Submitted: 23 Jan 2018
Revised: 21 Jun 2018
Accepted: 25 Jun 2018
First published online: 07 Jul 2018
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Health Promot Perspect. 2018;8(3):187-194.
doi: 10.15171/hpp.2018.25
  Abstract View: 30
  PDF Download: 45

Original Article

Socio-demographic determinants of obesity indexes in Iran:findings from a nationwide STEPS survey

Ali-Asghar Kolahi 1 * , Alireza Moghisi 2, Yalda Soleiman Ekhtiari 1

1 Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Deputy General Director for NCDs, National Focal Person for STEPS Survey & Director for Injury Prevention, Ministry of Health and Medical Education, Tehran, Iran

Abstract

Background: Overweight and obesity are considered as non-communicable diseases (NCDs)risk factors with increasing prevalence worldwide. This nationwide study aimed to determine the socio-demographic determinants of obesity indexes in Iran. Methods: This cross-sectional study was conducted based on data from the sixth round of nationwide Stepwise approach to surveillance (STEPS) survey in the 31 provinces of Iran in 2011. A total of 9878 people aged ≥20 years were selected using a multi-stage cluster sampling method. Data were collected through three steps questionnaire including ecological, physical and biochemical measurements. We assessed body mass index (BMI), waist circumference(WC) and waist-hip ratio (WHR) as the main indicators of obesity. Results: In this study, the weighted prevalence of overweight and obesity were 34.5% (95% CI:33.6, 35.5) and 21.5% (95% CI: 20.7, 22.3), respectively. The mean ± standard deviation (SD)of BMI among men and women were 25.4±4.4 and 26.9±5.2 kg/m2 respectively. Older age,living alone, having lower education level, being housewife or retired were associated with overweight and obesity (P<0.05). Urbanization was positively associated with BMI and WC.Being obese or overweight was associated with having a history of type 2 diabetes mellitus (T2DM), hypertension (HTN) and cardiovascular diseases (CVDs). Conclusion: The prevalence of overweight in this study was less than global rate while it was vice versa for obesity prevalence. Some socio-demographic characteristics were identified as determinants of obesity which should be considered for planning preventive and control action plans.
Citation: Kolahi AA, Moghisi A, Soleiman Ekhtiari Y. Socio-demographic determinants of obesity indexes in Iran: findings from a nationwide STEPS survey. Health Promot Perspect. 2018;8(3):187-194. doi: 10.15171/hpp.2018.25.
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