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Comorbidity of overweight and obesity in a nationally representative sample of German adults aged 18-79 years.

Schienkiewitz A, Mensink GB, Scheidt-Nave C - BMC Public Health (2012)

Bottom Line: In multiple logistic regression models adjusting for age, social status, and smoking, significant associations with overweight and obesity persisted for cardiometabolic risk factors and osteoarthritis.For example, obese persons had a three- to fourfold higher chance of having any cardiometabolic risk factor compared to normal weight persons (odds ratio (OR) = 4.07, 95% CI: 3.16-5.25 for men; OR = 3.40 (2.60-4.46) for women).Only in women, overweight and obesity as well as abdominal obesity, independent of BMI category, were significantly and consistently associated with diabetes (overweight: OR = 1.85 (1.03-3.30); obesity: OR = 2.94 (1.63-5.31); abdominal obesity: OR = 1.44 (1.08-1.92) and gall bladder disease (overweight: OR = 1.65 (1.22-2.25); obesity: OR = 3.06 (2.26-4.14); abdominal obesity: OR = 1.73 (1.25-2.39)).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Epidemiology and Health Monitoring, Robert Koch-Institut, General-Pape-Str, 62-66, 12101, Berlin, Germany. schienkiewitza@rki.de

ABSTRACT

Background: Overweight has increased in many countries over the past 20 years and excessive body weight is an established risk factor for adverse health outcomes and chronic diseases. This study aimed to determine comorbidity associated with overweight and obesity in a nationally representative sample of German adults.

Methods: In the German National Health Interview and Examination Survey 1998 standardized measures of body weight, height and waist circumference (WC) were obtained for 7,124 men and women 18 to 79 years of age. Information on pre-existing health conditions, health-related behaviors, and sociodemographic characteristics was collected using physician-administered computer-assisted interviews and self-administered questionnaires. World Health Organization (WHO) cut-off criteria were applied to define overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥30.0 kg/m2) and abdominal obesity (men: WC ≥102 cm; women: WC ≥88 cm).

Results: The crude prevalence of persons with cardiometabolic risk factors, diabetes mellitus, cardiovascular disease (CVD), gall bladder disease, and osteoarthritis showed a significant stepwise increase from the lowest to the highest BMI category in both sexes. In multiple logistic regression models adjusting for age, social status, and smoking, significant associations with overweight and obesity persisted for cardiometabolic risk factors and osteoarthritis. For example, obese persons had a three- to fourfold higher chance of having any cardiometabolic risk factor compared to normal weight persons (odds ratio (OR) = 4.07, 95% CI: 3.16-5.25 for men; OR = 3.40 (2.60-4.46) for women). Only in women, overweight and obesity as well as abdominal obesity, independent of BMI category, were significantly and consistently associated with diabetes (overweight: OR = 1.85 (1.03-3.30); obesity: OR = 2.94 (1.63-5.31); abdominal obesity: OR = 1.44 (1.08-1.92) and gall bladder disease (overweight: OR = 1.65 (1.22-2.25); obesity: OR = 3.06 (2.26-4.14); abdominal obesity: OR = 1.73 (1.25-2.39)).

Conclusion: Current estimates of disease burden underline the public health importance and clinical relevance related to overweight and obesity and needs to take into account comorbidity aspects.

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Related in: MedlinePlus

Prevalence of men (1a) and women (1b) with overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥ 30 kg/m2) by age group.
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Figure 1: Prevalence of men (1a) and women (1b) with overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥ 30 kg/m2) by age group.

Mentions: One third of men and less than half of women had normal weight based on BMI measurements. 48% of men fell into the overweight BMI category as compared to 31% of women. About 20% of men and women were obese with a BMI of more than 30 kg/m2 (Table 1). The prevalence of persons with overweight was consistently higher among men than among women of all age groups. In contrast, the prevalence of obesity in men and women was quite similar up to an age of 60 years, and was higher among women than men in older age groups (Figure 1).


