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OBJECTIVE: To explore socio-economic factors associated with rising rates of overweight among Vietnamese adults. DESIGN: The study was based on three national surveys of socio-economic factors and health conducted over a 10-year period. The studies were: the Vietnamese Living Standard Survey 1992-1993 (11 982 participants); the Vietnamese Living Standard Survey 1997-1998 (15 975 participants); and the Vietnamese National Health Survey 2001-2002 (94 656 participants). SUBJECTS: Male and female adults >18 years old were stratified by gender, age group, area of residence, occupation, education and relative food expenditures. Overweight was defined using body mass index (BMI) > or = 25 kg m(-2). RESULTS: Overweight rates in Vietnam more than doubled between 1992 and 2002 (from 2.0 to 5.7%). Significant increases were observed for men and women, in urban and rural areas, and for all age groups. In univariate analyses, both age and higher socio-economic status were associated with higher rates of overweight. Using the most recent survey, urban populations were more likely to be overweight than rural ones (odds ratio (OR) = 1.79), white-collar workers were more likely to be overweight than manual labourers (OR = 1.95) and persons in the top level of food expenditures were more likely to be overweight than persons in the bottom level (OR = 4.96) after adjustment for other factors. Education was inversely associated with overweight after adjusting for covariates. CONCLUSION: Economic growth and improved standard of living are associated with higher rates of overweight in nations in early stages of economic development. In Vietnam, higher rates of overweight were observed among the higher income and occupation groups. 相似文献
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OBJECTIVE: To define the prevalence of overweight and obesity among school-aged children resident in mountain areas, rural areas and urban areas.Design, setting and subjectsThe sample (n = 12 832; 50.7% boys) included 9- and 11-year-old children of the Veneto Region of north-east Italy. Overweight and obesity status were determined using the International Obesity Task Force cut-off points for body mass index. The prevalence of overweight and obese subjects was calculated with a confidence interval of 95%. The Mantel-Haenszel method was used to compare the combined prevalence of overweight and obesity among children resident in mountain areas, rural areas and urban areas. RESULTS: Among boys the prevalence of overweight was 21.06%, while obesity prevalence was 5.92%; among girls overweight prevalence was 21.30%, while obesity prevalence was 5.15%. The prevalence was higher among 11-year-old boys (odds ratio (OR) = 1.19; 95% confidence interval (CI): 1.06-1.33) and 9-year-old girls (OR = 1.13; 95% CI: 1.01-1.26). Children resident in rural areas presented a higher risk of overweight and obesity compared with children resident in mountain areas (Mantel-Haenszel OR = 1.27; 95% CI: 1.13-1.42; chi2 = 17.55; P < 0.0001) and in urban areas (Mantel-Haenszel OR = 1.18; 95% CI: 1.07-1.31; chi2 = 10.39; P < 0.001). CONCLUSIONS: A relevant prevalence of overweight and obesity was found; the excess weight concerns one child in four. There are differences linked to different geographical areas that must be further investigated. 相似文献
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Type of kindergarten and other potential determinants of overweight in pre-school children 总被引:3,自引:0,他引:3
OBJECTIVE: The study aimed to assess the relationship of various types of kindergarten differing in length of care and food availability with the development of overweight in pre-school children. DESIGN, SETTING AND SUBJECTS: A cross-sectional study was carried out in 2002 in Stuttgart, Germany, as part of the school entrance examination. Height and weight of 2140 children (participation 70.2%) were measured and information on type of kindergarten and other potential determinants of overweight was collected by a parental questionnaire. Change in relative body mass index (BMI) position between the ages of 4 and 6 years was assessed using medical records. RESULTS: The prevalence of overweight or change in relative BMI position did not differ according to the type of kindergarten. For the prevalence of overweight in German children, adjusted odds ratios (OR) comparing institutions that