Prevalence of obesity in primary care using different anthropometric measures – Results of the German Metabolic and Cardiovascular Risk Project GEMCASReportar como inadecuado




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BMC Public Health

, 8:282

First Online: 11 August 2008Received: 24 March 2008Accepted: 11 August 2008DOI: 10.1186-1471-2458-8-282

Cite this article as: Hauner, H., Bramlage, P., Lösch, C. et al. BMC Public Health 2008 8: 282. doi:10.1186-1471-2458-8-282

Abstract

BackgroundObesity is one of the greatest challenges in primary health care. The BMI describes fat mass and waist circumference WC fat distribution and total metabolic and cardiovascular risk. It was aim of the present study to assess the prevalence of a overweight and obesity and b an increased and high WC in adults seeking primary care in Germany and to describe the associations of both measures with cardiovascular risk factors and prognosis.

MethodsThis was a point prevalence study with 1,511 primary care physicians and 35,869 adult patients in 2005. Bodyweight, height and waist circumference was measured and blood samples taken to determine the presence of cardiovascular risk factors, including lipids, blood pressure, fasting glucose, low physical activity, smoking and family history of myocardial infarction. We calculated rate ratios stratified for age and gender.

ResultsThere was a high prevalence of overweight 45.7% male 95%CI 44.9–46.5; 30.6% female 95%CI 30.0–31.2 and obesity 24.7% male 95%CI 24.0–25.4; 23.3% female 95%CI 22.8–23.9. 36.4% of male 95%CI 35.6–37.2 and 41.5% of female 95%CI 40.8–42.1 had a high WC male > 102, female > 88 cm. A high WC in addition to an overweight BMI identified patients with more risk factors male: mean of 3.93 risk factors RF at a WC > 102 cm vs. 2.88 RF in patients ≤ 94 cm; female 3.58 RF at a WC > 88 cm vs. 2.41 RF ≤ 80 cm.

ConclusionThere is a high prevalence of obesity 24.7% of male and 23.3% of female and, in particular, abdominal obesity 36.4% of male and 41.5% of female in adults attending a primary care physician in Germany. The determination of the BMI is sufficient to assess risk in normal weight and obese patients, while a high WC identifies high risk patients from within the overweight group.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-8-282 contains supplementary material, which is available to authorized users.

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Autor: Hans Hauner - Peter Bramlage - Christian Lösch - Elisabeth Steinhagen-Thiessen - Heribert Schunkert - Jürgen Wasem - Karl-

Fuente: https://link.springer.com/







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