The prevalence of abdominal obesity and the association with socioeconomic status in Regions of the Russian Federation, the results of the epidemiological study - ESSE-RF


Cite item

Full Text

Abstract

Abdominal obesity (AO) is a predictor of cardiovascular disease and diabetes mellitus type 2. The assessment of the disease prevalence and the study of socioeconomic status of people with this phenotype of obesity are necessary to develop effective mechanisms to combat this risk factor in the population. The aim of the study is to determine the prevalence of AO in the population and to assess the association with socioeconomic factors according to the data of the ESSE-RF study (Epidemiology of Cardiovascular diseases in the Regions of the Russian Federation). Materials and methods. The object of the study is a random population sample of men and women aged 25-64 years from 13 regions of the Russian Federation (n=21 817). Abdominal obesity in men was defined as waist circumference (WC) >94 cm, and in women - WC >80 cm. Body mass index (BMI) >30.0 kg/m2 was adopted as the criterion of common obesity. Results and discussion. The prevalence of AO in Russia was 55% (61.8% in women and 44% in men), while the percent of people with obesity, defined by BMI was significantly lower (33.4%). The number of examined patients with AO increased with age among both men and women (p<0.0001). A person with AO more often were people with low and very low income and low education levels (p<0.0001). Direct association between employment status and family status and AO in present study did not find, but WC was statistically significantly important criterion among male workers in comparison with those who never worked (p<0.0001), young men and women married, as well as married men of older age groups (p<0.0001).

About the authors

Yu V Zhernakova

National Medical Research Center of Cardiology, Ministry of Health of Russia

Email: juli001@mail.ru
д.м.н., в.н.с. лаб. мониторинга программ по снижению смертности от сердечно-сосудистых заболеваний НМИЦК Moscow, Russia

E A Zheleznova

National Medical Research Center of Cardiology, Ministry of Health of Russia

лаборант-исследователь лаб. мониторинга программ по снижению смертности от сердечно-сосудистых заболеваний НМИЦК Moscow, Russia

I E Chazova

National Medical Research Center of Cardiology, Ministry of Health of Russia

д.м.н., проф., академик РАН, директор Института клинической кардиологии им. А.Л. Мясникова НМИЦК Moscow, Russia

E V Oshchepkova

National Medical Research Center of Cardiology, Ministry of Health of Russia

д.м.н., проф., руководитель лаб. мониторинга программ по снижению смертности от сердечно-сосудистых заболеваний НМИЦК Moscow, Russia

Yu A Dolgusheva

National Medical Research Center of Cardiology, Ministry of Health of Russia

к.м.н., м.н.с. лаб. мониторинга программ по снижению смертности от сердечно-сосудистых заболеваний НМИЦК Moscow, Russia

E B Yarovaya

National Medical Research Center of Cardiology, Ministry of Health of Russia

д.м.н., проф. каф. теории вероятностей механико-математического факультета МГУ им. М.В. Ломоносова Moscow, Russia

N V Blinova

National Medical Research Center of Cardiology, Ministry of Health of Russia

научный сотрудник, кандидат медицинских наук Moscow, Russia

A A Orlovsky

National Medical Research Center of Cardiology, Ministry of Health of Russia

студент каф. теории вероятностей механико-математического факультета МГУ им. М.В. Ломоносова Moscow, Russia

I D Konosova

National Medical Research Center of Cardiology, Ministry of Health of Russia

к.м.н., м.н.с. лаб. мониторинга программ по снижению смертности от сердечно-сосудистых заболеваний НМИЦК Moscow, Russia

S A Shalnova

National Scientific Research Center for Preventive Medicine, Ministry of Health of Russia

д.м.н., проф., руководитель отд. эпидемиологии НМИЦПМ Moscow, Russia

O P Rotar’

V.A. Almazov National Medical Research Center, Ministry of Health of Russia

д.м.н., зав. науч.-исслед. лаб. эпидемиологии неинфекционных заболеваний НМИЦ им. В.А. Алмазова Saint Petersburg, Russia

A O Konradi

V.A. Almazov National Medical Research Center, Ministry of Health of Russia

д.м.н., проф., зам. директора НМИЦ им. В.А. Алмазова Saint Petersburg, Russia

E V Shlyakhto

V.A. Almazov National Medical Research Center, Ministry of Health of Russia

д.м.н., проф., акад. РАН, ген. директор НМИЦ им. В.А. Алмазова Saint Petersburg, Russia

