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首页> 外文期刊>BMC Obesity >Factors associated with BMI, underweight, overweight, and obesity among adults in a population of rural south India: a cross-sectional study
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Factors associated with BMI, underweight, overweight, and obesity among adults in a population of rural south India: a cross-sectional study

机译：印度南部农村人口中成年人的BMI，体重过轻，超重和肥胖的相关因素：一项横断面研究

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BackgroundOverweight, obesity, and related chronic diseases are becoming serious public health concerns in rural areas of India. Compounded with the existing issue of underweight, such concerns expose the double burden of disease and may put stress on rural healthcare. The purpose of this article was to present the prevalence and factors associated with underweight, overweight, and obesity in an area of rural south India. MethodsDuring 2013 and 2014, a random sample of adults aged 20–80 years were selected for participation in a cross-sectional study that collected information on diet (using a food frequency questionnaire), physical activity (using the Global Physical Activity Questionnaire), socioeconomic position (using a wealth index), rurality (using the MSU rurality index), education, and a variety of descriptive factors. BMI was measured using standard techniques. Using a multivariate linear regression analysis and multivariate logistic regression analyses, we examined associations between BMI, overweight, obesity, and underweight, and all potential risk factors included in the survey. ResultsAge and sex-adjusted prevalence of overweight, obesity class I, and obesity class II were 14.9, 16.1, and 3.3 % respectively. Prevalence of underweight was 22.7 %. The following variables were associated with higher BMI and/or increased odds of overweight, obesity class I, and/or obesity class II: Low physical activity, high wealth index, no livestock, low animal fat consumption, high n-6 polyunsaturated fat consumption, television ownership, time spent watching television, low rurality index, and high caste. The following variables were associated with increased odds of underweight: low wealth index, high rurality index, and low intake of n-6 PUFAs. ConclusionUnderweight, overweight, and obesity are prevalent in rural regions of southern India, indicating a village-level dual burden. A variety of variables are associated with these conditions, including physical activity, socioeconomic position, rurality, television use, and diet. To address the both underweight and obesity, policymakers must simultaneously focus on encouraging positive behaviour through education and addressing society-level risk factors that inhibit individuals from achieving optimal health.
机译：背景超重，肥胖症和相关的慢性疾病在印度农村地区正成为严重的公共卫生问题。加上现有的体重过轻问题，这种担忧暴露了疾病的双重负担，并可能给农村医疗保健带来压力。本文的目的是介绍印度南部农村地区体重不足，超重和肥胖的患病率和相关因素。方法在2013年和2014年期间，随机抽取20-80岁的成年人作为样本，参加一项横断面研究，收集饮食信息（使用食物频率问卷），身体活动（使用全球身体活动问卷），社会经济位置（使用财富指标），农村地区（使用MSU农村地区指标），教育程度以及各种描述性因素。使用标准技术测量BMI。使用多元线性回归分析和多元logistic回归分析，我们检查了BMI，超重，肥胖和体重不足之间的关联，以及调查中包括的所有潜在风险因素。结果超重，肥胖I类和肥胖II类的年龄和性别校正患病率分别为14.9％，16.1％和3.3％。体重不足的发生率为22.7％。以下变量与较高的BMI和/或超重，肥胖I类和/或肥胖II类的机率增加有关：体力活动少，财富指数高，无牲畜，动物脂肪消耗低，n-6多不饱和脂肪消耗量高，电视所有权，看电视所花费的时间，低农村指数和高种姓。以下变量与体重过轻的几率增加相关：低财富指数，高农村指数和n-6 PUFA摄入量低。结论印度南部的农村地区普遍存在体重过轻，超重和肥胖，这说明了村级的双重负担。与这些条件相关的各种变量包括体育活动，社会经济地位，农村地区，电视使用和饮食。为了解决体重过轻和肥胖症，决策者必须同时集中精力通过教育鼓励积极行为，并解决阻碍个人实现最佳健康的社会层面风险因素。

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