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Using quadratic inference functions to determine the factors associated withobesity: Findings from the STEPS Survey in Iran

机译:使用二次推断函数来确定与肥胖相关的因素:伊朗STEPS调查的结果

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Purpose: The last study that had a representative sample of the Iranian population and examined the association between sociodemographic and lifestyle factors with obesity used data from the 1999 to 2000 National Health Survey in Iran. Concern about the increased prevalence of obesity has heightened interest in the association between varieties of these factors with obesity among Iranian households. Methods: Data (20,917 adults) were taken from the 2009 STEPwise approach to Surveillance survey in Iran that was conducted under the supervision of World Health Organization. Using quadratic inference function, we evaluated the relation of age, sex, physical activity, serving of fruit and vegetable, employment status, smoking, and place of residence with obesity. Results: Using 20-30 years as the reference group, the obesity odds ratios (ORs) were 2.48, 3.79, 3.52, and 3.15 for ages 30-40, 40-50, 50-60, and 60+ years, respectively. Obesity OR for female was 2.63, compared with male. Obesity ORs for smokers and ex-smokers were 0.64 and 1.18, respectively, compared with nonsmokers. Among Iranian adult, obesity ORs for the moderate and vigorous physical activity were 0.99 and 0.90, respectively, compared with low level. The estimated odds of obesity were 46% higher for rural adults. Obesity ORs for public and private employed were 0.79 and 0.76, respectively, compared with unemployed. Conclusions: Our results may provide better insights of the factors associated with obesity and can be used as a basis to reinforce health programs to prevent obesity in Iran.
机译:目的:最近的一项研究使用了伊朗人口的代表性样本,并研究了社会人口统计学和生活方式因素与肥胖之间的关系,该研究使用了1999年至2000年伊朗国家健康调查的数据。对肥胖症患病率上升的关注引起了人们对伊朗家庭中这些因素的多样性与肥胖症之间联系的兴趣。方法:数据(20,917名成人)来自于2009年逐步监测方法在伊朗的监视调查,该方法是在世界卫生组织的监督下进行的。使用二次推断函数,我们评估了年龄,性别,体育活动,水果和蔬菜的食用,就业状况,吸烟以及肥胖与居住地之间的关系。结果:以20-30岁为参考组,30-40岁,40-50岁,50-60岁和60岁以上年龄的肥胖几率比(OR)分别为2.48、3.79、3.52和3.15。女性的肥胖OR为2.63,而男性则为2.63。与不吸烟者相比,吸烟者和前吸烟者的肥胖ORs分别为0.64和1.18。在伊朗成年人中,中度和剧烈运动的肥胖ORs分别为0.99和0.90,而低水平者为。农村成年人的肥胖估计几率高出46%。与失业者相比,公共和私人部门的肥胖手术率分别为0.79和0.76。结论:我们的结果可能提供有关肥胖相关因素的更好见解,并可以用作加强预防伊朗肥胖的健康计划的基础。

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