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首页> 外文期刊>Iranian red crescent medical journal >General and Central Obesity in Two Iranian Ethnic Groups Living in Urmia, West Azerbaijan, Iran: Effect of the Neighborhood Environment
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General and Central Obesity in Two Iranian Ethnic Groups Living in Urmia, West Azerbaijan, Iran: Effect of the Neighborhood Environment

机译：居住在伊朗西阿塞拜疆乌尔米亚的两个伊朗族裔的普遍肥胖和中枢肥胖：邻里环境的影响

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Emerging evidence suggests that neighborhood characteristics can have direct and indirect effects on the weight status of the residents. Objectives: To assess the relationship between general and central obesity and the neighborhood environment in two ethnic groups (Azeri Turks and Kurds) living in Urmia city, Northwestern Iran. Patients and Methods: In this cross-sectional study, 723 participants (427 women and 296 men) aged 20 - 64 years from two ethnic groups (Azeri Turks, n = 445; Kurds, n = 278) were selected from 38 neighborhoods using a combination of cluster, random, and systematic sampling methods. Neighborhood characteristics were obtained by a validated 22-item neighborhood and a health observational checklist. General and central obesity were measured and evaluated using standard methods. Principal component analysis (PCA) was used to define the dominant neighborhood environment. The association of neighborhood characteristics with general and central obesity was analyzed by a logistic regression model. Results: Three common neighborhood environments were identified: 1) modern-affluent, 2) central-high access and 3) marginal. These three factors explained 73.2% of the total variance. Overall, the participants living in a higher tertile of the central-high access neighborhoods had an increased chance of central obesity (OR = 1.63, 95% CI: 1.13 - 2.34). Azeri Turks living in the highest tertile of the modern-affluent neighborhoods had a significantly higher likelihood of having general obesity (OR = 2.49, 95% CI: 1.37 - 4.01). Adjustment for age, gender, marital status, socioeconomic status (SES), energy intake, and physical activity did not change the results. However, after adjustment for educational level, the association was not significant. Conclusions: The findings point to a relationship between neighborhood characteristics and obesity only in the Azeri Turks. However, educational level was more important than neighborhood quality in predicting the risk of obesity
机译：越来越多的证据表明，邻里特征可以对居民的体重状况产生直接和间接的影响。目的：评估居住在伊朗西北部乌尔米亚市的两个族裔（阿泽里土耳其人和库尔德人）的普通肥胖和中枢肥胖与邻里环境之间的关系。患者和方法：在这项横断面研究中，从两个族裔群体（阿塞利土耳其人，n = 445;库尔德人，n = 278）中选择年龄介于20-64岁之间的723名参与者（427名女性和296名男性），使用集簇，随机和系统采样方法的组合。邻居特征是通过经过验证的22个项目的邻居和健康观察清单获得的。使用标准方法测量和评估普通肥胖和中枢肥胖。主成分分析（PCA）用于定义主要邻域环境。通过逻辑回归模型分析了邻里特征与普通肥胖和中枢性肥胖的关系。结果：确定了三个常见的邻里环境：1）现代富裕，2）中央高通道，3）边缘。这三个因素解释了总方差的73.2％。总体而言，生活在中高访问性社区较高三分位数中的参与者发生中枢肥胖的机会增加（OR = 1.63，95％CI：1.13-2.34）。生活在现代富裕社区中最高三分位数的阿塞拜疆人土耳其人患普通肥胖症的可能性显着更高（OR = 2.49，95％CI：1.37-4.01）。对年龄，性别，婚姻状况，社会经济状况（SES），能量摄入和体育锻炼的调整并没有改变结果。但是，在调整教育水平之后，该关联并不显着。结论：研究结果表明仅在阿塞拜疆土耳其人中邻居特征与肥胖之间存在关系。但是，在预测肥胖风险方面，教育水平比邻里质量更重要

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