Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Wiener klinische Wochenschrift 11-12/2012

01.06.2012 | original article

Regional trends in obesity and overweight among Austrian adults between 1973 and 2007

verfasst von: MSc, BSc Franziska Großschädl, D.Sc. Willibald Julius Stronegger

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 11-12/2012

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

This paper examines regional changes in the prevalence of overweight (BMI ³ 25 kg/m²) and obesity (BMI ³ 30 kg/m²) among Austrian adults (aged ³ 20 years) during a 35-year period, taking into account the social inequality with regard to obesity. Self-reported data from five cross-sectional nationally representative surveys (n = 178,818) conducted between 1973 and 2007 were analysed. The prevalence of overweight was higher in men than women (2007: 46.3 vs. 31.2 %;p < 0.001) and similar in all Austrian regions. There was a clear east-west gradient for obesity among both sexes, with the highest rates in Eastern Austria (in 2007, women: 18.1 %, men: 16.1 %;p < 0.001) and the lowest in Western Austria (in 2007, women: 12.6 %, men: 11.7 %;p < 0.001). Logistic regression analyses have shown a general decrease of overweight per year among women (OR = 0.991, 95 % CI 0.990–0.993) and men (OR = 0.999, 95 % CI 0.998–1.000), while the obesity prevalence has risen during the study period in every region (women: OR = 1.003, 95 % CI 1.001–1.005; men: OR = 1.011, 95 % CI 1.009–1.013), with the highest increase among women in Central Austria and men in Western Austria. Social inequalities for obesity showed a tendency to increase in the Western and Eastern region. Our results showed a significant regional difference for obesity prevalence during the entire study period. Obesity is a frequent health problem among Austrian adults residing in the Eastern region.
Literatur
2.
Zurück zum Zitat James WPT. The epidemiology of obesity: the size of the problem. J Intern Med. 2008;263:336–52. PubMedCrossRef James WPT. The epidemiology of obesity: the size of the problem. J Intern Med. 2008;263:336–52. PubMedCrossRef
3.
Zurück zum Zitat Kiefer I, Kunze M. Epidemiologie der Adipositas. Wien Klin Wochenschr. 2004;154:296–9. CrossRef Kiefer I, Kunze M. Epidemiologie der Adipositas. Wien Klin Wochenschr. 2004;154:296–9. CrossRef
4.
Zurück zum Zitat Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557–67. PubMedCrossRef Finucane MM, Stevens GA, Cowan MJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet. 2011;377:557–67. PubMedCrossRef
5.
Zurück zum Zitat Cámara AD, Spijker JJ. Super size Spain? A cross-sectional and quasi-cohort trend analysis of adult overweight and obesity in an accelerated transition country. J Biosoc Sci. 2010;42:377–93. PubMedCrossRef Cámara AD, Spijker JJ. Super size Spain? A cross-sectional and quasi-cohort trend analysis of adult overweight and obesity in an accelerated transition country. J Biosoc Sci. 2010;42:377–93. PubMedCrossRef
6.
Zurück zum Zitat Diouf I, Charles MA, Ducimetière P, Basdevant A, Eschwege E, Heude B. Evolution of obesity prevalence in France: an age-period-cohort analysis. Epidemiology. 2010;21:360–5. PubMedCrossRef Diouf I, Charles MA, Ducimetière P, Basdevant A, Eschwege E, Heude B. Evolution of obesity prevalence in France: an age-period-cohort analysis. Epidemiology. 2010;21:360–5. PubMedCrossRef
7.
Zurück zum Zitat Ford ES, Li C, Zhao G, Tsai J. Trends in obesity and abdominal obesity among adults in the United States from 1999–2008. Int J Obes. 2011;35:736–43. CrossRef Ford ES, Li C, Zhao G, Tsai J. Trends in obesity and abdominal obesity among adults in the United States from 1999–2008. Int J Obes. 2011;35:736–43. CrossRef
8.
