A public health threat in Hungary: obesity, 2013

Abstract

BackgroundIn Hungary, the last wide-range evaluation about nutritional status of the population was completed in 1988. Since then, only limited data were available. Our aim was to collect, analyze and present updated prevalence data.MethodsAnthropometric, educational and morbidity data of persons above 18 y were registered in all geographical regions of Hungary, at primary care encounters and within community settings.ResultsData (BMI, waist circumference, educational level) of 40,331 individuals (16,544 men, 23,787 women) were analyzed. Overall prevalence for overweight was 40.4% among men, 31.3% among women, while for obesity 32.0% and 31.5%, respectively. Abdominal obesity was 37.1% in males, 60.9% in females. Among men, the prevalence of overweight-obesity was: under 35 y = 32.5%-16.2%, between 35-60 y = 40.6%-34.7%, over 60 y = 44.3%-36.7%. Among women, in the same age categories were: 17.8%-13.8%, 29.7%-29.0%, and 36.9%-39.0%. Data were presented according to age by decades as well. The highest odds ratio of overweight (OR: 1.079; 95% CI [1.026-1.135]) was registered by middle educational level, the lowest odds ratio of obesity (OR: 0.500; 95% CI [0.463-0.539]) by the highest educational level. The highest proportion of obese people lived in villages (35.4%) and in Budapest (28.9%). Distribution of overweighed persons were: Budapest (37.1%), other cities (35.8%), villages (33.8%). Registered metabolic morbidities were strongly correlated with BMIs and both were inversely related to the level of urbanization. Over the previous decades, there has been a shift in the distribution of population toward being overweight and moreover obese, it was most prominent among males, mainly in younger generation.ConclusionsEvaluation covered 0.53% of the total population over 18 y and could be very close to the proper national representativeness. The threat of obesity and related morbidities require higher public awareness and interventions.

Demographic shift disproportionately increases cancer burden in an aging nation: current and expected incidence and mortality in Hungary up to 2030

“…The prevalence of overweight and obesity is increasing in Hungary: according to a 2014 study, 40.4% of adult males and 31.3% of females were overweight. Moreover, 32% of men and 31.5% of women were obese, and one-third of young men under 35 years of age already carried excess weight 36. Investigating 30 European countries, 2.5% of men and 4.1% of women cancer cases were attributable to excess BMI, mainly endometrial, breast, and colorectal cancers 37.…”

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“…A bemutatott adatok legnagyobb része az első ütemben, a háziorvosi rendelőkben bármely ok miatt megforduló személyekkel és egyéb közösségi színtere-ken végzett tevékenységek (foglalkozás-egészségügyi vizsgálat, lakossági-munkahelyi egészségfejlesztés) során történt találkozások alkalmával keletkezett [12]. A pontosabb földrajzi reprezentativitás elérésére végeztük el a vizsgálat második szakaszát, elsősorban a fővárosra fóku-szálva, a korábbi adatokat kiegészítve a frissebbekkel.…”

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Expenditures Of Metabolic Diseases – An Estimation on National Health Care Expenditures of Diabetes and Obesity, Hungary 2013

“…The high ▶table 3 The NHIF financed inpatients and outpatients care, reimbursement for medications and healing aides, sickness benefit expenditures. prevalence of obesity and overweight could be a leading cause for this phenomenon [28,29]. Treatment and medical care of obesity and related morbidities count a huge amount of the Hungarian health care expenditures, both from the government and from the individuals.…”