open only in the morning with those opening in the morning and afternoon or for the full day were 0.86 (95% confidence interval (CI) 0.40, 1.83) and 0.63 (95% CI 0.25, 1.58), respectively. Parental BMI and duration of television watching were positively associated, and maternal educational status and duration of breast-feeding were negatively associated, with overweight and/or change in relative BMI position. The prevalence of overweight was substantially higher among non-German than among German children (adjusted OR 2.17 (95% CI 1.53, 3.07)). CONCLUSIONS: These data show no association between different types of kindergarten and the development of overweight in early childhood. Duration of television watching and breast-feeding, as well as the relatively high prevalence of overweight in ethnic minorities, deserve further attention. 相似文献
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Reddy SP Resnicow K James S Kambaran N Omardien R Mbewu AD 《Public health nutrition》2009,12(2):203-207
OBJECTIVE: The present paper reports the prevalence of underweight, overweight and obesity by gender, ethnicity and grade, among participants in a 2002 national survey among South African school-going youth that included height and weight measurements. DESIGN: A stratified two-stage sample was used. Nationally representative rates of underweight, overweight and obesity were calculated using weighted survey data and compared using chi2 analysis. SETTING: In all, 9224 grade 8 to grade 11 students, present at school in selected classes within selected South African government-funded schools in all nine provinces, participated in this study. Most of the students were between 13 and 19 years of age. RESULTS: Higher rates of underweight were observed for males than females as well as for black and 'coloured' than white students. Within each gender group, black and 'coloured' students had significantly higher rates of underweight than their white counterparts. Higher percentages of females than males were overweight and obese, overall and among black students. Furthermore, white male students had significantly higher rates of overweight than their black and 'coloured' counterparts. Among females, black and white students had significantly higher rates than 'coloured' students. Students in higher grades showed significantly lower rates of underweight and higher rates of overweight. DISCUSSION: These data confirm that South Africa, a developing nation in socio-economic transition, is experiencing both undernutrition and overnutrition. However, these problems are disproportionately distributed by gender, socio-economics and ethnicity. Continued surveillance of nutritional status may be one important component of a national strategy to prevent and control malnutrition. 相似文献
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Jackson M Walker S Cruickshank JK Sharma S Cade J Mbanya JC Younger N Forrester TF Wilks R 《Public health nutrition》2007,10(2):122-130
OBJECTIVES: To determine the relationship of diet to overweight and obesity among populations of African origin. DESIGN AND SETTING: Cross-sectional data were obtained from adults aged 25-74 years in rural Cameroon (n = 686), urban Cameroon (n = 975), Jamaica (n = 924) and Afro-Caribbeans in the UK (n = 257). Dietary data were collected using food-frequency questionnaires specifically designed for each site. Body mass index (BMI) was used as a measure of overweight. RESULTS: The expected gradient in the distribution of overweight across sites was seen in females (rural Cameroon, 9.5%; urban Cameroon, 47.1%; Jamaica, 63.8%; UK, 71.6%); however, among males overweight was less prevalent in Jamaica (22.0%) than urban Cameroon (36.3%). In developing countries increased risks of overweight (BMI > or = 25 kg m(-2) were influenced by higher energy (urban Cameroonian men) and protein (Jamaican women) intakes. No dietary variables were associated with obesity (BMI > or = 30 kg m(-2) in Cameroon or Jamaica. In the UK, energy intakes were inversely related with overweight whereas increased risks of being overweight were associated with higher protein (men) and fat (women) intakes. Similarly, whereas higher protein and fat intakes in UK men and women were associated with obesity, carbohydrate intakes were associated with decreased risks of obesity in men. CONCLUSIONS: Diet and overweight were associated in the UK but few dietary variables were related to overweight in Jamaica and the Cameroon. These findings suggest that associations between diet and overweight/obesity are not generalisable among populations. 相似文献