Zurück zum Zitat Marques-Vidal P, Bovet P, Paccaud F, Chiolero A. Changes of overweight and obesity in the adult Swiss population according to educational level, from 1992–2007. BMC Public Health. 2010;22:87. CrossRef Marques-Vidal P, Bovet P, Paccaud F, Chiolero A. Changes of overweight and obesity in the adult Swiss population according to educational level, from 1992–2007. BMC Public Health. 2010;22:87. CrossRef
9.
Zurück zum Zitat Lahti-Koski M, Seppänen-Nuijten E, Mannistö S, Härkänen T, Rissanen H, Knekt P, et al. Twenty-year changes in the prevalence of obesity among Finnish adults. Obes Rev. 2010;11(3):171–6. Lahti-Koski M, Seppänen-Nuijten E, Mannistö S, Härkänen T, Rissanen H, Knekt P, et al. Twenty-year changes in the prevalence of obesity among Finnish adults. Obes Rev. 2010;11(3):171–6.
10.
Zurück zum Zitat Singh-Manoux A, Gourmelen J, Lajnef A, Sabia A, Sitta R, et al. National prevalence of obesity. Prevalence of educational inequalities in obesity between 1970 and 2003 in France. Obes Rev. 2009;10:511–8. PubMedCrossRef Singh-Manoux A, Gourmelen J, Lajnef A, Sabia A, Sitta R, et al. National prevalence of obesity. Prevalence of educational inequalities in obesity between 1970 and 2003 in France. Obes Rev. 2009;10:511–8. PubMedCrossRef
11.
Zurück zum Zitat Charles M-A, Eschwège E, Basdevant A. Monitoring the obesity epidemic in France: the Obepi surveys 1997–2006. Obesity. 2008;16:2182–6. PubMedCrossRef Charles M-A, Eschwège E, Basdevant A. Monitoring the obesity epidemic in France: the Obepi surveys 1997–2006. Obesity. 2008;16:2182–6. PubMedCrossRef
12.
Zurück zum Zitat Faeh D, Marques-Vidal P, Chiolero A, Bopp M. Obesity in Switzerland: do estimates depend on how body mass index has been assessed? Swiss Med Wkly. 2008;138:204–10. PubMed Faeh D, Marques-Vidal P, Chiolero A, Bopp M. Obesity in Switzerland: do estimates depend on how body mass index has been assessed? Swiss Med Wkly. 2008;138:204–10. PubMed
13.
Zurück zum Zitat Berghöfer A, Pischon T, Reinhold T, Apovian CM, Sharma AM, Willich SN. Obesity prevalence from a European perspective: a systematic review. BMC Public Health. 2008;8:200. PubMedCrossRef Berghöfer A, Pischon T, Reinhold T, Apovian CM, Sharma AM, Willich SN. Obesity prevalence from a European perspective: a systematic review. BMC Public Health. 2008;8:200. PubMedCrossRef
15.
Zurück zum Zitat Panagiotakos DP, Pitsavos C, Chrysohoou C, Risvas G. Epidemiology of overweight and obesity in a Greek population: the ATTICA study. Obes Res. 2004;12:1914–20. PubMedCrossRef Panagiotakos DP, Pitsavos C, Chrysohoou C, Risvas G. Epidemiology of overweight and obesity in a Greek population: the ATTICA study. Obes Res. 2004;12:1914–20. PubMedCrossRef
16.
Zurück zum Zitat Raben, A. Jumbosize Europe?: European Union conference on obesity calls for immediate action. Food Nutr Res. 2003;47(1):29–38. Raben, A. Jumbosize Europe?: European Union conference on obesity calls for immediate action. Food Nutr Res. 2003;47(1):29–38.
17.
Zurück zum Zitat Schober E, Rami, B, Kirchengast S, Waldhör T, Sefranek R. Recent trend in overweight and obesity in male adolescents in Austria: a population-based study. Eur J Pediatr. 2007;166:709–14. PubMedCrossRef Schober E, Rami, B, Kirchengast S, Waldhör T, Sefranek R. Recent trend in overweight and obesity in male adolescents in Austria: a population-based study. Eur J Pediatr. 2007;166:709–14. PubMedCrossRef
18.
