Prevalence of Overweight and Obesity among Adult Malaysians: An Update

馬來西亞成人過重和肥胖最近的盛行率

Wan Nazaimoon Wan Mohamud ； Kamarul Imran Musa ； Amir Sharifuddin Md Khir ； Aziz al-Safi Ismail ； Ikram Shah Ismail ； Khalid Abdul Kadir ； Nor Azmi Kamaruddin ； Nor Azwany Yaacob ； Norlaila Mustafa ； Osman Ali ； Siti Harnida Md Isa ； Wan Mohamad Wan Bebakar

《Asia Pacific Journal of Clinical Nutrition》 20卷1期 (2011/03) Pp. 35-41

https://doi.org/10.6133/apjcn.2011.20.1.06

摘要

總計有4428位（18歲以上）國民參與這次健康調查，分別來自馬來半島與東馬的五個不同地區。根據世界衛生組織以BMI所定義的標準，發現過重和肥胖的盛行率分別為33.6%（95% CI= 32.2, 35.0）和19.5%（95% CI= 18.3, 20.7）。肥胖部分，女性（22.5%, 95% CI=20.9, 24.0）盛行率比男性（14.1%, 95% CI=12.3, 15.9）高。肥胖盛行率最高的是印度裔（24.6%, 95% CI=20.3, 29.3），其次是馬來裔（23.2%, 95% CI=21.6, 24.8%），最低的是華裔（8.2%, 95% CI=6.2, 10.6）。在531位30歲以下的年輕人中，超過43%是過重（20%, 95% CI=16.6, 23.6）或肥胖（13.9%, 95% CI=11.1, 17.2%）。所有自稱沒有罹患糖尿病的參與者都接受75 g的葡萄糖耐受性測驗。而一開始聲稱沒有糖尿病的肥胖者，他們的糖尿病新發率和葡糖糖耐受性不佳分別是BMI正常者的3倍和2倍。這份研究顯示要降低國家的肥胖盛行率，需要更積極的跨部門合作，來營造促進健康的環境。

關鍵字

過重 ； 肥胖 ； 盛行率 ； 葡糖糖耐受性測試 ； 馬來西亞

並列摘要

A total of 4428 adults (＞18 years old) from 5 different selected regions in Peninsular and East Malaysia participated in this health survey. Using World Health Organization recommendations for body mass index (BMI), the prevalence of overweight and obesity were found to be 33.6% (95% CI= 32.2, 35.0) and 19.5% (95% CI= 18.3, 20.7) respectively. There were more females who were obese (22.5%, 95% CI=20.9, 24.0) compared to males (14.1%, 95% CI=12.3, 15.9). Highest prevalence of obesity were among the Indians (24.6%, 95% CI=20.3, 29.3), followed closely by the Malays (23.2%, 95% CI=21.6, 24.8%) and lowest prevalence was among the Chinese subjects (8.2%, 95% CI=6.2, 10.6). More than 43% of the 531 younger subjects (＜30 years old) were either overweight (20%, 95% CI=16.6, 23.6) or obese (13.9%, 95% CI=11.1, 17.2%). All subjects who claimed to be non-diabetes were required to undergo 75 g glucose tolerance test. Compared to subjects with normal BMI (18.5-24.9 kg/m^2), there was a 3- and 2-folds increase in the prevalence of newly diagnosed diabetes and impaired glucose tolerance respectively, among obese subjects (BMI ＞30 kg/m^2) who initially claimed to have no diabetes. This study highlights a need for more active, inter-sectoral participation advocating a health-promoting environment in order to combat obesity in this country.

並列關鍵字

overweight ； obesity ； prevalence ； oral glucose tolerance test ； Malaysia