SCREENING FOR OBESITY IN TAJIKISTAN ADULT POPULATION: A PILOT PROJECT IN SELECTED DISTRICTS

Author:

ABDULLOZODA S.M., ,USMANOVA G.M.,

Abstract

Objective: Screening for overweight (OW) and obesity (OB), as well as possible risk factors (RFs) for their development among the adult population of Tajikistan in the context of pilot areas. Methods: OW and OB screening was conducted on 1304 participants (718 females, 586 males) with a mean age of 41.1±13.6 residing in Dushanbe and rural areas of Rudaki and Gissar districts (pilot areas) in the Republic of Tajikistan without prior randomization. Based on the anthropometric measurements taken, it was determined that the participants have OW and OB. All respondents gave voluntary written consent to participate in this screening program. Notably, the respondents received no financial or other rewards that could impact the study results. Results: Out of a total of 1,306 respondents, 74 (5.68%) were identified as underweight, with 33 males (5.63%) and 41 females (5.71%), p>0.05; 637 (48.85%) had normal body weight (NBW), with 338 males (57.67%) and 299 females (41.64%), p<0.001. OW was found in 330 respondents (25.3%) with 207 females (28.83%) and 123 males (20.98%), p<0.01; OB of various degrees was found in 263 respondents (20.17%) with 171 females (23.81%) and 92 males (15.69%), p<0.001. Among males, OB classes II and III were almost as common as among females, while OB class I was 3.7 times more prevalent in females (17.13% vs. 4.61%, p<0.001). The prevalence of OB class II was 5.01% and 0.34%, while OB class III was 4.09% and 1.67% in females and males, respectively (p>0.05). On average, waist circumference was 90.6±18.3 cm, hips were 99.5±17.4 cm, and neck was 34.2±6.1 cm in this cohort. The average waist circumference in this cohort was 90.6±18.3 cm, hips were 99.5±17.4 cm, and neck was 34.2±6.1 cm. OW was most often noted among residents of rural areas (n=308; 47.3%) compared with urban residents (n=285; 43.6%), p<0.001. A study comparing the occurrence of OW and OB between urban and rural residents found that the rural population had higher rates of both, with OW at 25.7% (p<0.001) and OB at 21.7%, compared to 24.9% (p<0.001) and 18.7% for the capital residents, respectively. Significant RFs for the development of OW and OB among the examined cohort include female gender, young age (18-44 years), smoking, frequent food consumption (more than 5 times a day), high intake of bakery products and sweets, a tendency to overeat upon breaking fasting during Ramadan, daily stress, and sedentary work. Conclusion: Screening results indicate that 45.5% of adults in the country are OW (25.3%) or OB (20.2%). OW mainly affects young and middle-aged men living in urban areas and young and middle-aged women in rural areas. The need to promote a healthy lifestyle, healthy eating, and physical activity among the population of Tajikistan is evident from the results. Keywords: Overweight, obesity, screening, risk factors.

Publisher

Avicenna Tajik State Medical University

Subject

Psychiatry and Mental health

Reference15 articles.

1. 1. GBD 2015 Obesity Collaborators; Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13-27. https://doi.org/10.1056/NEJMoa1614362

2. 2. Kessler RC, Berglund PA, Chiu WT, Deitz AC, Hudson JI, Shahly V, et al. The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry. 2013;73(9):904-14. https:// doi.org/10.1016/j.biopsych.2012.11.020

3. 3. Tham KW, Abdul Ghani R, Cua SC, Deerochanawong C, Fojas M, Hocking S, et al. Obesity in South and Southeast Asia - A new consensus on care and management. Obes Rev. 2023;24(2):e13520. https://doi.org/10.1111/obr.13520

4. 4. Khabriev RU, Kakorina EP, Kuzmina LP, Fishman BB, Prozorova IV, Raff SA, i dr. Organizatsionnye aspekty ranney diagnostiki metabolicheskogo sindroma na osnove vnedreniya novykh geneticheskikh, kletochnykh i bioinformatsionnykh tekhnologiy [The organizational aspects of early diagnostic of metabolic syndrome on the basis of implementation of new genetic, cellular and bio-informational technologies]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny. 2019;27(5):796-802. https://doi.org/10.32687/0869- 866X-2019-27-5-796-802

5. 5. Ochilova DA, Niyozova GS. Ozhirenie i risk serdechno-sosudistykh zabolevaniy (lektsiya) [Obesity and risk of cardiovascular diseases (lecture)]. Biologiya i integrativnaya meditsina. 2017;7:34-44.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3