Public Health and Preventive Medicine

doi: 10.25005/2074-0581-2022-24-1-19-28
PREVALENCE OF OBESITY AMONG THE ADULT POPULATION OF TAJIKISTAN

S.M. Abdullozoda

Department of Epidemiology, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To provide the national estimates of the prevalence of adult obesity (OB) in the Republic of Tajikistan according to official statistics in the 2015-2019 period.

Methods: OB prevalence among the adult population of the Republic of Tajikistan in the 2015-2019 period was estimated based on the annual reports of the Center for Statistics under the President of the Republic of Tajikistan. The epidemiological analysis included an assessment of the OB prevalence across the studied period, distribution of overweight people by gender and region of residence.

Results: The OB prevalence among the adult population between 2015 and 2019 ranged from 25 to 57 cases per 100,000 people, with an increase by 128% across this period. In 2016 the prevalence increased by 23.1%, in 2017 – by 16.7%, in 2018 – by 10.7% and in 2019 – by 43.5%. The highest prevalence of OB was noted among the residents of the capital; during the study period its increase was 69.2% (from 104 to 176 per 100,000 people; p<0.001). The second high OB prevalence was found in the Sughd region, where it showed an increase across the studied period by 186.7%; in 2019 it was 86 per 100,000 compared to 30 per 100,000 in 2015 (p<0.001). The lowest OB prevalence was noted among the residents of GBAO, where it ranged from 3 to 11 cases per 100,000 people (p>0.05). The same trend was observed among the residents of the Khatlon region, where in the study period the increase in the OB prevalence was insignificant (from 6 to 19 per 100,000 people; p>0.05). Analysis of the data showed that during this period, the life expectancy among women increased by 128.2%, among men – by 150%. However, among the males in the 2016-2018 period there was no significant increase in the OB prevalence (p>0.05). People aged 45 years and above had significantly higher OB prevalence than all other age groups (p<0.001) during the study period. Only in 2016 there was no significant increase (p>0.05) of the OB prevalence among the elderly population (75 and above).

Conclusion: The analysis of the data obtained showed that in the Republic of Tajikistan, the OB prevalence among the adult population in the study period ranged from 25 to 75 cases per 100,000 people and increased by 128% between 2015 and 2019. Primary health care facilities should develop a national registry of obese people and provide clinical and epidemiological monitoring of the overweight population. Promoting a healthy lifestyle, healthy diet and physical exercise of the population through the media will improve the health level and quality of life of the population.

Keywords: Obesity, epidemiology, prevalence, risk factors, healthy lifestyle.

