Abstract
OBJECTIVE: To estimate the prevalence of obesity in the Murcia Region according to age and sex, and to analyse how obesity is related to demographic and socio-economic determinants and to other cardiovascular risk factors of interest to the community.
DESIGN: Survey on a representative population sample using multi-stage random sampling with definition of the sample quotas.
SUBJECTS: A total of 3091 persons aged 18–65 y residing in the Murcia Region.
MEASURMENTS: The following data were collected: socio-economic data; tobacco smoking; recent physical activity; blood pressure; weight; height; and blood analysis to determine plasma lipids. Obesity was defined by body mass index (BMI)≥30. Intense or vigorous physical activity (VPA≥6 equivalents to baseline metabolic rate or METs) was measured in kilocalories per day and reduced to hours per week.
RESULTS: In all, 20.5% of the adult population of the Murcia Region is obese, and 40.9% is overweight. In the logistic regression analysis, obesity in men is associated with age and level of education. In women it is associated with age, level of education, living in a non-urban area and being a housewife. When adjusted for socio-economic variables and for other cardiovascular risk factors the effect of age and level of education disappears in men and it is directly associated with hypertension and hypertriglyceridaemia and inversely related to more than 2 h VPA per week. Obesity in women is associated positively with age, hypertension, hypertriglyceridaemia and little VPA, and inversely with level of education.
CONCLUSIONS: In the Murcia Region 61.4% of the adult population presents with some form of excess weight. The prevalence of obesity (BMI≥30) is greater in women (23.7%; CI 95% 19.7–27.7) than in men (17.3%; CI 95% 15.3–19.3). The widespread nature of this factor makes it a mass problem that requires generalised interventions to prevent it.
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References
WHO. Obesity: preventing and managing the global epidemic WHO: Geneva 1998.
Gutiérrez-Fisac JL . La obesidad: una epidemia en curso Med Clin (Barc) 1998 111: 456–458.
Seidell JC . Obesity in Europe: scaling an epidemic Int J Obes Relat Metab Disord 1995 19: 1–4.
Manson JE, Willet WC, Stampfer MJ, Colditz GA, Hunter DJ, Hankinson SE, Hennekens CH, Speizer FE . Body weight and mortality among women New Engl J Med 1995 333: 677–685.
Stevens J, Cai J, Pamuk ER, Williamson DF, Thun MJ, Wood JL . The effect of age on the association between body mass index and mortality New Engl J Med 1998 338: 1–7.
Hubert HB, Feinleib M, McNamara PM, Castelli WP . Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study Circulation 1983 67: 968–977.
Manson JE, Colditz GA, Stampfer MJ, Willett WC, Rosner B, Monson RR, Speizer FE, Hennekens CH . A prospective study of obesity and risk of coronary heart disease in women New Engl J Med 1990 322: 882–889.
Pi-Sunyer FX . Medical hazard of obesity Ann Intern Med 1993 119: 655–660.
Huang Z, Willett WC, Manson JE, Rosner B, Stampfer MJ, Speizer FE, Colditz GA . Body weight, weight change, and risk for hypertension in women Ann Intern Med 1998 128: 81–88.
Ohlson LO, Larsson B, Svardsudd K, Welin L, Eriksson H, Wilhelmsen L, Bjorntorp P, Tibblin G . The influence of body fat distribution on the incidence of diabetes mellitus. 13, 5 y of follow-up of the participants in the study of men born in 1913 Diabetes 1985 34: 1055–1058.
Colditz GA, Willett WC, Stampfer MJ, Manson JE, Hennekens CH, Arky RA, Speizer FE . Weight as a risk factor for clinical diabetes in women Am J Epidemiol 1990 132: 501–513.
Wolf AM, Colditz GA . Current estimates of the economic cost of obesity in the United States Obes Res 1998 6: 97–106.
Informe Comité de Expertos de la OMS. El estado físico: uso e interpretación de la antropometría. Informe Técnico no. 854. Ginebra: OMS 1995.
Sociedad Española para el Estudio de la Obesidad (SEEDO). Consenso Español 1995 para la evaluación de la obesidad y para la realización de estudios epidemiológicos Med Clin (Barc) 1996 107: 782–787.
Gutiérrez-Fisac JL, Regidor E, Rodríguez C . Prevalencia de la obesidad en España Med Clin (Barc) 1994 102: 10–13.
Aranceta J, Pérez Rodrigo C, Serra Majem LI, Ribas L, Quiles Izquierdo, Vioque J, Foz M, y Grupo Colaborativo Español para el Estudio de la Obesidad . Prevalencia de obesidad en España: estudio SEEDO'97 Med Clin (Barc) 1998 111: 441–445.
Tormo Díaz MJ, Navarro Sánchez C, Chirlaque López MD, Pérez Flores D . Factores de riesgo cardiovascular en la Región de Murcia, España Rev Esp Salud Pública 1997 71: 515–529.
WHO MONICA Project . Part III: Population Survey; Section 1: Population survey data component MONICA Manual: Geneva 1990.
Garrow JS . Indices of adiposity Nut Abst Rev 1983 53: 697–708.
Tormo MJ, Navarro C, Pérez-Flores D . Quality control in the measurement of blood pressure. A practical estimation of within-observer variability in community surveys Eur J Public Health 1995 5: 265–268.
The Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure Arch Intern Med 1993 153: 154–183.
Tormo Díaz MJ, Moreno-Sueskun I, Chirlaque López MD, Navarro Sánchez C . Validez de un cuestionario de actividad física reciente Gac Sanit 1995 9: 174–182.
