乌贾因一所医学院医疗机构就诊的成年人中肥胖症的分布和决定因素

K. Deshpande, Archit Khardenavis
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摘要

导言:肥胖是导致各种严重健康问题的重要风险因素,包括高血压、糖尿病、心血管疾病和癌症。随着印度社会经济地位的提高和预期寿命的延长,肥胖症的发病率也在不断上升,加重了与生活方式有关的疾病的负担。本研究旨在调查在乌贾因市毗邻农村地区的一所医学院医疗机构就诊的表面健康成年人中肥胖的分布情况和决定因素:在 R.D. Gardi 医学院社区医学系的野外实习区进行了一项横断面研究。研究确定了 354 名参与者的样本量,并通过结构化访谈收集数据,访谈内容包括社会人口信息、病史、人体测量和健康决定因素。根据已确定的亚裔印度人分界点计算身体质量指数(BMI)并对参与者进行分类:在 310 份填写完整的调查问卷中,47.4% 的参与者超重或肥胖。年龄与肥胖有显著关联,18 至 30 岁年龄组的肥胖率为 34.1%,60 岁以上年龄组的肥胖率为 75%。城市居民的肥胖率高于农村居民(53.8% 对 44.1%)。受教育程度较高、两餐之间暴饮暴食和边吃边看电视与肥胖有明显关系。在超重或肥胖的参与者中,缺乏运动的比例更高(59.7% 对 26.3%):研究发现,有必要采取有针对性的干预措施来对抗肥胖,尤其是女性、老年人、城市居民和受过高等教育的人群。解决暴饮暴食和久坐不动等生活方式因素对于防治肥胖症和相关慢性疾病至关重要。
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Distribution and Determinants of Obesity among Adults Attending Health Facilities of a Medical College in Ujjain
Introduction: Obesity is a significant risk factor for various serious health conditions, includinghypertension, diabetes, cardiovascular diseases, and cancers. With increasing socio-economic statusand life expectancy in India, the prevalence of obesity is on the rise, contributing to the burden oflifestyle-related disorders. This study aims to investigate the distribution and determinants of obesityamong apparently healthy adults attending health facilities in a medical college located in a rural areaadjoining Ujjain city.Methods: A cross-sectional study was conducted within the field practice area of the Department ofCommunity Medicine at R.D. Gardi Medical College. A sample size of 354 participants was determinedand data was collected through structured interviews covering socio-demographic information,medical history, anthropometric measurements, and determinants of health. Body mass index (BMI)was computed and participants were classified based on established cut-off points for Asian Indians.Results: Out of 310 fully completed questionnaires, 47.4% of participants were overweight or obese.Age was significantly associated with obesity, with prevalence increasing from 34.1% in the 18 to 30age group to 75% in participants over 60 years. Urban residents had a higher prevalence of obesitycompared to rural residents (53.8 vs 44.1%). Higher educational status, overeating between meals, andwatching television while eating was significantly associated with obesity. Physical inactivity was moreprevalent among overweight or obese participants (59.7 vs 26.3%).Conclusion: The study finds the need for tailored interventions to combat obesity, especially amongfemales, older individuals, urban residents, and those with higher education. Addressing lifestylefactors such as overeating and sedentary behavior is essential in the battle against obesity and associatedchronic diseases.
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