2015 年伊拉克巴比伦省主要初级卫生保健中心就诊的 18 岁及以上成年患者中的肥胖症:患病率和一些可能的风险因素

Hayder Fadhil Obaid Al-Bayati, Ali Mousah Easah Albadri, Salam Jasim Mohammed
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摘要

背景:2015 年 1 月 1 日至 3 月 31 日期间,在伊拉克巴比伦省开展了一项横断面调查。调查采用系统随机抽样技术,从随机选择的 8 个主要初级保健中心收集了 420 名患者。在这 420 名患者中,168 人(40%)患有肥胖症。体重指数等级与年龄、职业、居住地(P=0.000)有显著的统计学关联。饮食:甜食、巧克力(P=0.000);水果(P= 0.001);不吃早餐(P=0.027);看电视时间(P=0.004);适度活动频率和时间(P=0.000);睡眠时间;肥胖家族史(P=0.000)。逻辑回归分析预测了一些增加肥胖几率的因素:年龄(OR=1.159)、无工作或退休(OR=10)、经商(OR=12.6)、不吃早餐(OR=1.46)、吃甜食和巧克力(OR=2.709)、看电视时间(OR=3.319)和家族史(OR=3.746),而一些因素会降低几率,如:农民(OR=0.013)、工人(OR=0.042)、农村居民(OR=0.136)、吃水果(OR=0.502)、适度体育锻炼(OR=0.26)。结论和建议肥胖症发病率为 40%,与社会人口特征、饮食习惯、体力活动、睡眠时间和家族病史有关。研究建议卫生部开展有关肥胖症的健康教育计划,内容涉及健康饮食、减少久坐不动的生活方式、鼓励各年龄段的体育锻炼,以适当预防肥胖症。
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Obesity Among Adult Patients Aged 18 Years Old And Above Attending Main Primary Health Care Centers In Babil Governorate, Iraq 2015: Prevalence And Some Possible Risk Factors
Background: A cross-sectional survey was conducted at the period from 1st of January to 31st of March 2015 in Babil governorate-Iraq. A systematic random sampling technique was used to collect 420 patients from 8 main primary health care centers chosen randomly. They consented to interview directly by the researcher using questionnaire  Of the 420 patients, 168 (40%) were obese. The body mass index classes had a statistical significant association with ; age, occupation, residence (P=0.000). Eating: sweet, chocolate (P=0.000); fruit (P= 0.001); skipping breakfast (P=0.027); TV watching time (P=0.004);  moderate activity frequency and time consumed (P=0.000), sleep duration, family history of obesity (P=0.000). Logistic regression analysis predicted some factors that increased the odds of obesity; age (OR=1.159), no job or retired(OR=10), business (OR=12.6), skipping breakfast (OR=1.46), eating sweet and chocolate (OR=2.709), time of TV watching (OR=3.319), and family history (OR=3.746), whereas some factors decreased the odds like; farmer (OR=0.013), laborer (OR=0.042), rural residence (OR=0.136), eating fruit (OR=0.502), moderate physical activity (OR=0.26) . Conclusions and recommendations: Obesity prevalence was 40%, and associated with socio-demographic features, eating habits, physical activity , sleep duration, and family history. The study recommended adoption of health education programs about obesity by Ministry of Health regarding healthy diet, decrease sedentary lifestyle, encouraging of physical activity at  all ages for proper prevention of obesity.
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