Objective: This study examines the epidemiology of obesity and markers of cardiovascular disease (CVD) in adult men and women in Tashkent City, Uzbekistan. The study also examines the association between obesity and the markers of CVD.
Method: The analysis uses data from the 2002 Uzbekistan Health Examination Survey, which included a representative sample of 778 men age 15–59 years and 843 women age 15–49 years residing in Tashkent City. The survey measured height, weight, and markers of CVD, such as high blood cholesterol and triglyceride levels, diabetes, and high blood pressure. The survey also asked questions on physical activity, dietary habits, tobacco smoking, alcohol use, and other characteristics. The analysis was conducted using binomial and multinomial logistic regression methods, separately for men and women.
Results: Consumption of animal source protein among women and tobacco smoking in the past among men were positively associated with obesity, but there were no consistent associations with other dietary indicators, physical activity level, or alcohol use. Obese men were more than 10 times as likely to have CVD as those with a normal BMI, whereas obese women were two and half times as likely to have CVD (aOR=10.34 for men and 2.48 for women), after controlling for physical activity level, dietary habits, tobacco smoking, and other factors.
Conclusions: The study found a strong positive association between obesity and markers of CVD in adult men and women in Tashkent City, Uzbekistan. The relationship between obesity and markers of CVD was much stronger among men than among women. Policies and programs related to obesity and associated CVD outcomes need to be gender sensitive.
Overweight, Obesity, BMI, Hypertension, Total Cholesterol, High-Density Lipoprotein, HDL, Triglycerides, Diabetes, Cardiovascular Disease, Tashkent City, Uzbekistan
HUMAN SUBJECT INFORMED CONSENT
Results presented in this paper are based on an analysis of existing survey data with all identifier information removed. Informed consent was obtained from all respondents in the survey before asking questions and separately before obtaining measurements of height and weight, and blood pressure, and before collecting blood samples for the lipids profile and diabetes.