Comorbidity of overweight and obesity in a nationally representative sample of German adults aged 18-79 years.

Schienkiewitz A, Mensink GB, Scheidt-Nave C - BMC Public Health (2012)

Prevalence of men (1a) and women (1b) with overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥ 30 kg/m2) by age group.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3526457&req=5

Figure 1: Prevalence of men (1a) and women (1b) with overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥ 30 kg/m2) by age group.
Mentions: One third of men and less than half of women had normal weight based on BMI measurements. 48% of men fell into the overweight BMI category as compared to 31% of women. About 20% of men and women were obese with a BMI of more than 30 kg/m2 (Table 1). The prevalence of persons with overweight was consistently higher among men than among women of all age groups. In contrast, the prevalence of obesity in men and women was quite similar up to an age of 60 years, and was higher among women than men in older age groups (Figure 1).

Bottom Line: In multiple logistic regression models adjusting for age, social status, and smoking, significant associations with overweight and obesity persisted for cardiometabolic risk factors and osteoarthritis.For example, obese persons had a three- to fourfold higher chance of having any cardiometabolic risk factor compared to normal weight persons (odds ratio (OR) = 4.07, 95% CI: 3.16-5.25 for men; OR = 3.40 (2.60-4.46) for women).Only in women, overweight and obesity as well as abdominal obesity, independent of BMI category, were significantly and consistently associated with diabetes (overweight: OR = 1.85 (1.03-3.30); obesity: OR = 2.94 (1.63-5.31); abdominal obesity: OR = 1.44 (1.08-1.92) and gall bladder disease (overweight: OR = 1.65 (1.22-2.25); obesity: OR = 3.06 (2.26-4.14); abdominal obesity: OR = 1.73 (1.25-2.39)).

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Epidemiology and Health Monitoring, Robert Koch-Institut, General-Pape-Str, 62-66, 12101, Berlin, Germany. schienkiewitza@rki.de

ABSTRACT

Background: Overweight has increased in many countries over the past 20 years and excessive body weight is an established risk factor for adverse health outcomes and chronic diseases. This study aimed to determine comorbidity associated with overweight and obesity in a nationally representative sample of German adults.

Methods: In the German National Health Interview and Examination Survey 1998 standardized measures of body weight, height and waist circumference (WC) were obtained for 7,124 men and women 18 to 79 years of age. Information on pre-existing health conditions, health-related behaviors, and sociodemographic characteristics was collected using physician-administered computer-assisted interviews and self-administered questionnaires. World Health Organization (WHO) cut-off criteria were applied to define overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥30.0 kg/m2) and abdominal obesity (men: WC ≥102 cm; women: WC ≥88 cm).

Results: The crude prevalence of persons with cardiometabolic risk factors, diabetes mellitus, cardiovascular disease (CVD), gall bladder disease, and osteoarthritis showed a significant stepwise increase from the lowest to the highest BMI category in both sexes. In multiple logistic regression models adjusting for age, social status, and smoking, significant associations with overweight and obesity persisted for cardiometabolic risk factors and osteoarthritis. For example, obese persons had a three- to fourfold higher chance of having any cardiometabolic risk factor compared to normal weight persons (odds ratio (OR) = 4.07, 95% CI: 3.16-5.25 for men; OR = 3.40 (2.60-4.46) for women). Only in women, overweight and obesity as well as abdominal obesity, independent of BMI category, were significantly and consistently associated with diabetes (overweight: OR = 1.85 (1.03-3.30); obesity: OR = 2.94 (1.63-5.31); abdominal obesity: OR = 1.44 (1.08-1.92) and gall bladder disease (overweight: OR = 1.65 (1.22-2.25); obesity: OR = 3.06 (2.26-4.14); abdominal obesity: OR = 1.73 (1.25-2.39)).

Conclusion: Current estimates of disease burden underline the public health importance and clinical relevance related to overweight and obesity and needs to take into account comorbidity aspects.

Show MeSH
Related in: MedlinePlus