (36.4%, 30.2 and 18% respectively). Two hundred and sixteen of patients had high school level (53.3% of men and 54.8% of women). The major complication was dyslipidemia (58.1%), digestive diseases (11%) and immune disorders (9.5%).  Regarding treatments, most participants did not use treatment (43.1%: 27.9% males and 15.2% females).  Bariatricsurgery was more prevalent in male patients than females (8% vs. 7%). Plasma from female participants had significantly higher content of linoleic acid, γ-linolenic, Dihomo-γ-linolenic, docosatetraenoic, eicosapentaenoic, clupanodonic, docosahexaenoic acids than males. Conclusion: Obesity rates across Tunisia are alarming. The present study serves to highlight the need for better-quality surveillance data and effective public health interventions to curb rising obesity rates.
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突尼斯人群体力活动、饮食、脂肪酸组成与肥胖的关系
目的:通过确定导致肥胖的因素并探讨其对两性的影响,研究突尼斯人口的肥胖状况。方法:采用描述性回顾性研究。我们研究了401名随机选择的突尼斯人。如果参与者的BMI≥30 kg/m2,则被认为是肥胖。结果:共纳入401例患者,年龄30 ~ 62岁,平均年龄48.94±9.57岁。男性占60.8%,女性占39.2%。153例患者超重,61.8%为肥胖。在饮食方面,大多数男性食用大量油炸土豆、饼干和糖果、水果和蔬菜、三明治、软饮料和加工果汁。大多数患者缺乏体育活动(63.9%的男性和59.2%的女性进行轻度体育活动)。以农民、雇主和退休人员居多(分别为36.4%、30.2%和18%)。216例患者具有高中学历(男性53.3%,女性54.8%)。主要并发症为血脂异常(58.1%)、消化系统疾病(11%)和免疫系统疾病(9.5%)。在治疗方面,大多数参与者没有使用治疗(43.1%:男性27.9%,女性15.2%)。减肥手术在男性患者中比女性患者更普遍(8%对7%)。女性受试者血浆中亚油酸、γ-亚麻酸、二homo-γ-亚麻酸、二十二碳四烯酸、二十碳五烯酸、二十二碳六烯酸、二十二碳六烯酸的含量显著高于男性。结论:突尼斯全国的肥胖率令人担忧。本研究旨在强调需要更优质的监测数据和有效的公共卫生干预措施来遏制不断上升的肥胖率。
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