National prevalence of underweight, overweight and obesity in Turkey: cross sectional study of a representative adult population
The aim of this study was to determine underweight, overweight, and obesity prevalence in representative sample of adult (≥ 18 years old) Turkish population living in urban and rural area of Turkey. Turkish citizens aged ≥ 18 who can represent adult population and permanently resident in Turkey were taken to this study in 1999–2000. The nationally representative sample population was selected from the target population using the census which was performed by national institute of statistics at 1997. Target population was 13.570 individuals living in these houses and 8674 people who aged ≥ 18 are chosen for the study. BMI was used as widely accepted diagnostic criteria of obesity. This study demonstrated that the prevalence of underweight was 10.7% in men, 5.9% in women and 8.1% for overall. The prevalence of overweight was 17.4% in men, 20.4% in women and 19% for overall. The prevalence of obesity was 7.8% in men, 22.1% in women and 15.6% for overall. The prevalence of overweight is higher (19.6%) in urban areas but prevalence of obesity is higher (17%) in rural areas of Turkey. Age, educational level and marital status seem to have association with obesity prevalence. The data we obtained showed us that while the underweight is still an issue for men, the overweight and obesity prevalence is high and needs to take early prevention steps for Turkish population.
- Department of Endocrinology and Metabolism, Ankara Numune Hospital, 06100, Ankara, Turkey, email@example.com
- Department of Rheomatology, Ankara Numune Hospital, 06100, Ankara, Turkey
- Department of Endocrinology and Metabolism, Ankara Numune Hospital, 06100, Ankara, Turkey
- Department of Psychiatry, HYB Press, 06533, Ankara, Turkey
- State Statistic Expert, Faculty of Commercial Sciences, Baskent University, 06490, Ankara, Turkey
-  WHO Expert Committee: Community Prevention and control of Cardiovascular Diseases No.732, WHO Technical Report Series, Geneva, 1986.
-  J.S. Garrow: “Health implications of obesity”, In: C.Livingstone (Ed.): Obesity and related disease London, 1988, pp. 1–16.
-  G.A. Bray: “Definition, measurement and classification of the syndromes of obesity”, Int. J. Obesity, Vol. 2, (1978), pp. 99–112.
-  H.T. Waaler: “Height, weight and mortality. The Norwegian experience”, Acta Med. Scand., Vol. 679 (Suppl.), (1984), pp. 1–56.
-  The WHO MONICA Project: “Risk factors”, Int. J. Epidemiol., Vol. 18(Suppl.1), (1989), pp. 46–55.
-  K.M. Flegal, M.D. Carro, R.J. Kuczmarski and C.L. Johnson: “Overweight and obesity in the United States; prevalence and trends 1960-1994”, Int. J. Obesity, Vol. 22, (1998), pp. 39–47. http://dx.doi.org/10.1038/sj.ijo.0800541
-  A.N. Al-Isa: “Prevalence of obesity among adult Kuwaitis; a cross sectional study”, Int. J. Obes. Rel. Met. Dis., Vol. 19, (1995), pp. 431–433.
