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- Title
Trends in the Prevalence of Severe Obesity among Tehranian Adults: Tehran Lipid and Glucose Study, 1999-2017.
- Authors
Mousapour, Pouria; Valizadeh, Majid; Mahdavi, Maryam; Saadat, Navid; Barzin, Maryam; Azizi, Fereidoun; Hosseinpanah, Farhad
- Abstract
Background: A rise in the global prevalence of severe obesity (body mass index; BMI of ≥35 kg/m² ) has been reported. In this study, we investigated the trends in the prevalence of severe obesity among Tehranian adults over the past two decades. Methods: A representative sample of 10,045 Tehranians aged ≥19 years were followed from 1999 to 2017. The trends in the prevalence of severe obesity were investigated over six cross-sectional phases with 3.6-year intervals using generalized estimating equations. Results: In this cohort, the overall prevalence of severe obesity increased from 4.6% (1.8% in males and 6.7% in females) in 1999 to 10.1% (4.7% in males and 14.3% in females) in 2017. The persisted rising in prevalence in the youngest age-group in both genders, with the most rapid increase among females aged 19--29 years, plateaued in the older ages and remained unchanged among males aged over 50 years. After age-sex standardized analysis by using Tehranian urban population data, the prevalence rates of severe obesity in Tehranian men and women were estimated to be 1.9% and 5.7% in 1996, and 4.5% and 10.9% in 2016, respectively. Conclusion: There was a significant and continuous increase in the prevalence of severe obesity in Tehranian adults over the past two decades. Preventive interventions should be focused on the younger and middle-aged population, to mitigate the subsequent burden of severe obesity on Tehranian population and the healthcare system.
- Subjects
IRAN; BLOOD sugar analysis; PREVENTION of obesity; AGE distribution; LIPIDS; METROPOLITAN areas; OBESITY; SEX distribution; BODY mass index; DISEASE prevalence; CROSS-sectional method; SEVERITY of illness index
- Publication
Archives of Iranian Medicine (AIM), 2020, Vol 23, Issue 6, p378
- ISSN
1029-2977
- Publication type
Article
- DOI
10.34172/aim.2020.30