Avtor/Urednik		Rifel, Janez; Švab, Igor
Naslov		Prevalence of abdominal obesity in Slovene primary health care attendees - the IDEA study
Prevedeni naslov		Prevalenca abdominalne debelosti pri pacientih na primarnem nivoju zdravstvene oskrbe v Sloveniji - raziskava IDEA
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 48, št. 1
Leto izdaje		2009
Obseg		str. 18-25
Jezik		eng
Abstrakt		Background: Obesity is well recognized as a major risk factor for coronary heart disease, vascular mortality, diabetes and metabolic syndrome. However, evidence is accumulating that abdominal obesity is a stronger predictor for these disorders than generalized obesity, defined by elevated body mass index.Reliable estimates of the worldwide prevalence of abdominal obesity are needed to quantify the associated health risk. Methods: The International Day for the Evaluation of Abdominal Obesity (IDEA) study is a large, international, epidemiological cross-sectional study designed to provide reliable data on the distribution of waist circumference according to region, gender, age and socio-economic background. Any non-pregnant patient aged 18-80years who consulted one of the randomly selected primary care physicians on two pre-defined half days was eligible to participate in the study. Results: In Slovenia, 1536 patients were enrolled in the study. The prevalenceof abdominal obesity in Slovene primary health care (PHC) attendees was 33.5% for men and 50.0% for women. The prevalence of abdominal obesity is increasing with age and declining with higher level of education. Abdominal obesity is highly prevalent among unemployed women and former smokers. The prevalence of abdominal obesity is higher among patients with cardiovascular risk factors, including hypertension and type 2 diabetes, and among post-menopausal women, especially among those receiving no hormone replacementtherapy. Conclusion: Waist circumference is easy to measure and mayserve as a single measure to assess the need for weight loss.
Izvleček		Namen dela: Debelost velja za enega glavnih dejavnikov tveganja za koronarno srčno bolezen, sladkorno bolezen, žilne bolezni in metabolni sindrom. Vedno več je dokazov, da je abdominalna debelost močnejši napovedni dejavnik kot splošna debelost, ki se opredeljuje s povišanim indeksom telesne mase. Za kvantifikacijo zdravstvenega tveganja, povezanega z abdominalno debelostjo, sopotrebne zanesljive globalne ocene prevalence abdominalne debelosti. Metode:Raziskava IDEA oziroma mednarodni dan za oceno abdominalne debelosti jevelikanska mednarodna epidemiološka presečna raziskava, ki je prinesla zanesljive podatke o porazdeljenosti obsega pasu glede na regijo, spol, starost in socialno ekonomske sloje po vsem svetu. Vsi bolniki, ki so bili stari med 18 in 80 leti, ženske pa niso bile noseče, ter so se oglasili pri naključno izbranem zdravniku na primarni ravni zdravstvene oskrbe v vnaprej določenih dveh polovicah dveh dnevov, so se lahko priključili raziskavi. Rezultati: V Sloveniji je v raziskavi sodelovalo 1536 ljudi. Prevalenca abdominalne debelosti med slovenskimi bolniki na primarni ravni zdravstvene oskrbe je bila 33,5 % pri moških in 50 % pri ženskah. Prevalenca abdominalne debelosti narašča s starostjo bolnikov in se zmanjšuje z višanjem njihove dosežene izobrazbe. Abdominalna debelost ima visoko prevalenco med nezaposlenimi ženskami in bivšimi kadilci. Abdominalna debelost je pogostejša med bolniki s srčno-žilnimi boleznimi, sladkorno boleznijo in z visokim tlakom. Prevalenca abdominalne debelosti je višja med ženskami po menopavzi, še posebej med tistimi, ki ne prejemajo nadomestnega hormonskega zdravljenja. Zaključek: Merjenje obsega pasu je enostavna metoda, ki bi lahko pomagala pri oceni nujnosti zmanjšanja telesne teže.