A public health threat in Hungary: obesity, 2013

BMC Public Health

János Sándor²  Zoltán Jancsó³  Tímea Ungvári³  Éva Albók³  Gabriella Iski³  Csaba Móczár⁴  Judit Szidor³  Péter Torzsa¹  Imre Rurik³ 

[1] Department of Family Medicine, Faculty of Medicine, Semmelweis University, Budapest, Hungary;Division of Biostatistics and Epidemiology, Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary;Department of Family and Occupational Medicine, Faculty of Public Health, University of Debrecen, Móricz Zs. krt.22, 4032 Debrecen, Hungary;Irinyi Primary Health Care Center, Kecskemét, Hungary

关键词: Public health;    Primary care;    Prevalence;    Overweight;    Obesity;    Hungary;   

Others  :  1128790
DOI  :  10.1186/1471-2458-14-798

 received in 2014-04-03, accepted in 2014-07-22,  发布年份 2014

【 摘 要 】

Background

In Hungary, the last wide-range evaluation about nutritional status of the population was completed in 1988. Since then, only limited data were available. Our aim was to collect, analyze and present updated prevalence data.

Methods

Anthropometric, educational and morbidity data of persons above 18 y were registered in all geographical regions of Hungary, at primary care encounters and within community settings.

Results

Data (BMI, waist circumference, educational level) of 40,331 individuals (16,544 men, 23,787 women) were analyzed. Overall prevalence for overweight was 40.4% among men, 31.3% among women, while for obesity 32.0% and 31.5%, respectively. Abdominal obesity was 37.1% in males, 60.9% in females. Among men, the prevalence of overweight-obesity was: under 35 y = 32.5%-16.2%, between 35-60 y = 40.6%-34.7%, over 60 y = 44.3%-36.7%. Among women, in the same age categories were: 17.8%-13.8%, 29.7%-29.0%, and 36.9%-39.0%. Data were presented according to age by decades as well. The highest odds ratio of overweight (OR: 1.079; 95% CI [1.026-1.135]) was registered by middle educational level, the lowest odds ratio of obesity (OR: 0.500; 95% CI [0.463-0.539]) by the highest educational level. The highest proportion of obese people lived in villages (35.4%) and in Budapest (28.9%). Distribution of overweighed persons were: Budapest (37.1%), other cities (35.8%), villages (33.8%). Registered metabolic morbidities were strongly correlated with BMIs and both were inversely related to the level of urbanization. Over the previous decades, there has been a shift in the distribution of population toward being overweight and moreover obese, it was most prominent among males, mainly in younger generation.

Conclusions

Evaluation covered 0.53% of the total population over 18 y and could be very close to the proper national representativeness. The threat of obesity and related morbidities require higher public awareness and interventions.

【 授权许可】

   
2014 Rurik et al.; licensee BioMed Central Ltd.

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