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References
  1. Okunogbe A, Nugent R, Spencer G, Ralston J, Wilding J. Economic impacts of overweight and obesity: Current and future estimates for eight countries. BMJ Glob Health. 2021; 6(10):e006351. Available from: https://doi.org/10.1136/ bmjgh-2021-006351
  2. Khabriev RU, Kakorina EP, Kuzmina LP, Fishman BB, Prozorova IV, Raff SA, i dr. Organizatsionnye aspekty ranney diagnostiki metabolicheskogo sindroma na osnove vnedreniya novykh geneticheskikh, kletochnykh i bioinformatsionnykh tekhnologiy [The organizational aspects of early diagnostic of metabolic syndrome on the basis of implementation of new genetic, cellular and bio-informational technologies]. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny. 2019;27(5):796-802. Available from: https://doi. org/10.32687/0869-866X-2019-27-5-796-802
  3. Ochilova DA, Niyozova GS. Ozhirenie i risk serdechno-sosudistykh zabolevaniy (lektsiya) [Obesity and risk of cardiovascular diseases (lecture)]. Biologiya i integrativnaya meditsina. 2017;7:34-44.
  4. Mirodzhov GK, Amirkulova M, Avezov SA, Odinaev RI. Risk razvitiya kholelitiaza i khronicheskogo pankreatita pri ozhirenii [Risk of development of cholelithiasis and chronic pancreatitis at obesity]. Vestnik Akademii meditsinskikh nauk Tadzhikistana. 2017;3:68-72.
  5. Gulov MK, Abdulloev SM, Rafiev KhK. Kachestvo zhizni u patsientov, stradayushchikh khronicheskoy bolezn’yu pochek [Quality of life in patients with chronic kidney disease]. Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P. Pavlova. 2018;26(4):493-9. Available from: http://dx.doi. org/10.23888/PAVLOVJ2018264493- 499
  6. Korneev IA, Matsueva IA. Muzhskoe besplodie, metabolicheskiy sindrom i ozhirenie [Male infertility, metabolic syndrome and obesity]. Urologicheskie vedomosti. 2021;11(2):153-62. Available from: http://doi.org/10.17816/ uroved61509
  7. Petrova EB, Shkrebneva EI, Statkevich TV, Kartun LV, Mitkovskaya NP. Abdominal'noe ozhirenie i postinfarktnyy kardioskleroz: kardio-metabolicheskiy kontinuum v formirovanii khronicheskoy serdechnoy nedostatochnosti [Abdominal obesity and postinfarction cardiosclerosis: Cardiometabolic continuum in the development of chronic heart failure]. Neotlozhnaya kardiologiya i kardiovaskulyarnye riski. 2019;3(1):500-6.
  8. Liu B, Du Y, Wu Y, Snetselaar LG, Wallace RB, Bao W. Trends in obesity and adiposity measures by race or ethnicity among adults in the United States 2011- 18: Population-based study. BMJ. 2021;372:n365. Available from: http://doi. org/10.1136/bmj.n365
  9. Inoyatova NA, Musoev AA, Nuriddinov RT. Rasprostranyonnost' izbytochnoy massy tela i ozhireniya sredi detey i podrostkov na primere gg. Dushanbe i Vakhdat [The prevalence of obesity and overweight among children and adolescents in Dushanbe and Vahdat]. Zdravookhranenie Tadzhikistana. 2017;3:79-83.
  10. Oguoma VM, Coffee NT, Alsharrah S, Abu-Farha M, Al-Refaei FH, Al-Mulla F, et al. Prevalence of overweight and obesity, and associations with socio-demographic factors in Kuwait. BMC Public Health. 2021;21(1):667. Available from: http://doi.org/10.1186/s12889-021-10692-1
  11. Jang HJ, Oh H. Trends and inequalities in overall and abdominal obesity by sociodemographic factors in Korean adults, 1998-2018. Int J Environ Res Public Health. 2021;18(8):4162. Available from: http://doi.org/10.3390/ ijerph18084162
  12. Osunkwo DA, Nguku PM, Mohammed A, Umeokonkwo CD, Kamateeka M, Ibrahim M, et al. Prevalence of obesity and associated factors in Benue State, Nigeria: A population-based study. Ann Afr Med. 2021;20(1):9-13. Available from: http://doi.org/10.4103/aam.aam_36_19
  13. United Nations (2017) Resolution adopted by the General Assembly on 6 July 2017, Work of the Statistical Commission pertaining to the 2030 Agenda for Sustainable Development (A/RES/71/313).
  14. Gulov MK, Abdulloev SM, Gulbekova ZA, Makhmudov KhR. Skrining faktorov riska khronicheskikh neinfektsionnykh zabolevaniy sredi naseleniya vysokogornoy mestnosti Tadzhikistana [Screening of risk factors of chronic non-communicable diseases among population of the highlands in Tajikistan]. Vestnik Avitsenny [Avicenna Bulletin]. 2020;22(2):209-21. Available from: https://doi. org/10.25005/2074-0581-2020-22-2-209-221
  15. Li Y, Zhao L, Yu D, Wang Z, Ding G. Metabolic syndrome prevalence and its risk factors among adults in China: A nationally representative cross-sectional study. PLoS One. 2018;13(6):e0199293. Available from: https://doi. org/10.1371/journal.pone.0199293
  16. Myers J, Kokkinos P, Nyelin E. Physical activity, cardiorespiratory fitness, and the metabolic syndrome. Nutrients. 2019;11(7):1652. Available from: https:// doi.org/10.3390/nu11071652
  17. Motamed S, Mazidi M, Safarian M, Ghayour-Mobarhan M, Moohebati M, Ebrahimi M, et al. Macronutrient intake and physical activity levels in individuals with and without metabolic syndrome: An observational study in an urban population. ARYA Atheroscler. 2019;15(3):136-45. Available from: https://doi. org/10.22122/aryA. v15i3.1303
  18. Talukder A, Das Gupta R, Hashan MR, Haider SS, Sajal IH, Sarker M. Association between television viewing and overweight and obesity among women of reproductive age in Timor-Leste: Evidence from the demographic health survey 2016. BMJ Open. 2021;11(8):e045547. Available from: http://doi.org/10.1136/ bmjopen-2020-045547
  19. Cecchini M. Use of healthcare services and expenditure in the US in 2025: The effect of obesity and morbid obesity. PLoS One. 2018;13(11):e0206703. Available from: http://doi.org/10.1371/journal.pone.0206703
  20. Wolfenstetter SB, Menn P, Holle R, Mielck A, Meisinger C, von Lengerke T. Body weight changes and outpatient medical care utilisation: Results of the MONICA/ KORA cohorts S3/F3 and S4/F4. Psychosoc Med. 2012;9:Doc09. Available from: http://doi.org/10.3205/psm000087
  21. Zizza C, Herring AH, Stevens J, Popkin BM. Length of hospital stays among obese individuals. Am J Public Health. 2004;94(9):1587-91. Available from: http://doi.org/10.2105/ajph.94.9.1587
  22. Padula WV, Allen RR, Nair KV. Determining the cost of obesity and its common comorbidities from a commercial claims database. Clin Obes. 2014;4(1):53-8. d Available from: http://doi.org/10.1111/cob.12041

Authors informations:

Abdullozoda Said Murtazo
Candidate of Medical Sciences, Applicant of the Department of Epidemiology, Avicenna Tajik State Medical University

ORCID ID: 0000-0003-0058-7633

SPIN: 5979-1928

Author ID: 991827

E-mail: saidxoja@gmail.com

Information about the source of support in the form of grants, equipment, and drugs

The author did not receive financial support from manufacturers of medicines and medical equipment

Conflict of interest: No conflict

Address for correspondence:

Abdullozoda Said Murtazo
Candidate of Medical Sciences, Applicant of the Department of Epidemiology, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (44) 6003659

E-mail: saidxoja@gmail.com

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