Zurück zum Zitat Kirchengast S, Schober E, Waldhör T, Sefranek R. Regional and social differences in body mass index, and the prevalence of overweight and obesity among 18 year old men in Austria between the years 1985 and 2000. Coll Antrpol. 2004;28(2):541–52. Kirchengast S, Schober E, Waldhör T, Sefranek R. Regional and social differences in body mass index, and the prevalence of overweight and obesity among 18 year old men in Austria between the years 1985 and 2000. Coll Antrpol. 2004;28(2):541–52.
19.
Zurück zum Zitat Dorner T, Leitner B, Stadlmann H, Fischer W, Neidhart B, et al. Prevalence of overweight and obesity in Austrian male and female farmers. Soz.-Präventivmed. 2004;49:243–6. PubMedCrossRef Dorner T, Leitner B, Stadlmann H, Fischer W, Neidhart B, et al. Prevalence of overweight and obesity in Austrian male and female farmers. Soz.-Präventivmed. 2004;49:243–6. PubMedCrossRef
20.
Zurück zum Zitat Singh-Manoux A, Gourmelen J, Lajnef A, Sabia A, Sitta R, et al. National prevalence of obesity. Prevalence of educational inequalities in obesity between 1970 and 2003 in France. Obes Rev. 2009;10:511–8. PubMedCrossRef Singh-Manoux A, Gourmelen J, Lajnef A, Sabia A, Sitta R, et al. National prevalence of obesity. Prevalence of educational inequalities in obesity between 1970 and 2003 in France. Obes Rev. 2009;10:511–8. PubMedCrossRef
21.
Zurück zum Zitat Wardle J, Griffith J. Socioeconomic status and weight control practices in British adults. J Epidemiol Comm Health. 2001;55:185–90. CrossRef Wardle J, Griffith J. Socioeconomic status and weight control practices in British adults. J Epidemiol Comm Health. 2001;55:185–90. CrossRef
22.
Zurück zum Zitat Helmert U, Strube H. Die Entwicklung der Adipositas in Deutschland im Zeitraum von 1985–2002. Gesundheitswesen. 2004;66:409–15. PubMedCrossRef Helmert U, Strube H. Die Entwicklung der Adipositas in Deutschland im Zeitraum von 1985–2002. Gesundheitswesen. 2004;66:409–15. PubMedCrossRef
23.
Zurück zum Zitat Charafeddine R, Van Oyen H, Demarest S. Trends in social inequalities in obesity: Belgium, 1997–2004. Prev Med. 2009;48:54–8. PubMedCrossRef Charafeddine R, Van Oyen H, Demarest S. Trends in social inequalities in obesity: Belgium, 1997–2004. Prev Med. 2009;48:54–8. PubMedCrossRef
24.
Zurück zum Zitat Yoo S, Cho HJ, Khang YH. General and abdominal obesity in South Korea, 1998–2007: gender and socioeconomic differences. Prev Med. 2010;56:460–5. CrossRef Yoo S, Cho HJ, Khang YH. General and abdominal obesity in South Korea, 1998–2007: gender and socioeconomic differences. Prev Med. 2010;56:460–5. CrossRef
25.
Zurück zum Zitat Großschädl F, Haditsch B, Stronegger WJ. Validity of self-reported weight and height in Austrian adults: sociodemographic determinants and consequences for the classification of BMI categories. Publ Health Nutr. 2011;11:1–8. Großschädl F, Haditsch B, Stronegger WJ. Validity of self-reported weight and height in Austrian adults: sociodemographic determinants and consequences for the classification of BMI categories. Publ Health Nutr. 2011;11:1–8.
26.
Zurück zum Zitat Regidor E. Measures of health inequalities: part 2. J Epidemiol Comm Health. 2004;58:900–3. CrossRef Regidor E. Measures of health inequalities: part 2. J Epidemiol Comm Health. 2004;58:900–3. CrossRef
27.
