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首页> 外文期刊>International Journal of Environmental Research and Public Health >Socio-Demographic and Lifestyle Factors Predict 5-Year Changes in Adiposity among a Group of Black South African Adults
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Socio-Demographic and Lifestyle Factors Predict 5-Year Changes in Adiposity among a Group of Black South African Adults

机译：社会人口统计学和生活方式因素预测一组南非黑人成年人的肥胖5年变化

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摘要

The rising prevalence of obesity and excessive adiposity are global public health concerns. Understanding determinants of changes in adiposity over time is critical for informing effective evidence-based prevention or treatment. However, limited information is available to achieve this objective. Cultural, demographic, environmental, and behavioral factors including socio-economic status (SES) likely account for obesity development. To this end, we related these variables to anthropometric measures in 1058 black adult Tswana-speaking South Africans who were HIV negative in a prospective study over five years. Body mass index (BMI) and waist circumference increased in both sexes, whereas triceps skinfold thickness remained the same. Over the five years, women moved to higher BMI categories and more were diagnosed with central obesity. Age correlated negatively, whereas SES, physical activity, energy, and fat intake correlated positively with adiposity markers in women. In men, SES, marital status, physical activity, and being urban predicted increases in adiposity. For women, SES and urbanicity increased, whereas menopause and smoking decreased adiposity. Among men, smokers had less change in BMI than those that never smoked over five years. Our findings suggest that interventions, focusing on the urban living, the married and those with the highest SES—the high-risk groups identified herein—are of primary importance to contain morbidity and premature mortality due to obesity in black South Africans.
机译：肥胖和过度肥胖的患病率上升是全球公共卫生问题。了解肥胖症随时间变化的决定因素对于提供有效的循证预防或治疗至关重要。但是，只有有限的信息可以实现此目标。包括社会经济地位（SES）在内的文化，人口，环境和行为因素很可能是肥胖症的发展原因。为此，我们将这些变量与1058名讲茨瓦纳语的黑人成年南非成年人的人体测量学相关联，这些人在五年的前瞻性研究中均为HIV阴性。男女的体重指数（BMI）和腰围均增加，而肱三头肌的皮褶厚度保持不变。在过去的五年中，女性进入了更高的BMI类别，更多的女性被诊断出患有中枢性肥胖。年龄与女性负相关，而SES，体力活动，能量和脂肪摄入与肥胖指标正相关。在男性中，SES，婚姻状况，体育活动以及城市人口中的肥胖症预计会增加。对于女性，SES和城市化程度增加，而更年期和吸烟减少肥胖。在男性中，吸烟者的BMI变化比五年内从未吸烟的人少。我们的发现表明，针对南非黑人中因肥胖引起的发病率和过早死亡，干预主要针对城市居民，已婚者和SES最高的人群（此处确定为高危人群）。

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