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Geographic Risk of General and Abdominal Obesity and Related Determinants in Iranian Children and Adolescents: Caspian-Iv Study; [Risque Geographique Lie a L’Obesite Generale Et Abdominale Et Ses Facteurs Determinants Chez Les Enfants Et Les Adolescents Iraniens: L’Etude Caspian-Iv] Publisher Pubmed



Yazdi M2 ; Kelishadi R2 ; Schmid V3 ; Motlagh ME4 ; Heshmat R5 ; Mansourian M1
Authors
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Authors Affiliations
  1. 1. Pediatric Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Statistics, Ludwig-Maximilans University, Munich, Germany
  4. 4. Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  5. 5. Department of Epidemiology, Chronic Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Eastern Mediterranean Health Journal Published:2020


Abstract

Background: Obesity, as a risk factor for many noncommunicable diseases, is a common public health problem in de-veloped and developing countries. Among Iranian children and adolescents, the prevalence of being overweight has increased by almost 50% in the past two decades. Aims: To visualize the geographic differences in general and abdominal obesity risks and related determinants among Iranian children and adolescents. Methods: Participants consisted of 14 880 students, aged 7–19 years, living in urban and rural areas of the Islamic Republic of Iran. Spatial patterns of obesity and its association with related risk factors were identified using Bayesian spatial modeling. Results: The highest spatial risks of general obesity (odds ratio 1.21–1.66 for males and 1.81–2.02 for females) and abdominal obesity (odds ratio 1.20–1.82 for males and 1.25–1.78 for females) were observed in the north, northwest and southwest of the country. Risk of obesity was significantly higher in areas with a higher rate of urban residence, active current smokers and prolonged screen time. Conclusion: Identification of high-risk regions for obesity and spatially related risk factors can be used as informative tools for decision-making and planning in health systems at national and subnational levels. © World Health Organization (WHO) 2020.
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