Zurück zum Zitat Berg C, Rosengren A, Aires N, Lappas G, Torén K, et al. Trends in overweight and obesity from 1985–2002 in Göteborg, West Sweden. Int J Obes. 2005;29:916–24. CrossRef Berg C, Rosengren A, Aires N, Lappas G, Torén K, et al. Trends in overweight and obesity from 1985–2002 in Göteborg, West Sweden. Int J Obes. 2005;29:916–24. CrossRef
28.
Zurück zum Zitat Marques-Vidal P, Bovet P, Paccaud F, Chiolero A. Changes of overweight and obesity in the adult Swiss population according to educational level, from 1992–2007. BMC Public Health. 2010;22:87. CrossRef Marques-Vidal P, Bovet P, Paccaud F, Chiolero A. Changes of overweight and obesity in the adult Swiss population according to educational level, from 1992–2007. BMC Public Health. 2010;22:87. CrossRef
29.
Zurück zum Zitat Gutiérrez-Fisac JL, Banegas Banegas JR, Rodrígue Artalejo F, Regidor E. Increasing prevalence of overweight and obesity among Spanish adults, 1987–1997. Int J Obes. 2000;24:1677–82. CrossRef Gutiérrez-Fisac JL, Banegas Banegas JR, Rodrígue Artalejo F, Regidor E. Increasing prevalence of overweight and obesity among Spanish adults, 1987–1997. Int J Obes. 2000;24:1677–82. CrossRef
30.
Zurück zum Zitat Powell KE, Roberts AM, James GR, Phillips MAC, Ujamaa DA, et al. Low physical fitness among fifth- and seventh-grade students, Georgia, 2006. Am J Prev Med. 2009;36(4):304–10. PubMedCrossRef Powell KE, Roberts AM, James GR, Phillips MAC, Ujamaa DA, et al. Low physical fitness among fifth- and seventh-grade students, Georgia, 2006. Am J Prev Med. 2009;36(4):304–10. PubMedCrossRef
31.
Zurück zum Zitat Gualdi-Russo E, Zironi A, Dallari GV, Toselli S. Migration and health in Italy: a multiethnic adult sample. J Trav Med. 2009;16(2):88–95. CrossRef Gualdi-Russo E, Zironi A, Dallari GV, Toselli S. Migration and health in Italy: a multiethnic adult sample. J Trav Med. 2009;16(2):88–95. CrossRef
32.
Zurück zum Zitat Delva J, Johnston LD, O’Malley PM. The epidemiology of overweight and related lifestyle behaviors: racial/ethnic and socioeconomic status differences among American youth. Am J Prev Med. 2007;33:178–86. CrossRef Delva J, Johnston LD, O’Malley PM. The epidemiology of overweight and related lifestyle behaviors: racial/ethnic and socioeconomic status differences among American youth. Am J Prev Med. 2007;33:178–86. CrossRef
33.
Zurück zum Zitat Ahluwalia IB, Mack KA, Murphy W, Mokdad AH, Bales VS. State-specific prevalence of selected chronic disease-related characteristics-behavioral risk factor surveillance system, 2001. MMWR Surveill Summ. 2003;52:1–80. PubMed Ahluwalia IB, Mack KA, Murphy W, Mokdad AH, Bales VS. State-specific prevalence of selected chronic disease-related characteristics-behavioral risk factor surveillance system, 2001. MMWR Surveill Summ. 2003;52:1–80. PubMed
34.
Zurück zum Zitat Kirchengast S, Schober E. Obesity among female adolescents in Vienna, Austria—the impact of childhood weight status and ethnicity. Int J Obstet Gynaecol. 2006;113:1188–94. CrossRef Kirchengast S, Schober E. Obesity among female adolescents in Vienna, Austria—the impact of childhood weight status and ethnicity. Int J Obstet Gynaecol. 2006;113:1188–94. CrossRef
35.
Zurück zum Zitat Sulander TT, Uutela AK. Obesity and education: recent trends and disparities among 65- to 84-year-old men and women in Finland. Prev Med. 2007;45:153–6. PubMedCrossRef Sulander TT, Uutela AK. Obesity and education: recent trends and disparities among 65- to 84-year-old men and women in Finland. Prev Med. 2007;45:153–6. PubMedCrossRef
37.
