Prevalence of general and abdominal obesity and overweight among adults in Poland. Results of the WOBASZ II study (2013–2014) and comparison with the WOBASZ study (2003–2005)

Stepaniak, Urszula; Micek, Agnieszka; Waśkiewicz, Anna; Bielecki, Wojciech; Drygas, Wojciech; Janion, Marianna; Kozakiewicz, Krystyna; Niklas, Arkadiusz; Puch-Walczak, Aleksandra; Pająk, Andrzej

doi:10.20452/pamw.3499

Cited by 84 publications

(88 citation statements)

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“…Ten years later in WOBASZ II study the prevalence of obesity increased to 24.4% of men and 25% of women. However, the frequency of abdominal obesity based on waist circumference in WOBASZ II study was similar to our results (32.2% of men and 45.7% of women) [8]. In another study, NATPOL 2011, the prevalence of obesity was 23.6% of men and 19.7% of women [9].…”

Section: Discussionsupporting

confidence: 88%

Determinants of obesity in population of PURE study from Lower Silesia

Zdrojowy-Wełna

Zatońska

Bednarek-Tupikowska

et al. 2018

Endokrynologia Polska

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Introduction:The knowledge about obesity pathogenesis is insufficient. The aim of our study was to investigate environmental and individual determinants of obesity in population of PURE study from Lower Silesia. Material and methods: This was a cross sectional observation of 1064 inhabitants of Wroclaw and neighbouring rural area (671 women, 393 men), who took part in PURE study in years 2007-2010. Each participant answered PURE questionnaire and International Physical Activity Questionnaire providing information about obesity risk factors. Anthropometric measurements were collected, blood samples were taken for assessment of FTO gene polymorphism. A stepwise logistic regression analysis was performed to identify the most significant predictors of obesity. Results: 31% of the study group had obesity (BMI over 30 kg/m 2 , no difference between men and women), overweight (BMI 25-29.9 kg/m 2 ) affected 48.1% of men and 36.7% of women. Determinants of obesity in female group were: rural inhabitancy, chronic medication, unemployment, age, sedentary leisure time activity, non-smoking, hypertension in family, family related stress (p = 0.66 in the Hosmer--Lemeshow test). Determinants of obesity in male group were rural inhabitancy, chronic medication, family related stress, diabetes in family (p = 0.27 in the Hosmer-Lemeshow test). Risk factors for central obesity were similar, however in women oral contraception and physical activity were associated with lower obesity risk. Conclusions: Environmental factors, especially rural inhabitancy and family related stress were associated with higher obesity risk in our study. Employment, smoking, physical activity and use of oral contraception seemed to have protective role in women. (Endokrynol Pol 2018; 69 (6): 644-652) StreszczenieWstęp: Wiedza na temat patogenezy otyłości jest niewystarczająca. Celem badania była ocena środowiskowych oraz indywidualnych czynników ryzyka otyłości w populacji badania PURE z rejonu Dolnego Śląska. Materiał i metody: W obserwacyjnym, przekrojowym badaniu oceniono 1064 mieszkańców Wrocławia i okolic wiejskich (671 kobiet, 393 mężczyzn), uczestniczących w projekcie PURE w latach 2007-2010. Badani odpowiedzieli na pytania z kwestionariusza PURE oraz Międzynarodowego Kwestionariusza Aktywności Fizycznej (IPAQ), co dostarczyło informacji na temat czynników ryzyka otyłości. U uczestników wykonano pomiary antropometryczne oraz pobrano krew na badanie polimorfizmu genu FTO. W modelu regresji logistycznej, korzystając z metody krokowej wstecznej, oceniono, które czynniki mają istotny związek z występowaniem otyłości. Wyniki: Otyłość (BMI > 30 kg/m 2 ) stwierdzono u 31% badanych niezależnie od płci, nadwaga (BMI 25-29,9 kg/m 2 ) dotyczyła 48,1% mężczyzn oraz 36,7% kobiet. Czynnikami związanymi z występowaniem otyłości w grupie kobiet były: zamieszkanie na wsi, przewlekłe stosowanie leków, brak zatrudnienia, wiek, siedzący tryb spędzania czasu wolnego, niepalenie papierosów, nadciśnienie tętnicze w wywiadzie rodzinnym, stres związany z rodziną (p = 0,66 w...

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Section: Discussionsupporting

confidence: 88%

Determinants of obesity in population of PURE study from Lower Silesia

Zdrojowy-Wełna

Zatońska

Bednarek-Tupikowska

et al. 2018

Endokrynologia Polska

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“…CVD women in this study were characterized by a higher proportion of obesity cases [44.3%) and diabetes (19.8%) compared to non-CVD women (32.2% and 13.4%, resp.). The prevalence of overweight and obesity is common in postmenopausal women in the Polish population [41], and an excessive body weight is associated with oxidative stress [42]. We also found that despite the lower energy and nutrient intakes from the diet, the supply of vegetables and fruits in the postmenopausal CVD women remained similar to that in the women without CVD.…”

Section: Discussionmentioning

confidence: 55%

Dietary Polyphenol Intake, but Not the Dietary Total Antioxidant Capacity, Is Inversely Related to Cardiovascular Disease in Postmenopausal Polish Women: Results of WOBASZ and WOBASZ II Studies

Witkowska

Waśkiewicz

Zujko

et al. 2017

Oxidative Medicine and Cellular Longevity

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The aim of the study was to assess the relationship between the dietary polyphenol intake (DPI) and the dietary total antioxidant capacity (DTAC) and the prevalence of cardiovascular disease (CVD) in postmenopausal women. Participants were 916 postmenopausal women diagnosed with CVD and 1683 postmenopausal women without history of CVD, who took part in the population-based studies carried out in Poland: WOBASZ (2003–2005) and WOBASZ II (2013-2014). Nutritional data were collected using a single 24-hour dietary recall. DPI and DTAC in the CVD women were significantly lower and accounted for 1766.39 mg/d and 10.84 mmol/d, respectively, versus 1920.57 mg/d and 11.85 mmol/d in the women without CVD, but these differences disappeared after the standardization for energy input. Also, in the multiple-adjustment model, higher DPI, but not DTAC, was associated with the reduced odds ratio for the prevalence of CVD. Beverages, mainly coffee and tea, contributed in more than 40% to DPI and in more than a half to DTAC. In this study, higher dietary polyphenol intake, but not the dietary total antioxidant capacity, was inversely associated with CVD in postmenopausal women, which points to the health benefits of increased polyphenol intake from food sources for these women.

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“…In other papers regarding the results of the WOBASZ II study their authors demonstrated that CVD risk factors were more frequently present in the Lower Silesian, Silesian, and Opole voivodeships when compared to the mean value in Poland. They observed a higher percentage of overweight and obese women, especially in the Opole voivodeship [20] as well as a higher incidence of hypercholesterolaemia in both sexes in the Opole and Lower Silesian voivodeships [21]. It should be emphasised, however, that the presented issues suggest the necessity to conduct further research in this field.…”

Section: Discussionmentioning

confidence: 89%