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Rezazadeh A, Omidvar N, Eini-Zinab H, et al. General and Central Obesity in Two Iranian Ethnic Groups Living in Urmia, West Azerbaijan, Iran: Effect of the Neighborhood Environment. Iran Red Crescent Med J. 2016;18(7):e27591doi: 10.5812/ircmj.27591.
Rezazadeh, A., Omidvar, N., Eini-Zinab, H., Ghazi-Tabatabaie, M., Majdzadeh, R., Ghavamzadeh, S., & Nouri-Saeidlou, S. (2016). General and Central Obesity in Two Iranian Ethnic Groups Living in Urmia, West Azerbaijan, Iran: Effect of the Neighborhood Environment. Iranian Red Crescent medical journal, 18(7), e27591. https://doi.org/10.5812/ircmj.27591
Rezazadeh, Arezoo, et al. "General and Central Obesity in Two Iranian Ethnic Groups Living in Urmia, West Azerbaijan, Iran: Effect of the Neighborhood Environment." Iranian Red Crescent medical journal vol. 18,7 (2016): e27591. doi: https://doi.org/10.5812/ircmj.27591
Rezazadeh A, Omidvar N, Eini-Zinab H, Ghazi-Tabatabaie M, Majdzadeh R, Ghavamzadeh S, Nouri-Saeidlou S. General and Central Obesity in Two Iranian Ethnic Groups Living in Urmia, West Azerbaijan, Iran: Effect of the Neighborhood Environment. Iran Red Crescent Med J. 2016 May 17;18(7):e27591. doi: 10.5812/ircmj.27591. eCollection 2016 Jul. PMID: 27651949; PMCID: PMC5020783.
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Iran Red Crescent Med J. 2016 May 17;18(7):e27591. doi: 10.5812/ircmj.27591. eCollection 2016 Jul.

General and Central Obesity in Two Iranian Ethnic Groups Living in Urmia, West Azerbaijan, Iran: Effect of the Neighborhood Environment.

Iranian Red Crescent medical journal

Arezoo Rezazadeh, Nasrin Omidvar, Hassan Eini-Zinab, Mahmoud Ghazi-Tabatabaie, Reza Majdzadeh, Saeid Ghavamzadeh, Sakineh Nouri-Saeidlou

Affiliations

  1. Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
  2. Department of Demography, Faculty of Social Sciences, Tehran University, Tehran, IR Iran.
  3. National Institute of Health Research, Tehran University of Medical Sciences, Tehran, IR Iran.
  4. Nutrition Department, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, IR Iran.
  5. Food and Beverages Safety Research Center, Urmia University of Medical Sciences, Urmia, IR Iran.

PMID: 27651949 PMCID: PMC5020783 DOI: 10.5812/ircmj.27591

Abstract

BACKGROUND: Emerging evidence suggests that neighborhood characteristics can have direct and indirect effects on the weight status of the residents.

OBJECTIVES: To assess the relationship between general and central obesity and the neighborhood environment in two ethnic groups (Azeri Turks and Kurds) living in Urmia city, Northwestern Iran.

PATIENTS AND METHODS: In this cross-sectional study, 723 participants (427 women and 296 men) aged 20 - 64 years from two ethnic groups (Azeri Turks, n = 445; Kurds, n = 278) were selected from 38 neighborhoods using a combination of cluster, random, and systematic sampling methods. Neighborhood characteristics were obtained by a validated 22-item neighborhood and a health observational checklist. General and central obesity were measured and evaluated using standard methods. Principal component analysis (PCA) was used to define the dominant neighborhood environment. The association of neighborhood characteristics with general and central obesity was analyzed by a logistic regression model.

RESULTS: Three common neighborhood environments were identified: 1) modern-affluent, 2) central-high access and 3) marginal. These three factors explained 73.2% of the total variance. Overall, the participants living in a higher tertile of the central-high access neighborhoods had an increased chance of central obesity (OR = 1.63, 95% CI: 1.13 - 2.34). Azeri Turks living in the highest tertile of the modern-affluent neighborhoods had a significantly higher likelihood of having general obesity (OR = 2.49, 95% CI: 1.37 - 4.01). Adjustment for age, gender, marital status, socioeconomic status (SES), energy intake, and physical activity did not change the results. However, after adjustment for educational level, the association was not significant.

CONCLUSIONS: The findings point to a relationship between neighborhood characteristics and obesity only in the Azeri Turks. However, educational level was more important than neighborhood quality in predicting the risk of obesity.

Keywords: Ethnology; Iran; Obesity; Residence Characteristics

References

  1. Am J Public Health. 1992 Mar;82(3):412-6 - PubMed
  2. JAMA. 2006 Mar 22;295(12):1412-9 - PubMed
  3. Psychol Bull. 1989 Mar;105(2):260-75 - PubMed
  4. Int J Epidemiol. 1999 Oct;28(5):841-5 - PubMed
  5. Am J Prev Med. 1985 Nov-Dec;1(6):9-14 - PubMed
  6. Am J Clin Nutr. 2006 Jan;83(1):139-45 - PubMed
  7. Am J Prev Med. 2008 Feb;34(2):127-33 - PubMed
  8. Int J Obes Relat Metab Disord. 1997 Apr;21(4):304-8 - PubMed
  9. J Epidemiol Community Health. 2007 Jun;61(6):491-8 - PubMed
  10. Nutr Rev. 2008 Jan;66(1):2-20 - PubMed
  11. Am J Prev Med. 2002 Jan;22(1):23-9 - PubMed
  12. J Res Med Sci. 2012 Jun;17(6):552-6 - PubMed
  13. Asian J Sports Med. 2011 Jun;2(2):106-16 - PubMed
  14. Soc Sci Med. 2008 Feb;66(3):675-90 - PubMed
  15. Atherosclerosis. 1999 Oct;146(2):201-9 - PubMed
  16. Int J Obes (Lond). 2009 Dec;33(12):1437-45 - PubMed
  17. Minerva Gastroenterol Dietol. 2006 Dec;52(4):415-30 - PubMed
  18. Int J Behav Nutr Phys Act. 2006 Jan 25;3:2 - PubMed
  19. Am J Clin Nutr. 1998 Oct;68(4):899-917 - PubMed
  20. Soc Sci Med. 2004 Dec;59(12):2421-34 - PubMed
  21. Hum Nat. 1991 Mar;2(1):31-57 - PubMed
  22. Health Place. 2002 Jun;8(2):141-5 - PubMed
  23. Am J Epidemiol. 2008 Jun 1;167(11):1349-57 - PubMed
  24. Lancet. 2005 Jan 1-7;365(9453):4-5 - PubMed
  25. Soc Sci Med. 2002 Jul;55(1):125-39 - PubMed
  26. Arch Iran Med. 2010 May;13(3):243-4 - PubMed
  27. Soc Sci Med. 2010 Mar;70(6):823-33 - PubMed
  28. Ann Nutr Metab. 2005 Jan-Feb;49(1):3-8 - PubMed
  29. Int J Obes (Lond). 2007 Jun;31(6):968-77 - PubMed
  30. Acta Med Indones. 2006 Oct-Dec;38(4):231-7 - PubMed
  31. BMC Public Health. 2011 Mar 31;11:199 - PubMed

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