Zurück zum Zitat Low S, Chin MC, Deurenberg-Yap M. Review on epidemic of obesity. Ann Acad Med Singapore. 2009;38:57–9. PubMed Low S, Chin MC, Deurenberg-Yap M. Review on epidemic of obesity. Ann Acad Med Singapore. 2009;38:57–9. PubMed
38.
Zurück zum Zitat Andersen S, Mulvad G, Pedersen HS, Laurberg P. Gender diversity in developing overweight over 35 years of westernization in an Inuit hunter cohort and ethno-specific body mass index for evaluation of body-weight abnormalities. Eur J Endocrinol. 2004;151:735–40. PubMedCrossRef Andersen S, Mulvad G, Pedersen HS, Laurberg P. Gender diversity in developing overweight over 35 years of westernization in an Inuit hunter cohort and ethno-specific body mass index for evaluation of body-weight abnormalities. Eur J Endocrinol. 2004;151:735–40. PubMedCrossRef
39.
Zurück zum Zitat Grabauskas V, Petkeviciene J, Klumbiene J, Vaisvalavicius V. The prevalence of overweight and obesity in relation to social and behavioral factors (Lithuanian health behaviour monitoring). Medicina. 2003;39:1223–30. PubMed Grabauskas V, Petkeviciene J, Klumbiene J, Vaisvalavicius V. The prevalence of overweight and obesity in relation to social and behavioral factors (Lithuanian health behaviour monitoring). Medicina. 2003;39:1223–30. PubMed
40.
Zurück zum Zitat Chhabra P, Chhabra S. Distribution and determinants of body mass index of non-smoking adults in Delhi, India. J Health Popul Nutr. 2007;25(3):294–301. PubMed Chhabra P, Chhabra S. Distribution and determinants of body mass index of non-smoking adults in Delhi, India. J Health Popul Nutr. 2007;25(3):294–301. PubMed
41.
Zurück zum Zitat Sabbah I, Vuitton D-A, Droubi N, Sabbah S, Mercier M. Morbidity and associated factors in rural and urban populations of South Lebanon: a cross-sectional community based study of self-reported health in 2000. Trop Med Internat Health. 2007;12(8):907–19. CrossRef Sabbah I, Vuitton D-A, Droubi N, Sabbah S, Mercier M. Morbidity and associated factors in rural and urban populations of South Lebanon: a cross-sectional community based study of self-reported health in 2000. Trop Med Internat Health. 2007;12(8):907–19. CrossRef
42.
Zurück zum Zitat Yadav K, Krishnan A. Changing patterns of diet, physical activity and obesity among urban, rural and slum populations in north India. Obes Rev. 2008;9:400–8. PubMedCrossRef Yadav K, Krishnan A. Changing patterns of diet, physical activity and obesity among urban, rural and slum populations in north India. Obes Rev. 2008;9:400–8. PubMedCrossRef
43.
Zurück zum Zitat Jackson JE, Doescher MP, Jerant AF, Hart LG. A national study of obesity prevalence and trends by type of rural county. J Rural Health. 2005;21(2):140–8. PubMedCrossRef Jackson JE, Doescher MP, Jerant AF, Hart LG. A national study of obesity prevalence and trends by type of rural county. J Rural Health. 2005;21(2):140–8. PubMedCrossRef
44.
Zurück zum Zitat Wadden TA, Brownell KD, Foster GD. Obesity: responding to the global epidemic. J Consult Clin Psychol. 2002;70:510–25. PubMedCrossRef Wadden TA, Brownell KD, Foster GD. Obesity: responding to the global epidemic. J Consult Clin Psychol. 2002;70:510–25. PubMedCrossRef
Metadaten
Titel
Regional trends in obesity and overweight among Austrian adults between 1973 and 2007
verfasst von
MSc, BSc Franziska Großschädl
D.Sc. Willibald Julius Stronegger
Publikationsdatum
01.06.2012
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 11-12/2012
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-012-0175-4

Weitere Artikel der Ausgabe 11-12/2012

Wiener klinische Wochenschrift 11-12/2012 Zur Ausgabe