-  A. Al-Mannai, J.W. Dickerson, J.B. Morgan and H. Khalfan: “Obesity in Bahraini adults”, J. Roy. Soc. Health, Vol. 116, (1996), pp. 30–40. [Crossref]
-  A. Kuskowska and S. Rössner: “Prevalence of obesity in Sweden: Cross-sectional study of a representative adult population”, J. Intern. Med., Vol. 227, (1990), pp. 241–246. http://dx.doi.org/10.1111/j.1365-2796.1990.tb00152.x[Crossref]
-  V.D. Yumuk: “Prevalence of obesity in Turkey”, Obes. Rev., Vol. 6, (2005), pp. 9–10. http://dx.doi.org/10.1111/j.1467-789X.2005.00172.x[Crossref]
-  A. Rashidi, B. Mohammadpour-Ahranjani, M.R. Vafa and M. Karandish: “Prevalence of obesity in Iran”, Obes. Rev., Vol. 6, (2005), pp. 191–192. http://dx.doi.org/10.1111/j.1467-789X.2005.00174.x[Crossref]
-  A.W. Thorburn: “Prevalence of obesity in Australia” Obes. Rev., Vol. 6, (2000), pp. 187–189. http://dx.doi.org/10.1111/j.1467-789X.2005.00187.x[Crossref]
-  F. Belanger-Ducharme, A. Tremblay: “Prevalence of obesity in Canada”, Obes. Rev., Vol. 6, (2005), pp. 183–186. http://dx.doi.org/10.1111/j.1467-789X.2005.00179.x[Crossref]
-  D.M. Kim, C.W. Ahn and S.Y. Nam: “Prevalence of obesity in Korea”, Obes. Rev., Vol. 6, (2005), pp. 117–121. http://dx.doi.org/10.1111/j.1467-789X.2005.00173.x[Crossref]
-  D.N. Kaluski and E.M. Berry: “Prevalence of obesity in Israel”, Obes. Rev., Vol. 6, (2005), pp. 115–116. http://dx.doi.org/10.1111/j.1467-789X.2005.00168.x[Crossref]
-  L. Keinan-Boker, N. Noyman, A. Chinich, M.S. Green and D. Nitzan-Kaluski: “Over-weight and obesity prevalence in Israel: findings of the first national health and nutrition survey (MABAT)”, Israel Med. Assoc. J., Vol. 7, (2005), pp. 219–223.
-  A. Milewicz, D. Jedrzejuk, F. Lwow, A.S. Bialynicka, J. Lopatynski, G. Mardarowicz and B. Zahorska-Markiewicz: “Prevalence of obesity in Poland”, Obes. Rev., Vol. 6, (2005), pp. 113–114. http://dx.doi.org/10.1111/j.1467-789X.2005.00167.x[Crossref]
-  L.S. Webber and A.L. Bedimo-Rung: “The obesity epidemic: incidence and prevalence”, J. La State Med. Soc., Vol. 157, (2005), pp. 3–11.
-  K.L. Rennie and S.A. Jebb: “Prevalence of obesity in Great Britain”, Obes. Rev., Vol. 6, (2005), pp. 11–12. http://dx.doi.org/10.1111/j.1467-789X.2005.00164.x[Crossref]
-  M.L. Baskin, J. Ard, F. Franklin and D.B. Allison: “Prevalence of obesity in the United States”, Obes. Rev., Vol. 6, (2005), pp. 5–7. http://dx.doi.org/10.1111/j.1467-789X.2005.00165.x[Crossref]
-  R. Pisabarro and P. Kaufmann: “Prevalence of obesity in Uruguay”, Obes. Rev., Vol. 5, (2004), pp. 175–176. http://dx.doi.org/10.1111/j.1467-789X.2004.00148.x[Crossref]
-  J.A. Martinez, B. Moreno and M.A. Martinez-Gonzalez: “Prevalence of obesity in Spain”, Obes. Rev., Vol. 5, (2004), pp. 171–172. http://dx.doi.org/10.1111/j.1467-789X.2004.00146.x[Crossref]
-  N.F. Chu: “Prevalence of obesity in Taiwan”, Obes. Rev., Vol. 6, (2005), pp. 271–274. http://dx.doi.org/10.1111/j.1467-789X.2005.00175.x[Crossref]
-  W.P. Jia, K.S. Xiang, L. Chen, J.X. Lu and Y.M. Wu: “Epidemiological study on obesity and its comorbidities in urban Chinese older than 20 years of age in Shanghai, China”, Obes. Rev., Vol. 3, (2002), pp. 57–65. http://dx.doi.org/10.1046/j.1467-789X.2002.00071.x[Crossref]
-  D.B. Panagiotakos, C. Pitsavos, C. Chrysohoou, G. Risvas, M.D. Kontogianni, A. Zampelas and C. Stefanadis: “Epidemiology of overweight and obesity in a Greek adult population: the ATTICA Study”, Obes. Rev., Vol. 12, (2004), pp. 1914–1920.
