Predictors of overweight and obesity among adults aged 50 years and above: Serbian national health survey

  • Vera Grujić Institute of Public Health of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Nataša Dragnić Institute of Public Health of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Vesna Mijatović Jovanović Institute of Public Health of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Snežana Ukropina Institute of Public Health of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Sanja Harhaji Institute of Public Health of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Ivana Radić Institute of Public Health of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Svetlana Kvrgić Institute of Public Health of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
Keywords: obesity, overweight, prevalence, age factors, socioeconomic factors, risk assessment, serbia,

Abstract


Background/Aim. Obesity is a complex and multifactorial condition related to morbidity, mortality, poor quality of life and many other problems. The aim of the study was to determine the prevalence of overweight and obesity and factors associated with them (demographic, socioeconomic factors and lifestyle) in adults aged 50 years and above in Serbia. Methods. This cross-sectional study, representative for the population in Serbia, was carried out in one-year period, including 6,932 people aged 50 and over. Individuals were interviewed and anthropometrically examined. The association between overweight and obesity with demographic, socioeconomic and behavioral factors was analyzed using multivariate logistic regression. Results. Age, level of education and smoking were significantly associated with overweight and obesity, regardless of gender. Marital status was significantly associated with obesity, regardless of gender and with overweight only in women. Breakfast consumption habit was significantly associated with obesity only in men. There was no significant association of overweight and obesity with the type of settlement, alcohol consumption and physical activity, regardless of gender. Conclusion. The results of our study indicate the need for more intensive implementation of measures affecting the factors which contribute to overweight and obesity. Emphasis should be put on the population-based policies and programs that support environmental changes.

References

World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation on obesi-ty. Geneva: WHO; 1988.

Collingwood J. Obesity and Mental Health. Psych Central. 2007. [retrieved on 2013 May 14]. Available from http://psychcentral.com/lib/2007/obesity-and-mental-health/

Branca F, Nikogosian H, Lobstein T. The challenge of obesity in the WHO European Region and the strategies for response. Copenhagen: WHO Regional Office for Europe; 2007.

Visscher TL, Seidell JC. The public health impact of obesity. Annu Rev Public Health 2001; 22: 355−75.

McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA 1993; 270(18): 2207−12. .

Prospective Studies Collaboration. Body-mass index and cause-specific mortality in 900000 adults: Collaborative analyses of 57 perspective studies. Lancet 2009; 373(9669): 1083−96.

Villareal DT, Apovian CM, Kushner RF, Klein S. Obesity in older adults: technical review and position statement of the Ameri-can Society for Nutrition and NAASO, The Obesity Society. Obes Res 2005; 13(11): 1849−63.

Manini T. Development of physical disability in older adults. Curr Aging Sci 2011; 4(3): 184−91.

World Health Organization. Obesity: Preventing and managing the global epidemic: Report of WHO consultation. Geneva: World Health Organization; 2000.

Kaplan MS, Huguet N, Newsom JT, McFarland BH, Lindsay J. Prevalence and correlates of overweight and obesity among older adults: Findings from the Canadian National Population Health Survey. J Gerontol A BiolSci Med Sci 2003; 58(11): 1018−30.

Matthews KA, Gallo LC. Psychological perspectives on path-ways linking socioeconomic status and physical health. Annu Rev Psychol 2011; 62: 501−30.

Swinburn BA. Obesity prevention: the role of policies, laws and regulations. Aust New Zealand Health Policy 2008; 5: 12.

Kruger J, Ham SA, Prohaska TR. Behavioral risk factors associ-ated with overweight and obesity among older adults: the 2005 National Health Interview Survey. Prev Chronic Dis 2009; 6(1): A14.

World Health Organization. Global status report on non-communicable diseases 2010. Geneva: World Health Organi-zation. 2011. Available from: http://www.who.int/nmh/publications/ncd_report_full_en_pdf.

Ministry of Health of the Republic of Serbia. Results of the National Health Survey in Serbia, 2013. Belgrade: Institute of Public Health of Serbia; 2014. [Monograph on the Internet].. Available from: http://www.batut.org.rs/download/publikacije/IstrazivanjeZdravljaStanovnistvaRS2013.pdf (Serbian)

Ministry of Health of the Republic of Serbia. National Health Survey Serbia, 2006. Final report. Belgrade: Ministry of Health of the Republic of Serbia; 2007. [Monograph on the Internet]. Avail-able from: http://www.batut.org.rs/download/publikacije/Finalni%20izvestaj%202006.pdf (Serbian)

Grujić V, Dragnić N, Radić I, Harhaji S, Šušnjević S. Overweight and obesity among adults in Serbia: Results from the National Health Survey. Eat Weight Disord 2010; 15(1−2): e34−42.

