Excess weight and abdominal obesity in postmenopausal Brazilian women: a population-based study

BMC Women's Health

Research Article

Sheila C R Brischiliari¹  Angela A F Gravena¹  Tiara C R Lopes¹  Maria D B Carvalho²  Cátia M D Agnolo³  Sandra M Pelloso³ 

[1] Department of Health Science, Universidade Estadual de Maringa, Maringa, Parana, Brazil;Department of Medicine, Universidade Estadual de Maringá, Maringa, Parana, Brazil;Department of Nursing, Universidade Estadual de Maringá, Maringa, Parana, Brazil;

关键词: Postmenopause;    Body mass index;    Waist circumference;    Obesity;    Abdominal obesity;   

DOI  :  10.1186/1472-6874-13-46

 received in 2013-03-25, accepted in 2013-11-12,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThe menopause is associated with a tendency to gain weight. Several alterations in fat deposits occur, leading to changes in the distribution of body fat. There are strong indications that, in middle age, obesity is associated with increased mortality. This study set out to determine the factors associated with the prevalence of overweight and abdominal obesity in postmenopausal women in a population-based study in Brazil.MethodsThe sample included 456 women, aged 45–69 years, residing in the urban area of Maringa, Parana. Systematic sampling, with a probability proportional to the size of the census sector, was performed. Behavioral, economic, and sociodemographic data were collected, and body mass index (BMI) and waist circumference (WC) were determined.ResultsAccording to BMI criteria (≥25.0 kg/m2), 72.6% of the women were overweight, and according to WC (≥88 cm), 63.6% had abdominal obesity. Based on logistic regression analysis, the factors that were most closely associated with overweight were: having three or more children (odds ratio (OR): 1.78; 95% confidence interval (CI): 1.06–3.00); and not taking hormone replacement therapy (OR: 1.69; 95% CI: 1.06–2.63). The prevalence of abdominal obesity was positively associated with greater parity (OR: 1.34, 95% CI: 1.05–1.72) and age older than 65 years (OR: 1.50; 95% CI: 1.03–2.19).ConclusionsThis study found that the prevalences of overweight and abdominal obesity were higher for postmenopausal women who had three or more children. Age over 65 years was also a risk factor for abdominal obesity and no use of hormonal replacement therapy was a risk factor for overweight.

【 授权许可】

CC BY   
© Gravena et al.; licensee BioMed Central Ltd. 2013