S A Boytsov

National Medical Research Center of Cardiology, Ministry of Health of Russia

д.м.н., проф., член-корр. РАН, ген. директор НМИЦК Moscow, Russia

References

  1. Finucane M.M, Stevens G.A, Cowan M.J, et al. National, regional, and global trends in body mass index since 1980: Systematic analysis of health examination surveys and epidemiological studies with 960 country - years and 9.1 million participants. Lancet (Lond). 2011;377(9765):557-567. doi: 10.1016/S0140-6736(10)62037-5
  2. Katz D, Friedman R. Diet, weight regulation, and obesity. In: Nutrition in clinical practice. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008. P. 43-101.
  3. Kushner R.F, Kahan S. Introduction: The State of Obesity in 2017. Med Clin North Am. 2018;102(1):1-11. doi: 10.1016/j.mcna.2017.08.003
  4. Rakel D. Integrative Medicine. E-Book. Elsevier Health Sciences; 2017.
  5. González-Muniesa P, Mártinez-González M.A, Hu F.B, et al. Obesity. Nat Rev Dis Primer. 2017;3:17034. doi: 10.1038/nrdp.2017.34
  6. Kerr J, Anderson C, Lippman S.M. Physical activity, sedentary behaviour, diet, and cancer: an update and emerging new evidence. Lancet Oncol. 2017;18(8):e457-e471. doi: 10.1016/S1470-2045(17)30411-4
  7. Billington C.J, Epstein L.H, Goodwin N.J, et al. Overweight, Obesity, and Health Risk. Arch Intern Med. 2000;160(7):898-904. doi: 10.1001/archinte.160.7.898
  8. Lin X, Zhang X, Guo J, et al. Effects of Exercise Training on Cardiorespiratory Fitness and Biomarkers of Cardiometabolic Health: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Am Heart Assoc. 2015;4(7):e002014. doi: 10.1161/JAHA.115.002014
  9. De Laet D, Schauer D. Obesity in adults. BMJ Clin Evid. 2011;2011:0604 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3217730/).
  10. Caleyachetty R, Thomas N, Konstantinos A, et al. Metabolically Healthy Obese and Incident Cardiovascular Disease Events Among 3.5 Million Men and Women. J Am Coll Cardiol. 2017;70(12):1429-1437. doi: 10.1016/j.jacc.2017.07.763
  11. Guh D.P, Zhang W, Bansback N, Amarsi Z, Birmingham C.L, Anis A.H. The incidence of co - morbidities related to obesity and overweight: A systematic review and meta - analysis. BMC Pub Health. 2009;9:88. doi: 10.4236/ojpm.2017.72002
  12. Anari R, Amani R, Latifi S.M, Veissi M, Shahbazian H. Association of obesity with hypertension and dyslipidemia in type 2 diabetes mellitus subjects. Diabetes Metab Syndr Clin Res Rev. 2017;11(1):37-41. doi: 10.1016/j.dsx.2016.07.004
  13. Jahangir E, de Schutter A, Lavie C.J. The relationship between obesity and coronary artery disease. Transl Res. 2014;164(4):336-344. doi: 2014;164(4):336-344. 10.1016/j.trsl.2014.03.010
  14. Wilson P.W.F, D’Agostino R.B, Sullivan L, Parise H, Kannel W.B. Overweight and Obesity as Determinants of Cardiovascular Risk: The Framingham Experience. Arch Intern Med. 2002;162(16):1867-1872. doi: 10.1001/archinte.162.16.1867
  15. Mancusi C, Gerdts E, Losi M.A, et al. Differential effect of obesity on prevalence of cardiac and carotid target organ damage in hypertension (the Campania Salute Network). Int J Cardiol. 2017;244:260-264. doi: 10.1016/j.ijcard.2017.06.045
  16. Ohnishi H, Saitoh S, Akasaka H, et al. Incidence of Hypertension in Individuals with Abdominal Obesity in a Rural Japanese Population: The Tanno and Sobetsu Study. Hypertens Res. 2008;31(7):hr2008176. doi: 10.1291/hypres.31.1385
  17. Guo Y, Yue X, Li H, et al. Overweight and Obesity in Young Adulthood and the Risk of Stroke: a Meta - analysis. J Stroke Cerebrovasc Dis. 2016;25(12):2995-3004. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.018
  18. Yatsuya H, Toyoshima H, Yamagishi K, et al. Body Mass Index and Risk of Stroke and Myocardial Infarction in a Relatively Lean Population: Meta-Analysis of 16 Japanese Cohorts Using Individual Data. Circ Cardiovasc Qual Outcomes. 2010;3(5):498-505. doi: 10.1161/CIRCOUTCOMES.109.908517
  19. Kovesdy C.P, Furth S.L, Zoccali C. Obesity and kidney disease: hidden consequences of the epidemic. Clin Kidney J. 2017;10(1):1-8.