Atanasković-Marković Z, Bjegović V, Janković S, Kocev N, Laaser U, Marinković J, et al. The burden of disease and injuries in Serbia. Belgrade: Ministry of Health of the Republic of Serbia; 2003. (Serbian)

Kupiszewski M, Kupiszewska D, Nikitović V. The influence of demographic and migration streams on Serbia. Belgrade: In-ternational organization for Migration-Mission in Serbia. 2012. Available from: http://www.kirs.gov.rs/docs/migracije/Uticaj_demografskih_i_migracionih_tokova_na_Srbiju.pdf (Serbian)

Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA 2002; 288(14): 1723−7.

Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003; 289(1): 76−9.

Andreyeva T, Michaud PC, Soest A. Obesity and health in Euro-peans aged 50 years and older. Public Health 2007; 121(7): 497−509.

World Health Organization. World Report on Disability. 2011. Available from: http://www.who.int/disabilities/world_report/2011/report.pdf.

Rutstein SO, Johnson K. The DHS Wealth Index. DHS Compar-ative Reports No 6. Maryland: Calverton, ORC Macro; 2004.

Coups EJ, Gaba A, Orleans TC. Physician screening for multiple behavioral health risk factors. Am J Prev Med 2004; 27(2 Suppl): 34−41.

Saltin B, Grimby G. Physiological analysis of middle-aged and old former athletes. Comparison with still active athletes of the same ages. Circulation 1968; 38(6): 1104−15.

Chapman IM. Obesity paradox during aging. In: Mobbs CV, Hoff PR, editors. Body: Composition and Aging. Basel: Karger; 2010. p. 20−36.

Tzotzas T, Vlahavas G, Papadopoulou SK, Kapantais E, Kaklamanou D, Hassapidou M. Marital status and educational level associated to obesity in Greek adults: data from the National Epidemiological Survey. BMC Public Health 2010; 10(1): 732.

Gove WR, Hughes M, Style CB. Does Marriage Have Positive Ef-fects on the Psychological Well-Being of the Individual. J Health Soc Behav 1983; 24(2): 122.

Sobal J, Rauschenbach B, Frongillo EA. Marital status changes and body weight changes: A US longitudinal analysis. Soc Sci Med 2003; 56(7): 1543−55.

Sobal J, Stunkard AJ. Socioeconomic status and obesity: A re-view of the literature. Psychol Bull 1989; 105(2): 260−75.

Drenowski A, Darmon N. The economics of obesity: Dietary energy density and energy cost. Am J Clin Nutr 2005; 89(1): 265−73.

Djikanović B, Marinković J, Janković J, Vujanac V, Simić S. Gender differences in smoking experience and cessation: do wealth and education matter equally for women and men in Serbia. J Public Health (Oxf) 2011; 33(1): 31−8.

Groth MV, Fagt S, Stockmarr A, Matthiessen J, Biltoft-Jensen A. Dimensions of socioeconomic position related to body mass index and obesity among Danish women and men. Scand J Public Health 2009; 37(4): 418−26.

Yoon YS, Oh SW, Park HS. Socioeconomic status in relation to obesity and abdominal obesity in Korean adults: A focus on sex differences. Obesity (Silver Spring) 2006; 14(5): 909−19.

Rašević M. Zanemarenost siromašnih starih u Srbiji. Socijalna politika. Socijalna misao 2009; 16(4): 73−88. (Serbian)

Peytremann-Bridevaux I, Faeh D, Santos-Eggimann B. Prevalence of overweight and obesity in rural and urban settings of 10 Euro-pean countries. Prev Med 2007; 44(5): 442−6.

Kvaavik E, Tell GS, Klepp K. Predictors and tracking of body mass index from adolescence into adulthood: follow-up of 18 to 20 years in the Oslo Youth Study. Arch Pediatr Adolesc Med 2003; 157(12): 1212−8.

Parsons AC, Shraim M, Inglis J, Aveyard P, Hajek P. Interventions for preventing weight gain after smoking cessation. Cochrane Database Syst Rev 2009; 21(1): CD006219.

Chiolero A, Faeh D, Paccaud F, Cornuz J. Consequences of smok-ing for body weight, body fat distribution, and insulin re-sistance. Am J Clin Nutr 2008; 87(4): 801−9.

Yeomans MR. Alcohol, appetite and energy balance: is alcohol intake a risk factor for obesity. Physiol Behav 2010; 100(1): 82−9.

Sayon-Orea C, Bes-Rastrollo M, Nuñez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Martinez-Gonzalez MA. Type of alcoholic beverage and incidence of overweight/obesity in a Mediterranean cohort: The SUN project. Nutrition 2011; 27(7−8): 802−8.

Struber J. Considering physical inactivity in relation to obesity. Int J Allied Health Sci Pract 2004; 2: 1−7.

Chapman IM. Obesity in old age. In: Korbonits M, editor. Obesity and Metabolism. Front Horm Res. Basel: Karger; 2008; 36: 97–106.

Published
2017/05/30
Section
Original Paper