IHHP Article: Obesity in central Iran (Isfahan Healthy Heart Program)
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Obesity in central Iran (Isfahan Healthy Heart Program)

A. Akhavan Tabib, R. Kelishadie, B. Sabet, A. Baghaei

Introduction
Smoking constitutes a major health challenge in industrial and developing nations. This study was conducted to assess the prevalence of obesity in two groups of men and women, as part of Isfahan Healthy Heart program.

Methods
In a cross-sectional study in 2000-2002, 12600 people from the provincial cities of Isfahan, Najaf-Abad and Arak were studied as part of Isfahan Healthy Heart program. Equal numbers of male and female subjects were selected using random cluster sampling. A questionnaire designed to collect demographic data, as well as weight, height, waist and hip circumference of the respondents was completed for each person.
Results
In this study, 23.44±1.9% of all women and 9.28±1.7% of all men had BMI>30, and 33.33±2.4% of women and 30.28±20% of men had BMI >25. 39.05±2.61% of all women, 55.02±2.73% of all men, 43.25±3.5% of rural women, and 34.9±1.7% of urban women had normal BMI. The highest waist circumference was seen in men aged >66 years (11.2±94.2%) and the highest hip circumference was 8.9±99.8%. While in women the highest hip circumference was 10.9±104.22% and was seen between the ages of 35 and 44, the highest waist circumference was 13±98.00% and was seen in women aged 45-54 and 55-64 years.

Discussion
Given the insignificant difference between obesity-related statistics (percentages) obtained from women and men, any program concerning nutrition and life style in different age groups should be conducted similarly in both sexes. This study did not reveal any significant difference between BMI of rural and urban residents. However, it should be noted that lifestyles of the studied urban and rural populations were not very different. A significant difference of lifestyle was seen only in Arak, a city with traditional context.

Keywords
Sex, Central Iran, urban and rural, thin, normal weight, obese, demographic factors, BMI

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