  20. Tsuboi N, Okabayashi Y, Shimizu A, Yokoo T. The Renal Pathology of Obesity. Kidney Int Rep. 2017;2(2):251-260.
  21. Salvatore S.P, Chevalier J.M, Kuo S.F, Audia P.F, Seshan S.V. Kidney disease in patients with obesity: It is not always obesity - related glomerulopathy alone. Obes Res Clin Pract. 2017;11(5):597-606.
  22. Chen H-M, Chen Y, Zhang Y.D, et al. Evaluation Evaluation of Metabolic Risk Marker in Obesity - related Glomerulopathy. J Ren Nutr. 2011;21(4):309-315. doi: 10.1053/j.jrn.2010.06.019
  23. Кутырина И.М. Гломерулопатия, ассоциированная с ожирением: механизмы развития, клиническое течение. Терапевтический архив. 2017;89(6):97-101.
  24. Hess P.L, Al-Khalidi H.R, Friedman D.J, et al. The Metabolic Syndrome and Risk of Sudden Cardiac Death: The Atherosclerosis Risk in Communities Study. J Am Heart Assoc. 2017;6(8):e006103. doi: 10.1161/JAHA.117.006103
  25. Lu Y, Hajifathalian K, Ezzati M, et al. Metabolic mediators of the effects of body - mass index, overweight, and obesity on coronary heart disease and stroke: a pooled analysis of 97 prospective cohorts with 1.8 million participants. Lancet (Lond). 2014;383(9921):970-983. doi: 10.1016/S0140-6736(13)61836-X
  26. Чазова И.Е., Недогода С.В., Жернакова Ю.В., Сусеков А.В., Медведева И.В., Шестакова М.В. Рекомендации по ведению больных артериальной гипертонией с метаболическими нарушениями. Кардиологический вестник. 2014;IX(1):3-57.
  27. Стародубова А.В., Кисляк О.А. Ожирение как фактор риска сердечно - сосудистых заболеваний. Обзор литературы. Фарматека. 2015;17(310):28-35.
  28. Чазова И.Е. Жернакова Ю.В., Ощепкова Е.В. и др. Распространенность факторов риска сердечно - сосудистых заболеваний в российской популяции больных артериальной гипертонией. Кардиология. 2014;54(10):4-12.
  29. Ефремова Ю.Е., Ощепкова Е.В., Жернакова Ю.В. и др. Факторы риска сердечно - сосудистых заболеваний у лиц с высоким нормальным артериальным давлением в Российской Федерации (по данным эпидемиологического исследования ЭССЕ-РФ). Системные гипертензии. 2017;14(1):6-11.
  30. Бойцов С.А., Чазов Е.И., Шляхто Е.В. и др. Научно - организационный комитет проекта ЭССЕ-РФ. Эпидемиология сердечно - сосудистых заболеваний в различных регионах России (ЭССЕ-РФ). Обоснование и дизайн исследования». Профилактическая медицина. 2013;16(6):25-34.
  31. Beltrán-Sánchez H, Harhay M.O, Harhay M.M, McElligott S. Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010. J Am Coll Cardiol. 2013;62(8):697-703. doi: 10.1016/j.jacc.2013.05.064
  32. Gutiérrez-Fisac J.L, Guallar-Castillón P, León-Muñoz L.M, Graciani A, Banegas J.R, Rodríguez-Artalejo F. Prevalence of general and abdominal obesity in the adult population of Spain, 2008-2010: the ENRICA study. Obes Rev Off J Int Assoc Study Obes. 2012;13(4):388-392.
  33. Schienkiewitz A, Mensink G.B.M, Scheidt-Nave C. Comorbidity of overweight and obesity in a nationally representative sample of German adults aged 18-79 years. BMC Public Health. 2012;12:658. doi: 10.1186/1471-2458-12-658
  34. Riediger N.D, Clara I. Prevalence of metabolic syndrome in the Canadian adult population. CMAJ Can Med Assoc J. 2011;183(15):E1127-1134. doi: 10.1503/cmaj.110070
  35. Sardinha L.B, Santos D.A, Silva A.M, et al. Prevalence of overweight, obesity, and abdominal obesity in a representative sample of Portuguese adults. PloS One. 2012;7(10):e47883.
  36. Barquera S, Campos-Nonato I, Hernández-Barrera L, Pedroza A, Rivera-Dommarco J.A. [Prevalence of obesity in Mexican adults 2000-2012]. Salud Publica Mex. 2013;55 Suppl 2:S151-160.
  37. Misra A, Shrivastava U. Obesity and dyslipidemia in South Asians. Nutrients. 2013;5(7):2708-2733. doi: 10.3390/nu5072708
  38. Du T, Sun X, Yin P, et al. Secular trends in the prevalence of low risk factor burden for cardiovascular disease according to obesity status among Chinese adults, 1993-2009. BMC Public Health. 2014;14:961. doi: 10.1186/1471-2458-14-961
