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Medicinski pregled 2005, vol. 58, iss. 5-6, pp. 292-295
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Epidemiology of obesity in adult population of Vojvodina
Institut za zaštitu zdravlja, Novi Sad
AbstractIntroduction. The prevalence of overweight and obesity is increasing worldwide at an alarming rate and is due to changes in nutritional patterns and physical activity that adversely affect the health status. Obesity is a complex disorder with multiple interactive causes. It is associated with many chronic, debilitating diseases with important health care cost and it is basically the consequence of sedantery life style and excessive energy intake. Our objective was to measure the prevalence of obesity in adult population of Vojvodina and to describe its characteristics. Material and methods. This cross-sectional study was conducted in representative sample of 2467 adults from Vojvodina (in adult population of Vojvodina aged 20 years and over). The sample size was determined based on estimated frequency, exposition to risk factors, relative risks and level of statistical significance. All those who completed household interviews attended physical examination. Results. The prevalence of overweight and obesity (BMI>25 kg/m2) in both sexes was 58.5%. Among them, 35.5% were overweight while 23% were obese (BMI>30kg/m2). The frequency of obesity was higher among females (26%) than among males (19.6%) (p<0.01). It showed a steady increase to the age of 65, after which the number of obese decreased. The obesity rate was higher in rural (26.7%) than urban areas (19%) (p<0.01), and among people with lower level of education and socioeconomic status. Conclusion. Considering the existing situation concerning the high prevalence of obesity, urgent public action is necessary. It is essential to develop preventive strategies which would affect the whole society. Healthy lifestyle, balanced diet and increased physical activity must be promoted. However, it is not the responsibility of individuals. Health services, the community, food industry, mass media etc, have a crucial role in modifying body weight. Strategies for prevention and management of obesity should be in accordance with the existing public health policy and programs for prevention of noncommunicable diseases.
Keywords
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References
|
|
 1
|
Cameron, A.J., Welborn, T.A., Zimmet, P.Z., Dunstan, D.W., Owen, N., Salmon, J., Dalton, M., Jolley, D., Shaw, J.E. (2003) Overweight and obesity in Australia: The 1999-2000 Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Med J Aust, 178(9): 427-32
|
|
|
Fabricatore, A.N., Wadden, T.A. (2003) Treatment of obesity: An overview. Clin Diabetes, 21, str. 67-72
|
|
 
|
Flegal, K.M., Carroll, M.D., Ogden, C.L., Johnson, C.L. (2002) Prevalence and trends in obesity among US adults, 1999-2000. JAMA, 288(14): 1723-7
|
|
2
|
Grujić, V.V. (2002) Demografske karakteristike i socioekonomski status odraslog stanovništva. Glasnik Instituta za zaštitu zdravlja Srbije, (1-2): 24-147
|
|
19
|
Institut za zaštitu zdravlja Srbije 'Dr Milan Jovanović Batut' (1997) Zdravstveno stanje stanovništva Srbije - 1986-1996. - analitička studija. Beograd
|
|
2
|
Mirilov, M., Svirčević, A., Jakovljević, Đ., Trifunović, S., Stanulović, D., Popović, B. (1979) Značaj ishrane u sveobuhvatnoj zaštiti od kardiovaskularnih bolesti. Hrana i ishrana, (9-12), str. 241-6
|
|
6
|
Novaković, B., Božić, D., Grujić, V., Martinov-Cvejin, M., Ač-Nikolić, E., Mijatović-Jovanović, V., Nićiforović-Šurković, O., Balać, D., Šušnjević, S., Lozanov-Crvenković, Z., Dragnić, N., Topalov, Z. (2004) Šećerna bolest, gojaznost i povišen krvni pritisak stanovništva Vojvodine. Novi Sad: Medicinski fakultet
|
|
5
|
Novaković, B. (1997) Učestalost sindroma X u opštoj populaciji. Novi Sad: Medicinski fakultet, doktorska disertacija
|
|
  1
|
Sobal, J., Stunkard, A.J. (1989) Socioeconomic status and obesity: A review of the literature. Psychol Bull, 105(2): 260-75
|
|
 19
|
World Health Organization (2000) Diet, nutrition and the prevention of chronic diseases: Report of a join WHO/FAO expert consultation. WHO Technical Report Series, 894: i-xii, 1-2
|
|
|
World Health Organization (2003) Process for a global strategy on diet, physical activity and health. Geneva: WHO
|
|
|
|
|