Family Medicine & Primary Care Review

Abstract

1/2020 vol. 22
Original paper

The prevalence of determinants of obesity, metabolic syndrome and overweight in middle-aged urban women living in a megacity

  1. Department of Midwifery, Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  2. Student Research Committee, Ahvaz Jundishapur University of Medical Sciences; Department of Nutrition, School of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Student Research Committee, Tabriz University of Medical Sciences; Nutrition Research Center, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
  3. Department of Statistics, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  4. Health Research Institute, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz
  5. Department of Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
  6. Food Security Research Center, Department of Clinical Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
Family Medicine & Primary Care Review 2020; 22(1): 7–12
Online publish date: 2020/03/20
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Background

Obesity is a major health problem that can lead to chronic illness.

Objectives

The aim of this study was to determine the prevalence of determinants of obesity and overweight in middle-aged women in the city of Ahvaz.

Material and methods

This cross-sectional study was carried out on 600 urban women between 30–65 years of age that were invited to the Health Centres of Ahvaz, Iran, from April to November 2018. A randomised, multi-stage cluster sampling was used, and data was collected using demographic information, a Food Frequency Questionnaire (FFQ) and an International Physical Activity Questionnaire (IPAQ). General obesity was considered as a body mass index (BMI) ≥ 30 kg/m².

Results

The mean age of participants was 38.9 ± 8 years of age. In total, 73% were overweight and/or obese. The incidence of obesity was higher with illiterate, housewives and older women (p < 0.05). Obesity had a significant positive correlation with family size, the number of obese persons in the family and quantity of daily snacks (p < 0.05), as well as a reverse correlation with consuming oral contraceptive. There was relationship between BMI and consumption of red meat, fast food and snacks (p < 0.05), although in the general score of the food frequency questionnaire, the relations were not significant.

Conclusions

Prevention education programmes for achieving higher education, lesser family dimension, changes in lifestyle, including having a healthier nutritional diet, consuming the less fast food and red meat and more fruits and vegetables are recommended.

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