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PREVALENCE OF ABDOMINAL OBESITY IN RUSSIAN FEDERATION AND ITS RELATIONSHIP WITH ARTERIAL HYPERTENTION AND OTHERS COMORBIDITES. BY THE DATA OF EPIDEMIOLOGICAL STUDY ESSE-RF

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Objective: Data from cross-sectional epidemiological study ESSE-RF (Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation) of 21817 adults 25–64 y.o. stratified by age and sex… Click to show full abstract

Objective: Data from cross-sectional epidemiological study ESSE-RF (Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation) of 21817 adults 25–64 y.o. stratified by age and sex from 12 regions RF (females - 13483, males - 8334). Final analysis included 20817 (average age 49 ± 11,62, females – 64,77%, males – 35,27%). Design and method: We used the systematic stratified multistage random sampling creating by the territorial principle of method by Keesh. Abdominal obesity (AO) was defined by cut-off of > 80 cm in women and > 94 cm in men. General obesity criterion was taken like BMI > 30.0 kg/m2. Data related to regions, comorbidity, socio-economic status, general health assessment, stress influence, education, pernicious habits, physical activity. Calculation was done with software STATISTICA 10.0, SPSS 14.0 Results: AO prevalence in RF was 55,02% (women – 61,83%; men – 44,0 %). The proportion BMI obesity was significantly lower in all regions (Tabl.1). The number of people with AO increased with age, both among men and women (p < 0.0001). There were a significant relationship of AO with following diseases (p < 0.0001 for all): arterial hypertension–64,4%, angina pectoris-15.18%, myocardial infarction-2.94%, stroke-2.97%, osteochondrosis-23.43%, pathology of the gastrointestinal tract-42.1%, ulcer of stomach and/or duodenal-13.63%, chronic bronchitis-18.54%, bronchial asthma-3.92%, rheumatoid arthritis-8.74%, cardiac rhythm disturbances-24.22%, kidney diseases-22.88%, thyroid diseases-15.91%, oncological diseases-4.22%, diabetes-7.43% (types 1 & 2). The number with AO were greater in poor/very poor families and in groups individuals with secondary special education and below (p < 0.0001 for all). Persons with AO were more likely to notice the influence of obesity, low physical activity, nutrition, stress on their health (p < 0.0001 for all). People without obesity smoked more often (p < 0.0001). We didn’t find close relationship between obesity and alcohol consumption. Figure. No caption available. Conclusions: Study results showed high prevalence of women abdominal obesity in all regions of RF. In most cases, their socioeconomic status was worse, they had comorbidities more often than people without of obesity. The prevalence of abdominal obesity was rathe higher than obesity by BMI and people with abdominal obesity need more attention.

Keywords: study esse; prevalence; epidemiological study; abdominal obesity; obesity; relationship

Journal Title: Journal of Hypertension
Year Published: 2018

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