Introduction: This paper outlines the prevalence, disparities, and social determinants of preobesity and obesity in Iranian adults. Methods: Data on 28,321 adults who participated in the 2016 National Survey of the Risk Factors of Noncommunicable Diseases (STEPS) survey were analyzed. The body mass index (BMI) was calculated from physically measured height and weight. To assess the association between sociodemographic factors and the prevalence of preobesity and obesity, a χ² test and a logistic regression model were used. Socioeconomic inequality was quantified by a concentration index. Disparities in provincial mean BMI and concentration indices were shown on the map of Iran using geographic information system analysis. Results: Overall, 60.3% of the participants were affected by preobesity or obesity. The preobesity prevalence was 39% in men and 35.2% in women. The obesity prevalence was 15.6% in men and 30.4% in women. The mean BMI for the country was 26.5. Higher ranges were observed across the northwestern and central territories. Female individuals in the age group 48–57 years who were married and lived in urban settings had an increased risk of being preobese or obese. The concentration index revealed a prorich inequality, with a greater magnitude among women. Conclusion: The findings suggest that policies aimed at reducing preobesity and obesity should remain a public health priority in Iran. However, a greater emphasis should be placed on the northwestern and central territories and on higher socioeconomic groups.
Obes Facts

中文翻译：

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伊朗成年人肥胖患病率的差异：使用 2016 年 STEPS 调查数据的横断面研究

简介：本文概述了伊朗成年人肥胖症的患病率、差异和社会决定因素。方法：对参加 2016 年全国非传染性疾病风险因素调查 (STEPS) 调查的 28,321 名成年人的数据进行了分析。体重指数 (BMI) 是根据物理测量的身高和体重计算得出的。为了评估社会人口因素和preobesity和肥胖，一个χ的患病率之间的关联²测试和逻辑回归模型中使用。社会经济不平等由集中指数量化。使用地理信息系统分析在伊朗地图上显示了省级平均 BMI 和浓度指数的差异。结果：总体而言，60.3% 的参与者受到肥胖前期或肥胖的影响。男性肥胖前期患病率为 39%，女性为 35.2%。男性肥胖率为 15.6%，女性为 30.4%。该国的平均 BMI 为 26.5。在西北和中部地区观察到更高的范围。已婚并居住在城市环境中的 48-57 岁年龄组女性患肥胖症或肥胖症的风险增加。集中指数揭示了严重的不平等，女性之间的差距更大。结论：研究结果表明，旨在减少肥胖症和肥胖症的政策应仍然是伊朗公共卫生的优先事项。但是，应该更加重视西北和中部地区以及较高的社会经济群体。
肥胖事实