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为了了解重庆石漠化地区植被恢复以及生态环境治理状况,选取重庆石漠化地区归一化植被指数(NDVI)及气象数据,利用趋势分析、变异系数分析以及偏相关分析等方法,重点探讨了重庆石漠化地区2005-2014年NDVI的时空变化特征,并分析了NDVI变化与气候因子之间的相关性。结果表明:(1)重庆石漠化地区NDVI年际变化总体上呈增加趋势,增加速率为0.08/10 a,其中渝东北地区增长速率相对较高,达0.09/10 a,而NDVI季节变化存在一定差异性,春季增长最为显著,主要分布于渝东北、渝中和渝西地区;(2)渝东北石漠化地区NDVI呈增加趋势的区域范围较大,这对于三峡库区生态环境改善以及水土保持起着至关重要的作用;渝东南、渝中和渝西石漠化地区NDVI整体保持不变,而NDVI呈减小趋势的区域主要分布于乌江流域;(3)重庆石漠化地区2005-2014年NDVI变异系数相对较低,以稳定为主;(4)重庆石漠化地区降水和气温分别与NDVI之间正相关性都大于负相关性。总体上降水量的增加一定程度促进了三峡库区植被的生长,而温度的降低一定程度上抑制了乌江流域植被的生长。 相似文献
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Frank Zimmermann Jörg Matschullat Erika Brüggemann Kirsten Pleßow Otto Wienhaus 《Water, air, and soil pollution》2006,170(1-4):123-141
The Erzgebirge, part of the so-called former “Black Triangle”, used to represent the strongest regional air pollution of Central Europe. To test the hypothesis of deposition enhancement with height, an altitudinal gradient along a N-S transect from the Elbe river lowlands to the Erzgebirge summit was chosen to investigate chemical composition, elevation-related variability, temporal changes, and seasonal patterns of ion concentrations from 1993 to 2002. The following questions were to be answered: (1) Which role does orography play on the composition of precipitation?, (2) Does fog occurrence overrule the orographic influence?, (3) Are there changes in the past 10 years, and if so, why?, (4) Do relevant seasonal changes occur and why? Air streams from westerly and to a lesser degree south-easterly directions prevail. The average precipitation was ion-poor (23 μS cm?1 and acidic (pH 4.5). Sulphate still was the dominant anion (52.3–59.9 μeq L?1, while NH+ 4 determined the cations (41.9–62.2 μeq L?1. Ion concentrations decreased with altitude to about 735 m a.s.l. and subsequently increased. The seeder-feeder effect largely explains the chemical composition of precipitation; enhanced in winter through snow crystals. Sub-cloud scavenging does not explain the observed patterns. Fog occurrence enhanced the observed effects at higher altitudes. Deposition amounts doubled from the lowlands to the Erzgebirge summit. From 1993 to 2002, acidity decreased by about 50%, mainly due to reduced SO2 -emissions. 相似文献
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Froger Claire Quantin Cécile Bordier Louise Monvoisin Gaël Evrard Olivier Ayrault Sophie 《Journal of Soils and Sediments》2020,20(11):4055-4069
Journal of Soils and Sediments - The release of trace elements (TE) associated with the development of human activities has accelerated since the nineteenth century, leading to the pollution of... 相似文献
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Hoang Thi Thanh Thuy Nguyen Nhu Ha Vy Tu Thi Cam Loan 《Water, air, and soil pollution》2007,182(1-4):73-81
The aquatic system of Hochiminh City comprises two main rivers: the Sai Gon and Nha Be rivers. Five canals discharge into these two rivers: NhieuLoc-ThiNghe, TauHu-BenNghe, TanHoa-LoGom, ThamLuong-BenCat and Doi-Te. The rivers and these canals collect effluent water from domestic and industrial sources. Most of these flows are not treated or at most are only primarily treated. A total of 33 sediment cores were taken from these rivers and canals. Chemical composition of these aquatic sediments has very high concentrations of several “urban” metals such as Cd, Cr, Cu and Zn. Most of the samples have exceeded the US EPA’s toxicity reference values for Cu, Zn and Cr (82, 82 and 70%, respectively). The highest concentrations of these metals appear to be associated with the uncontrolled and untreated industrial runoff to the discharge canals. These concentrations in fluvial sediment are relatively low, which indicates the dilution process of the contaminants. This finding indicates that the anthropogenic inputs play an important role in the elevation of heavy metals in the aquatic system and organic matter seems to exert a strong geochemical control on the amount of heavy metals. The Pearson correlation coefficients calculated for Cd, Cr, Cu and Zn, are 0.89; 0.72; 0.93 and 0.87, respectively. 相似文献
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Natalia E. Kosheleva Nikolay S. Kasimov Ivan V. Timofeev 《Journal of Soils and Sediments》2018,18(6):2318-2334