-  WHO: Obesity: Preventing and managing the global epidemic. Report of a WHO concultation on obesity WHO, Genewa, 1998.
-  A. Onat, E. Ornek, M. Senocak, Y. Gozukara, G. Surdum-Avci and Y. Karaaslan: “TEKHARF: 6. Diabetes and Obesity”, Turk Kardiyol. Dern. Ars., Vol. 19, (1991), pp. 178–185.
-  I. Satman, T. Yilmaz and A. Sengul: “Population-Based Study of Diabetes and Risk Characteristics in Turkey: Results of the Turkish Diabetes Epidemiology Study (TURDEP)”, Diabetes Care, Vol. 25, (2002), pp. 1551–1556. http://dx.doi.org/10.2337/diacare.25.9.1551[Crossref]
-  H. Hatemi, V.D. Yumuk, N. Turan and N. Arik: “Prevalence of overweight and obesity in Turkey (TOHS)”, Metab. Syndr. Relat. Disord., Vol. 1, (2003), pp. 285–290. http://dx.doi.org/10.1089/1540419031361363[Crossref]
-  C. Erem, R. Yildiz and H. Kavgaci: “Prevalence of diabetes, obesity and hypertension in a Turkish population (Trabzon city)”, Diabetes Res. Clin. Pr., Vol. 54, (2001), pp. 203–208. http://dx.doi.org/10.1016/S0168-8227(01)00320-5[Crossref]
-  C. Erem, C. Arslan, A. Hacihasanoglu, O. Deger, M. Topbas, K. Ukinc, H.O. Ersoz and M. Telatar: “Prevalence of obesity and associated risk factors in Turkish population (Trabzon City, Turkey)”, Obes. Rev., Vol. 12, (2004), pp. 1117–1127. http://dx.doi.org/10.1038/oby.2004.140[Crossref]
-  V.D. Yumuk, H. Hatemi, T. Tarakci, N. Uyar, N. Turan, N. Bagriacik and A. Ipbuker: “High prevalence of obesity and diabetes mellitus in Konya, a central Anatolian city in Turkey”, Diabetes Res. Clin. Pr., Vol. 70, (2005), pp. 151–158. http://dx.doi.org/10.1016/j.diabres.2005.03.030[Crossref]
-  A. Gokcel, A.K. Ozsahin, N. Sezgin, H. Karakose, M.E. Ertorer, M. Akbaba, N. Baklaci, A. Senguland N. Guvener: “Highprevalence of diabetes in Adana, a southern province of Turkey”, Diabetes Care, Vol. 26, (2003), pp. 3031–3034. http://dx.doi.org/10.2337/diacare.26.11.3031[Crossref]
-  E. Akbay, R. Bugdayci, H. Tezcan, K. Konca, A. Yazar and C. Pata: “The prevalence of obesity in adult population in a city on the Mediterranean coast of Turkey”, Turkish J. Endocrinol. Metab., Vol. 7, (2003), pp. 31–35.
-  G.E. Krassas, F. Kelestimur, D. Micic, T. Tzotzas, T. Konstandidis, M. Bougoulia, C. Tsametis, R. Colak, J. Jorga, Z. Kostic and M. Pavlovic: “The Balkan Group for the Study of Obesity. Prevalence of overweight and obesity among children and adolescents in Thessaloniki-Greece and Kayseri-Turkey”, Pediatr. Endocrinol. Rev., Vol. 1, (2004), pp. 460–464.
-  R. Beaglehole, R. Bonita and T. Kjellstrom (Eds.): Basic Epidemiology, World Health Organization, Geneva, 1993, p. 60.
-  S.K. Lwanga and S. Lemeshow (Eds.): Sample Size Determination in Health Studies: A Practical Manual World Health Organization, Geneva, 1991.
-  J.A. Martinez, J.M. Kearney, A. Kafatos, S. Paquet and M.A. Martinez-Gonzalez: “Variables independently associated with self-reported obesity in the European Union”, Public Health Nutr., Vol. 2, (1999), pp. 125–133. http://dx.doi.org/10.1017/S1368980099000178[Crossref]