Obesity in the Russian population during the COVID-19 pandemic and associated factors. Data from the ESSE-RF3 study
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Published:2023-12-28
Issue:8S
Volume:22
Page:3793
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ISSN:2619-0125
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Container-title:Cardiovascular Therapy and Prevention
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language:
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Short-container-title:Cardiovasc Ther Prev
Author:
Balanova Yu. A.1ORCID, Drapkina O. M.1ORCID, Kutsenko V. A.2ORCID, Imaeva A. E.1ORCID, Kontsevaya A. V.1ORCID, Maksimov S. A.1ORCID, Muromtseva G. A.1ORCID, Kotova M. B.1ORCID, Karamnova N. S.1ORCID, Evstifeeva S. E.1ORCID, Kapustina A. V.1ORCID, Litinskaya O. A.1ORCID, Pokrovskaya M. S.1ORCID, Kuzyakina S. O.1ORCID, Ivlev O. E.1ORCID, Gomanova L. I.1ORCID, Doludin Yu. V.1ORCID, Efimova I. A.1ORCID, Borisova A. L.1ORCID, Nazarov B. M.3ORCID, Yarovaya E. B.2ORCID, Repkina T. V.4ORCID, Gonoshilova T. O.4ORCID, Kudryavtsev A. V.5ORCID, Belova N. I.5ORCID, Shagrov L. L.5ORCID, Samotrueva M. A.6ORCID, Yasenyavskaya A. L.6ORCID, Chernysheva E. N.6ORCID, Glukhovskaya S. V.7ORCID, Levina I. F.7ORCID, Shirshova T. F.7ORCID, Dorzhieva E. B.8ORCID, Urbanova E. Z.8ORCID, Borovkova N. Yu.9ORCID, Kurashin V. K.9ORCID, Tokareva A. S.9ORCID, Ragino Yu. I.10ORCID, Simonova G. I.10ORCID, Khudyakova A. D.10ORCID, Nikulin V. N.11ORCID, Aslyamov O. R.11ORCID, Khokhlova G. V.11ORCID, Solovyova A. V.12ORCID, Rodionov A. A.12ORCID, Kryachkova O. V.12ORCID, Shamurova Yu. Yu.13ORCID, Tantsyreva I. V.13ORCID, Baryshnikova I. N.13ORCID, Ataev M, G.14ORCID, Radjabov M. O.14ORCID, Isakhanova M. M.14ORCID, Umetov M. A.15ORCID, Elgarova L. V.15ORCID, Khakuasheva E. A.15ORCID, Yamashkina E. I.16ORCID, Esina M. V.16ORCID, Kunyaeva T. A.17ORCID, Nikitina A. M.18ORCID, Savvina N. V.19ORCID, Spiridonova Yu. E.18ORCID, Naumova E. A.20ORCID, Keskinov A. A.21ORCID, Yudin V. S.21ORCID, Yudin S. M.21ORCID, Shalnova S. A.1ORCID
Affiliation:
1. National Medical Research Center for Therapy and Preventive Medicine 2. National Medical Research Center for Therapy and Preventive Medicine;
Lomonosov Moscow State University 3. City Polyclinic № 109 4. Regional Center for Public Health and Medical Prevention 5. Northern State Medical University 6. Astrakhan State Medical University 7. Sverdlovsk Regional Medical College 8. Boyanov Center for Public Health and Medical Prevention 9. Privolzhsky Research Medical University 10. Research Institute of Internal and Preventive Medicine — branch of the Institute of Cytology and Genetics 11. Orenburg Regional Center for Public Health and Medical Prevention 12. Tver State Medical University 13. South Ural State Medical University 14. Abusuev Research Institute of Environmental Medicine, Dagestan State Medical University 15. Berbekov Kabardino-Balkarian State University 16. Ogarev Mordovian State University 17. Ogarev Mordovian State University;
Mordovian Republican Central Clinical Hospital 18. Republican Center for Public Health and Medical Prevention 19. Ammosov North-Eastern Federal University 20. Republican Center for Public Health and Medical Prevention, Exercise therapy and Sports Medicine 21. Center for Strategic Planning and Management of Biomedical Health Risks
Abstract
Aim. To study the problem of obesity at the national level.Material and methods. The ESSE-RF3 study examined a representative sample of the population of 15 Russian regions aged 35-74 years with a response >70% (n=28731). Modular design questionnaire was used. The study received approval from the Independent Ethics Committee of the National Medical Research Center for Therapy and Preventive Medicine. Signed informed consent was obtained from each participant. Body mass (BM) was measured once with an accuracy of 100 g. The height was measured with an accuracy of 0,5 cm once in a standing position without shoes. Waist circumference was measured with a standard measuring tape with an accuracy of 0,5 cm. There were following BM categories: insufficient (BM index (BMI) <18,5), normal (18,5≲ BMI ≲24,9), overweight (25,0≲ BMI ≲29,9), class I obesity (30,0≲ BMI ≲34,9), class II obesity (35,0≲ BMI ≲39,9) and class III obesity (BMI >40). Abdominal obesity (AO) was assessed using the following criteria: waist circumference ≥102 cm and ≥88 cm for men and women, respectively. The changes of obesity were studied with the inclusion of materials from the ESSE-RF (2012-14) and ESSE-RF2 (2017) studies, carried out using the same methodology with ESSE-RF3 in the same age range of 35-64 years. Statistical analysis was carried out using the open-source R 3.6.1 environment. Analysis of associations between factors and a binary variable was carried out using the logistic regression method. The significance level for all tested hypotheses was 0,05.Results. Mean BMI values is 28,2±4,6 kg/m2 among men and 28,9±5,9 kg/m2 among women. The prevalence of overweight is 44,0 and 33,7%, obesity — 30,0 and 39,5%, AO — 30,9 and 55,1% among men and women, respectively. In addition, 30,3% have a combination of obesity and AO; obesity and/or AO — 49,1%. Obesity statistics did not significantly change, but in each section the rates are higher among women. The closest associations were found between obesity and hypertension (men: odds ratio (OR) (95% confidence interval) 2,88 (2,66-3,12), women: OR 3,03 (2,81-3,27) (p<0,001) and hyperuricemia for women (OR 4,21 (3,74-4,75) (p<0,001).Conclusion. A third of the Russian population is obese, and half has obesity and/or AO. This severity of the problem requires the development and adoption of a strategy to monitor obesity at the national level.
Publisher
Silicea - Poligraf, LLC
Subject
Cardiology and Cardiovascular Medicine,Education
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