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Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea

INTRODUCTION: Obesity in young adulthood increases the risk for premature death, and the prevalence of obesity rapidly increasing among young adults, particularly in young men. We evaluated the gender differences in accompanying comorbidities and attitudes regarding weight control among young Korean...

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Autores principales: Kang, Seo Young, Park, Hye Soon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421701/
https://www.ncbi.nlm.nih.gov/pubmed/35417917
http://dx.doi.org/10.1159/000524381
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author Kang, Seo Young
Park, Hye Soon
author_facet Kang, Seo Young
Park, Hye Soon
author_sort Kang, Seo Young
collection PubMed
description INTRODUCTION: Obesity in young adulthood increases the risk for premature death, and the prevalence of obesity rapidly increasing among young adults, particularly in young men. We evaluated the gender differences in accompanying comorbidities and attitudes regarding weight control among young Korean adults with obesity. MATERIALS AND METHODS: We analyzed 2,050 young adults with obesity (1,325 men and 725 women) in the 7th KNHANES (2016–2018) aged 19–44 years, with body mass indexes (BMIs) ≥25.0 kg/m(2). The odds ratios (ORs) and 95% confidence intervals (CIs) for poor lifestyle factors and accompanying illnesses as well as self-perceived weight status, weight control efforts, and weight control strategies in men compared to those in women were calculated by multivariate logistic regression analysis. RESULTS: The mean BMIs and waist circumferences were 28.2 ± 0.1 kg/m(2) and 93.6 ± 0.2 cm and 28.6 ± 0.1 kg/m(2) and 88.7 ± 0.4 cm, in men and women, respectively. The ORs and 95% CIs for abdominal obesity (1.52, 1.11–2.07), hypertension (3.11, 2.20–4.40), hypercholesterolemia (1.45, 1.09–1.93), hypertriglyceridemia (3.37, 2.38–4.78), and elevated alanine transaminase concentration (6.53, 4.56–9.36) were higher in young men compared to those in young women. Despite the higher prevalences of comorbid conditions, the odds of inappropriate weight perception (8.13, 4.17–15.86), lack of weight control efforts (2.20, 1.71–2.84), lack of diet therapy (1.56, 1.13–2.16), lack of pharmacotherapy (13.27, 6.82–25.79), heavy drinking (1.32, 1.02–1.72), current smoking (6.92, 5.00–9.59), and frequent eating out (4.38, 3.35–5.71) were higher among men. However, the odds of not engaging in exercise (0.48, 0.35–0.64) were lower among men compared to that in women. DISCUSSION: Despite their higher prevalences of comorbidities, appropriate weight perception and weight control efforts are insufficient in young men with obesity. These gender differences should be considered to provide tailored programs for weight reduction in young adults with obesity.
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spelling pubmed-94217012022-09-23 Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea Kang, Seo Young Park, Hye Soon Obes Facts Research Article INTRODUCTION: Obesity in young adulthood increases the risk for premature death, and the prevalence of obesity rapidly increasing among young adults, particularly in young men. We evaluated the gender differences in accompanying comorbidities and attitudes regarding weight control among young Korean adults with obesity. MATERIALS AND METHODS: We analyzed 2,050 young adults with obesity (1,325 men and 725 women) in the 7th KNHANES (2016–2018) aged 19–44 years, with body mass indexes (BMIs) ≥25.0 kg/m(2). The odds ratios (ORs) and 95% confidence intervals (CIs) for poor lifestyle factors and accompanying illnesses as well as self-perceived weight status, weight control efforts, and weight control strategies in men compared to those in women were calculated by multivariate logistic regression analysis. RESULTS: The mean BMIs and waist circumferences were 28.2 ± 0.1 kg/m(2) and 93.6 ± 0.2 cm and 28.6 ± 0.1 kg/m(2) and 88.7 ± 0.4 cm, in men and women, respectively. The ORs and 95% CIs for abdominal obesity (1.52, 1.11–2.07), hypertension (3.11, 2.20–4.40), hypercholesterolemia (1.45, 1.09–1.93), hypertriglyceridemia (3.37, 2.38–4.78), and elevated alanine transaminase concentration (6.53, 4.56–9.36) were higher in young men compared to those in young women. Despite the higher prevalences of comorbid conditions, the odds of inappropriate weight perception (8.13, 4.17–15.86), lack of weight control efforts (2.20, 1.71–2.84), lack of diet therapy (1.56, 1.13–2.16), lack of pharmacotherapy (13.27, 6.82–25.79), heavy drinking (1.32, 1.02–1.72), current smoking (6.92, 5.00–9.59), and frequent eating out (4.38, 3.35–5.71) were higher among men. However, the odds of not engaging in exercise (0.48, 0.35–0.64) were lower among men compared to that in women. DISCUSSION: Despite their higher prevalences of comorbidities, appropriate weight perception and weight control efforts are insufficient in young men with obesity. These gender differences should be considered to provide tailored programs for weight reduction in young adults with obesity. S. Karger AG 2022-04-13 /pmc/articles/PMC9421701/ /pubmed/35417917 http://dx.doi.org/10.1159/000524381 Text en Copyright © 2022 by The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). Usage and distribution for commercial purposes requires written permission. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
spellingShingle Research Article
Kang, Seo Young
Park, Hye Soon
Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea
title Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea
title_full Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea
title_fullStr Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea
title_full_unstemmed Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea
title_short Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea
title_sort gender differences in comorbidities and attitudes regarding weight control among young adults with obesity in korea
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421701/
https://www.ncbi.nlm.nih.gov/pubmed/35417917
http://dx.doi.org/10.1159/000524381
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