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Obesity and abdominal obesity; an alarming challenge for cardio-metabolic risk in Turkish adults.
Anadolu Kardiyol Derg. 2008 Dec; 8(6):401-6.AK

Abstract

OBJECTIVE

To assess the prevalence of obesity and abdominal obesity in Turkish adults.

METHODS

This is a nationally representative cross-sectional study. From both urban and rural areas of seven geographical regions of Turkey 2110 men and 2154 women with a mean age of 40.9+/-14.9 years (range 20-90) were included in this study. Demographic, anthropometric data were collected and biochemical analyses of blood lipids and glucose levels were performed in all participants. Statistical analyses were performed using Chi-square, unpaired t and two-way ANOVA tests. Stepwise logistic regression analysis was applied for the study of association of obesity with cardiometabolic risk factors.

RESULTS

The prevalence of overweight was 36.0% (41.5% in men and 30.6% in women) and the prevalence of obesity was 30.4% (20.6% in men and 39.9% in women). The prevalence of obesity was similar in rural and urban areas. The prevalence of abdominal obesity and metabolic syndrome were 36.2% and 40.9 % according to American Heart, Lung, and Blood Institute criteria and 58.7% and 42.6% according to International Diabetes Federation criteria, respectively. Abdominal obesity and metabolic syndrome were significantly more prevalent among women. After adjusting for age, sex and other cardiometabolic risk factors, abdominal obesity was significantly associated with increases in body mass index (odds ratio [OR] per 5 kg/m2 increase 1.61, 95% CI 1.52-1.69) and triglycerides (OR per 10 unit increase 1.02, 95% CI 1.01-1.02) and negatively associated with total cholesterol (OR 0.95, 95% CI 0.94-0.96), high-density lipoprotein cholesterol (OR 0.96, 95% CI 0.93-0.99), systolic blood pressure (OR 0.95, 95% CI 0.92-0.98) and diastolic blood pressure (OR 0.94, 95% CI 0.90-0.99).

CONCLUSION

Obesity and abdominal obesity are major problems for Turkish adults, especially for Turkish women. Our finding is alarming for cardio-metabolic complications and underscores the need for population-based strategies to modify lifestyle related risk factors.

Links

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Authors+Show Affiliations

Oğuz A
Department of Internal Medicine, Göztepe Education and Research Hospital, Istanbul,Turkey. scelik@meds.ktu.edu.tr
Temizhan A
No affiliation info available
Abaci A
No affiliation info available
Kozan O
No affiliation info available
Erol C
No affiliation info available
Ongen Z
No affiliation info available
Celik S
No affiliation info available

MeSH

Abdominal FatAdultAgedAged, 80 and overAnalysis of VarianceAnthropometryBlood GlucoseBody Mass IndexCardiovascular DiseasesCross-Sectional StudiesFemaleHumansInsulinLipid MetabolismLipidsLogistic ModelsMaleMetabolic SyndromeMiddle AgedObesityOverweightPrevalenceRisk FactorsSex FactorsTurkeyYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19103534

Citation

Oğuz, Aytekin, et al. "Obesity and Abdominal Obesity; an Alarming Challenge for Cardio-metabolic Risk in Turkish Adults." Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology, vol. 8, no. 6, 2008, pp. 401-6.
Oğuz A, Temizhan A, Abaci A, et al. Obesity and abdominal obesity; an alarming challenge for cardio-metabolic risk in Turkish adults. Anadolu Kardiyol Derg. 2008;8(6):401-6.
Oğuz, A., Temizhan, A., Abaci, A., Kozan, O., Erol, C., Ongen, Z., & Celik, S. (2008). Obesity and abdominal obesity; an alarming challenge for cardio-metabolic risk in Turkish adults. Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology, 8(6), 401-6.
Oğuz A, et al. Obesity and Abdominal Obesity; an Alarming Challenge for Cardio-metabolic Risk in Turkish Adults. Anadolu Kardiyol Derg. 2008;8(6):401-6. PubMed PMID: 19103534.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Obesity and abdominal obesity; an alarming challenge for cardio-metabolic risk in Turkish adults. AU - Oğuz,Aytekin, AU - Temizhan,Ahmet, AU - Abaci,Adnan, AU - Kozan,Omer, AU - Erol,Cetin, AU - Ongen,Zeki, AU - Celik,Sükrü, PY - 2008/12/24/entrez PY - 2008/12/24/pubmed PY - 2009/3/20/medline SP - 401 EP - 6 JF - Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology JO - Anadolu Kardiyol Derg VL - 8 IS - 6 N2 - OBJECTIVE: To assess the prevalence of obesity and abdominal obesity in Turkish adults. METHODS: This is a nationally representative cross-sectional study. From both urban and rural areas of seven geographical regions of Turkey 2110 men and 2154 women with a mean age of 40.9+/-14.9 years (range 20-90) were included in this study. Demographic, anthropometric data were collected and biochemical analyses of blood lipids and glucose levels were performed in all participants. Statistical analyses were performed using Chi-square, unpaired t and two-way ANOVA tests. Stepwise logistic regression analysis was applied for the study of association of obesity with cardiometabolic risk factors. RESULTS: The prevalence of overweight was 36.0% (41.5% in men and 30.6% in women) and the prevalence of obesity was 30.4% (20.6% in men and 39.9% in women). The prevalence of obesity was similar in rural and urban areas. The prevalence of abdominal obesity and metabolic syndrome were 36.2% and 40.9 % according to American Heart, Lung, and Blood Institute criteria and 58.7% and 42.6% according to International Diabetes Federation criteria, respectively. Abdominal obesity and metabolic syndrome were significantly more prevalent among women. After adjusting for age, sex and other cardiometabolic risk factors, abdominal obesity was significantly associated with increases in body mass index (odds ratio [OR] per 5 kg/m2 increase 1.61, 95% CI 1.52-1.69) and triglycerides (OR per 10 unit increase 1.02, 95% CI 1.01-1.02) and negatively associated with total cholesterol (OR 0.95, 95% CI 0.94-0.96), high-density lipoprotein cholesterol (OR 0.96, 95% CI 0.93-0.99), systolic blood pressure (OR 0.95, 95% CI 0.92-0.98) and diastolic blood pressure (OR 0.94, 95% CI 0.90-0.99). CONCLUSION: Obesity and abdominal obesity are major problems for Turkish adults, especially for Turkish women. Our finding is alarming for cardio-metabolic complications and underscores the need for population-based strategies to modify lifestyle related risk factors. SN - 1308-0032 UR - https://www.unboundmedicine.com/medline/citation/19103534/Obesity_and_abdominal_obesity L2 - http://www.anatoljcardiol.com/linkout/?PMID=19103534 DB - PRIME DP - Unbound Medicine ER -