Prevalence and Socioeconomic Correlates of Adult Obesity in Europe: The Feel4Diabetes Study

Diamantis, Dimitrios V. ; Karatzi, Kalliopi ; Kantaras, Paris ; Liatis, Stavros ; Iotova, Violeta ; Bazdraska, Yulia ; Tankova, Tsvetalina ; Cardon, Greet ; Wikström, Katja ; Rurik, Imre ; Antal, Emese ; Ayala-Marín, Alelí M. ; Giménez Legarre, Natalia (Universidad de Zaragoza) ; Makrilakis, Konstantinos ; Manios, Yannis

Resumen: To effectively tackle obesity, it is necessary to identify all specific socioeconomic factors which contribute to its development. We aimed to highlight the prevalence of adult overweight/obesity in European countries and investigate the association of various socioeconomic factors and their accumulative effect on overweight/obesity status. Cross-sectional data from the Feel4Diabetes study for 24,562 adults residing in low socioeconomic areas were collected, representing Belgium, Finland, Greece, Spain, Bulgaria, and Hungary. Socioeconomic Burden Score (SEBS) was created, accounting for unemployment, financial insecurity, and education ≤ 12 years. Data were analyzed using analysis of variance and logistic regression. In total, 19,063 adults with complete data were included (34.5% overweight and 15.8% obese). The highest overweight/obesity rates occurred in Greece (37.5%/17.8%) and Hungary (35.4%/19.7%). After adjusting for confounders, age of <45 years and female sex were inversely associated with overweight/obesity, while low educational level (≤12 years), unemployment, and financial insecurity were positively associated. The increase in SEBS (clustering of socioeconomic disadvantages) was associated with increased overweight/obesity likelihood. This association of SEBS scores with overweight/obesity was evident for males and females across all examined countries, excluding males in low-income countries (Bulgaria and Hungary), where the highest SEBS score was inversely associated with overweight/obesity. The clustering burden of socioeconomic disadvantages on overweight/obesity was found to be influenced by the countries’ economic state and sex.

Idioma: Inglés

DOI: 10.3390/ijerph191912572

Año: 2022

Publicado en: International journal of environmental research and public health 19 (2022), 12572 [15 pp.]
ISSN: 1661-7827

Factor impacto CITESCORE: 5.4 - Medicine (Q2) - Environmental Science (Q2)

Factor impacto SCIMAGO: 0.828 - Health, Toxicology and Mutagenesis (Q2) - Public Health, Environmental and Occupational Health (Q2) - Pollution (Q2)

Financiación: info:eu-repo/grantAgreement/EC/H2020/643708/EU/Developing and implementing a community-based intervention to create a more supportive social and physical environment for lifestyle changes to prevent diabetes in vulnerable families across Europe/Feel4Diabetes

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)