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Obesity Prevalence in Reproductive Age and Postmenopausal Women Aged Between 20-64 Years in a Semi-urban Area

2006; Galenos Yayinevi; Volume: 2006; Issue: 3 Linguagem: Inglês

2146-3131

Ahmet Aktener, Hatice İkbal Dülger, Gülsüm Egemen Erkayhan, Gökay Gormeli, Fatma Sercan Kafadar, Mehtap Yıldız, Pembe Keskinoğlu, Ata Soyer,

Obesity, Physical Activity, Diet

Objectives: To determine the prevalence of and risk factors for obesity among reproductive age and postmenopausal women aged between 20-64 years in a semi-urban area. Study Design: In this cross-sectional and analytic study conducted in Urla Health Center District in Izmir, 297 women was selected with systematic sampling method from a total of 3689 women aged 20-64 years. Obesity prevalence was taken as 30%, deviation as 5% and 96.3% of all women (n=286) could be reached. Data were collected through a face to face questionnaire and by body weight and height measurements. Obesity was defined as a body mass index of agt;30 kg/m2. Results: Among all women, 82.5% were primary school graduates and/or never attended school; 94.4% were not in employment. The prevalence of obesity was 22.2% among women between 20-49 years and 41.1% among women between 50-64 years. All women aged 50-64 years were in menopausal period, and 6 women aged 20-49 years of age were in perimenopausal period. Univariate analysis showed that obesity was significantly associated with age (age;50 years, p=0.004), number of births (age;3 births, p=0.019), having a first degree obese relative (palt;0.001), chronic diseases (p=0.034), and consumption of foods rich in carbohydrates (p=0.034). According to multivariate logistic regression analysis which included the above mentioned variables and oral contraceptive use; chronic diseases (palt;0.001), obesity in the family (palt;0.001) and high consumption of carbohydrate-rich foods (p=0.030) significantly increased obesity. There was no correlation between age and obesiy. Conclusion: It was observed that 25.9% of 20-64 years old women in semi-urban area were obese and obesity increased with age. The genetic and environmental factors, chronical diseases and variables regarding reproductive health affect obesity prevalence. Turkish Baslik: Yari Kirsal Bir Bolgede 20-64 Yas Ureme Cagi ve Menopoz Sonrasi Kadinlarda Sismanlik Sikligi Anahtar Kelimeler: Kadin; obezite/epidemiyoloji Amac: Calismanin amaci yari kirsal bir bolgede 20-64 yas arasi ureme cagi ve menopoz sonrasi donemdeki kadinlarda sismanlik sikligini ve risk faktorlerini belirlemektir. Calisma Plani: Bu kesitsel, analitik calismada Izmir Ili Urla Saglik Ocagi bolgesinde sismanlik gorulme sikligi %30 ve sapma %5 alinarak 20-64 yaslarinda 3689 kadindan 297a#39;si sistematik ornekleme ile secildi, orneklemdeki kadinlarin %96.3a#39;une (n=286) ulasildi. Veri yuz yuze gorusulerek anketle ve agirlik-boy olcumleri yapilarak toplandi. Sismanligi tanimlamak icin beden kutle indeksi agt;30 kg/m2 alindi. Bulgular: Kadinlarin %82.5a#39;i ilkokul mezunu ve/veya okula gitmemisti, %94.4a#39;u calismiyordu. Yirmi-49 yas grubu kadinlarin %22.2a#39;si, 50- 64 yas grubu kadinlarin ise %41.1a#39;i sismandi. Elli-64 yas kadinlarin tumu menopoza girmisti, 20-49 yas kadinlardan altisi menopoza girme donemindeydi. Tek degiskenli analiz sonuclarina gore; 50 yasin uzerinde olan (p=0.004), uc ve uzeri dogum yapan (p=0.019), birinci dereceden akrabasinda sisman kisi olan (palt;0.001), kronik hastaligi bulunan (p=0.034) ve karbonhidratli besinleri sik tuketen kadinlar anlamli olarak daha sismandi (p=0.034). Yukarda bahsedilen degiskenlerle birlikte oral kontraseptif ilac kullaniminin dahil edildigi cok degiskenli analiz sonucunda; kronik hastalik (palt;0.001), ailede sismanlik (palt;0.001) ve karbonhidrattan zengin beslenme (p=0.030) sismanlik sikligini anlamli olarak artirmaktaydi, yas grubu degiskeni sismanligi etkilememekteydi. Sonuc: Yari kirsal bir bolgedeki 20-64 yas grubu kadinlarin %25.9a#39;unun sisman oldugu ve sismanligin yasla arttigi saptandi. Genetik ve cevresel etmenler, kronik hastalik varligi ve ureme sagligina ait degiskenlerin sismanlik sikligini etkiledigi goruldu.