Lakka TA, Venalainen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen JT . Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction New Engl J Med 1994 330: 1549–1554.
Blair SN, Kohl HW, Gordon NF, Paffenbarger RS Jr . How much physical activity is good for health? A Rev Public Health 1992 13: 99–126.
Summary of the second report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults JAMA 1993 269: 3015–3023.
Gual F, Pérez F, Hernando L . Programa de prevención de enfermedades cardiovasculares en Atención Primaria. Dirección General de Salud y Consumo Murcia: Consejería de Sanidad y Asuntos Sociales 1996.
Kalton G . Introduction to survey sampling Newbury Park, Ca: Sage Publications 1983.
Keil U, Kuulasmaa K. WHO MONICA Project: risk factors Int J Epidemiol 1989 18 (3 Suppl 1): S46–55.
Serra Majem L, Ribas Barba L, García Closas R, Ramón Torrell JM, Salvador Castell G, Farran Codina A et al . Avaluació de l'estat nutricional de la població catalana (1992–93) Avaluació dels hábits alimentaris, el consum d'aliments, energia i nutrients, i de l'estat nutricional mitjançant indicadors bioquímics i antropomètrics Barcelona: Generalitat de Catalunya, Departament de Sanitat i Seguretat Social 1996.
Quiles Izquierdo J, Vioque J . Validez de los datos antropométricos declarados para la determinación de la prevalencia de obesidad Med Clin (Barc) 1996 106: 725–729.
Tormo MJ, Cirera LI, Navarro C . Prevalencia de obesidad estimada a partir de la autoinformación de peso y talla en España: error sistemático Med Clin (Barc) 1995 104: 596–597.
Quiles Izquierdo J, Vioque J . Prevalencia de obesidad en la Comunidad Valenciana Med Clin (Barc) 1996 106: 529–533.
Vioque J, Vicente MC . Prevalencia de obesidad en Orihuela (Alicante). Comparación con los datos de la Encuesta Nacional de Salud en España Med Clin (Barc) 1994 103: 636.
Navarro C, Tormo MJ, Chirlaque MD . Evaluación del estado nutricional de la cohorte EPIC-Murcia. Dirección General de Salud Pública, Serie Informes 27. Murcia: Consejería de Sanidad y Consumo 1999.
Serra Majem L, Ribas Barba L, Aranceta Batrina J . Epidemiología y prevención de la obesidad Medicina Integral 1999 33: 243–253.
Gutiérrez-Fisac JL, Rodríguez Artalejo F, Guallar-Castillon P, Banegas Banegas JR, del Rey Calero J . Determinants of geographical variations in body mass index (BMI) and obesity in Spain Int J Obes Relat Metab Disord 1999 23: 342–347.
Gutiérrez-Fisac JL, Regidor E, Rodríguez C . Economic and social factors associated with body mass index and obesity in the Spanish population aged 20–64 y Eur J Public Health 1995 5: 193–198.
Rissanen AM, Heliovaara M, Knekt P, Reunanen A, Aromaa A . Determinants of weight gain and overweight in adult Finns Eur J Clin Nutr 1991 45: 419–430.
Banegas Banegas JR, Villar Álvarez F, Pérez de Andrés C, Jiménez García-Pascual R, Gil López E, Muñiz García J, Juane Sánchez R . Estudio epidemiológico de los factores de riesgo cardiovasculares en la población española de 35 a 64 años Rev San Hig Púb 1993 67: 419–445.
Plans P, Serra LI, Castells C, Lloveras G, Pardell H, Salleras LI . Epidemiología de la obesidad en al población adulta de Cataluña An Med Inter (Madrid) 1992 9: 478–482.
Reeder BA, Angel AA, Ledoux M, Rabkin SW, Young K, Sweet LE, Canadian Heart Health Surveys Research Group . Obesity and its relation to cardiovascular disease risk factor in Canadian adults CMAJ 1992 146(11): 2009–2019.
Gutiérrez-Fisac JL, Rodríguez Artalejo F . Relación entre obesidad, hábito tabáquico y actividad fisica en el tiempo libre en la población española de 20 a 64 años Med Clin (Barc) 1995 104: 293–297.
Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T . Smoking cessation and severity of weight gain in a national cohort New Engl J Med 1991 324: 739–745.
Braam LA, Ocke MC, Bueno-de-Mesquita HB, Seidell JC . Determinants of obesity-related underreporting of energy intake New Engl J Med 1998 147: 1081–1086.
Eckel RH, Krauss RM . American Heart Association call to action: obesity as a major risk factor for coronary heart disease. AHA Nutrition Committee Circulation 1998 97: 2099–2100.
Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH . Social and economic consequences of overweight in adolescence and young adulthood New Engl J Med 1993 329: 1008–1012.
Rosmond R, Björntorp P . Psychosocial and socio-economic factors in women and their relationship to obesity and regional body fat distribution Int J Obes Relat Metab Disord 1999 23: 138–145.
Rose G . The strategy of preventive medicine Oxford: Oxford University Press 1992.
Acknowledgements
The authors wish to thank Iñaki Moreno Sueskun for his help in designing the physical activity questionnaire. This study was financed in part by a FIS aid to investigation (no. 92/0902).
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Martínez-Ros, M., Tormo, M., Navarro, C. et al. Extremely high prevalence of overweight and obesity in Murcia, a Mediterranean region in south-east Spain. Int J Obes 25, 1372–1380 (2001). https://doi.org/10.1038/sj.ijo.0801684
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DOI: https://doi.org/10.1038/sj.ijo.0801684
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