Centralna gojaznost kod normalno uhranjenih odraslih pacijenata u primarnoj zdravstvenoj zaštiti

Abstract

Introduction: There are people with optimal body weight and exceeding waist circumference and they`ve got a 20% higher risk of developing the disease as compared to people with optimal weight and waist circumference. Objective: Examine the nutritional status and the prevalence of central obesity in optimally fed adult patients of Primary Health Center (PHC) Novi Sad and find out whether there were differences when age and sex were taken into account. Method: Retrospective analysis of the anthropometric data recorded in the electronic health records (EHR) of 39.751 adult patients. Results: We analyzed the data of 23.264 women and 16.487 men. The average age of the participants was 53.8 years (SD 15.419). The average body mass index (BMI) was 26,5 kg/m2 (SD 4,73), and waist circumference 90,1 cm (SD 14,25001). There were 28.8% of the male patients and 46.1% of the female patients with optimal body weight. There was a significant statistical difference in the nutritional status levels with respect to sex and age (p<0.005). Central obesity was found in 21.1% of optimally fed males and 37.0% of females. In the group of optimally fed patients with central obesity, 79.7% were females and 21.3% males. In this group of patients, central obesity was the most frequent in the 60-69 age group. There is a statistically significant difference in relation to gender and age group (p<0.005). Conclusion: We found a third of patients with normal body weight had central obesity. In order to calculate the risk for chronic non-communicable diseases, besides BMI, we should also take into account a routine measurement of the waist circumference.