  39. Chukwuonye I.I , Chuku A, Onyeonoro U.U, et al. Prevalence of abdominal obesity in Abia State, Nigeria: results of a population - based house - to - house survey. Diabetes Metab Syndr Obes. 2013;6:285-291. doi: 10.2147/DMSO.S43545
  40. Da S. Linhares R, Horta B.L, Gigante D.P, Dias-da-Costa J.S, Olinto MTA. [Distribution of general and abdominal obesity in adults in a city in southern Brazil]. Cad Saude Publica. 2012;28(3):438-447.
  41. Alves R.F.S, Faerstein E. Educational inequality in the occurrence of abdominal obesity according to gender and color/race: the Pro-Health Study, 1999-2001 and 2011-2012. Cad Saúde Pública. 2016;32(2):e00077415. doi: 10.1590/0102-311X00077415
  42. Pradhan A.D. Sex Differences in the Metabolic Syndrome: Implications for Cardiovascular Health in Women. Clin Chem. 2014;60(1):44-52. doi: 10.1373/clinchem.2013.202549
  43. Kvist H, Chowdhury B, Grangård U, Tylén U, Sjöström L. Total and visceral adipose - tissue volumes derived from measurements with computed tomography in adult men and women: predictive equations. Am J Clin Nutr. 1988;48(6):1351-1361. doi: 10.1093/ajcn/48.6.1351
  44. Lemieux S, Prud’homme D, Bouchard C, Tremblay A, Després J.P. Sex differences in the relation of visceral adipose tissue accumulation to total body fatness. Am J Clin Nutr. 1993;58(4):463-467. doi: 10.1093/ajcn/58.4.463
  45. Kuk J.L, Lee S, Heymsfield S.B, Ross R. Waist circumference and abdominal adipose tissue distribution: influence of age and sex. Am J Clin Nutr. 2005;81(6):1330-1334. doi: 10.1093/ajcn/81.6.1330
  46. Theodoro H, Rodrigues A.D, Mendes K.G, Liane R.H, Paniz V.M.V, Olinto M.T.A. Reproductive characteristics and obesity in middle - aged women seen at an outpatient clinic in southern Brazil. Menopause N Y N. 2012;19(9):1022-1028. doi: 10.1097/gme.0b013e3182503834
  47. Blaudeau T.E, Hunter G.R, Sirikul B. Intra - abdominal adipose tissue deposition and parity. Int J Obes. 2005;30(7):1119-1124. doi: 10.1038/sj.ijo.0803252
  48. Orsatti F.L, Nahas E.A.P, Nahas-Neto J, Maestá N, Padoani N.P, Orsatti C.L. [Anthropometric measures: predictors of non - transmissible chronic diseases in postmenopausal women in the Southeast region of Brazil]. Rev Bras Ginecol E Obstet. 2008;30(4):182-189.
  49. Kim H.M, Park J, Ryu S.Y, Kim J. The effect of menopause on the metabolic syndrome among Korean women: the Korean National Health and Nutrition Examination Survey, 2001. Diabetes Care. 2007;30(3):701-706. doi: 10.2337/dc06-1400
  50. Mendes K.G, Theodoro H, Rodrigues A.D, Olinto M.T.A. [Prevalence of metabolic syndrome and its components in the menopausal transition: a systematic review]. Cad Saude Publica. 2012;28(8):1423-1437.
  51. Lovejoy J. Weight gain in women at midlife: the influence of menopause. Obesity Managementе. 2009;10:52-56. doi: 10.1089/obe.2009.0203
  52. Krieger N, Williams D.R, Moss N.E. Measuring social class in US public health research: concepts, methodologies, and guidelines. Annu Rev Public Health. 1997;18:341-378.
  53. Kreiger N, Kosheleva A, Waterman P.D, Chen J.T, Beckfield J, Kiang MV. 50-Year Trends in US Socioeconomic Inequalities in Health: US-Born Black and White Americans, 1959-2008. Intern J Epidemiol. 2014;43(4):1294-1313. doi: 10.1093/ije/dyu047
  54. Elovainio M, Ferrie J.E, Singh-Manoux A, et al. Socioeconomic Differences in Cardiometabolic Factors: Social Causation or Health - related Selection? Evidence From the Whitehall II Cohort Study, 1991-2004. Am J Epidemiol. 2011;174(7):779-789. doi: 10.1093/aje/kwr149
  55. Sobal J, Rauschenbach B.S, Frongillo E.A. Marital status, fatness and obesity. Soc Sci Med. 1992;35(7):915-923. doi: 10.1016/0277-9536(92)90106-Z
  56. Jeffery R.W, Rick A.M. Cross - sectional and longitudinal associations between body mass index and marriage - related factors. Obes Res. 2002;10(8):809-815. doi: 10.1038/oby.2002.109
  57. Wilson S.E. Marriage, gender and obesity in later life. Econ Hum Biol. 2012;10(4):431-453. doi: 10.1016/j.ehb.2012.04.012

Copyright (c) 2018 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies