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Overweight, obesity and metabolic syndrome in rural southeastern Australia

Janus, Edward D., Laatikainen, Tiina, Dunbar, James, Kilkkinen, Annamari, Bunker, Stephen, Philpot, Ben, Tideman, Philip A., Tirimacco, Rosy and Heistaro, Sami 2007, Overweight, obesity and metabolic syndrome in rural southeastern Australia, Medical journal of Australia, vol. 187, no. 3, pp. 147-152.

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Title Overweight, obesity and metabolic syndrome in rural southeastern Australia
Author(s) Janus, Edward D.
Laatikainen, Tiina
Dunbar, James
Kilkkinen, Annamari
Bunker, Stephen
Philpot, Ben
Tideman, Philip A.
Tirimacco, Rosy
Heistaro, Sami
Journal name Medical journal of Australia
Volume number 187
Issue number 3
Start page 147
End page 152
Publisher Australasian Medical Publishing Company
Place of publication Australia
Publication date 2007-08-06
ISSN 0025-729X
1326-5377
Keyword(s) abdominal fat
adiposity
adult
aged
Australia -- epidemiology
cross-sectional studies
female
health surveys
humans
male
metabolic syndrome X -- epidemiology
middle aged
obesity -- epidemiology
overweight
prevalence
rural health -- statistics & numerical data
Summary OBJECTIVE: To measure the prevalence of overweight, obesity and the metabolic syndrome (MetS) in rural Australia.

DESIGN, SETTING AND PARTICIPANTS: Cross-sectional surveys were conducted in two rural areas in Victoria and South Australia in 2004-2005. A stratified random sample of men and women aged 25-74 years was selected from the electoral roll. Data were collected by a self-administered questionnaire, physical measurements and laboratory tests.

MAIN OUTCOME MEASURES: Prevalence of overweight and obesity, as defined by body mass index (BMI) and waist circumference; prevalence of MetS and its components.

RESULTS: Data on 806 participants (383 men and 423 women) were analysed. Based on BMI, the prevalence of overweight and obesity combined was 74.1% (95% CI, 69.7%-78.5%) in men and 64.1% (95% CI, 59.5%-68.7%) in women. Based on waist circumference, the prevalence of overweight and obesity was higher in women (72.4%; 95% CI, 68.1%-76.7%) than men (61.9%; 95% CI, 57.0%-66.8%). The overall prevalence of obesity was 30.0% (95% CI, 26.8%-33.2%) based on BMI (> or = 30.0 kg/m(2)) and 44.7% (95% CI, 41.2%-48.1%) based on waist circumference (> or = 102 cm [men] and > or= 88 cm [women]). The prevalence of MetS as defined by the US National Cholesterol Education Program Adult Treatment Panel III 2005 criteria was 27.1% (95% CI, 22.7%-31.6%) in men and 28.3% (95% CI, 24.0%-32.6%) in women; based on International Diabetes Federation criteria, prevalences for men and women were 33.7% (95% CI, 29.0%-38.5%) and 30.1% (95% CI, 25.7%-34.5%), respectively. Prevalences of MetS, central (abdominal) obesity, hyperglycaemia, hypertension and hypertriglyceridaemia increased with age.

CONCLUSIONS: In rural Australia, prevalences of MetS, overweight and obesity are very high. Urgent population-wide action is required to tackle the problem.
Language eng
Field of Research 111717 Primary Health Care
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2007, Australasian Medical Publishing Company Proprietary
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007829

Document type: Journal Article
Collections: School of Health and Social Development
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