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Nutrients 2018, 10(6), 704; https://doi.org/10.3390/nu10060704

Roles of Sedentary Behaviors and Unhealthy Foods in Increasing the Obesity Risk in Adult Men and Women: A Cross-Sectional National Study

1
International PhD Program in Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
2
Department of Nutrition, Faculty of Health Science, Universitas Alma Ata, Yogyakarta 55183, Indonesia
3
King Abdullah International Medical Research Center, King Saud bin Abdul Aziz University for Health Sciences, Executive Office, King Abdul Aziz Medical City, Ministry of National Guard Health Affairs, Riyadh 11426, Kingdom of Saudi Arabia
4
School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan
5
Graduate Institute of Metabolism and Obesity Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan
6
Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei 10675, Taiwan
7
Department of Public Health, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
8
School of Public Health, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan
*
Author to whom correspondence should be addressed.
Received: 23 March 2018 / Revised: 28 May 2018 / Accepted: 30 May 2018 / Published: 31 May 2018
(This article belongs to the Special Issue Balancing Physical Activity and Nutrition for Human Health)
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Abstract

Sedentary behaviors and dietary intake are independently associated with obesity risk. In the literature, only a few studies have investigated gender differences for such associations. The present study aims to assess the association of sedentary behaviors and unhealthy foods intake with obesity in men and women in a comparative manner. The analysis presented in this study was based on the data from a population-based, cross-sectional, nationally representative survey (Indonesian Basic Health Research 2013/RISKESDAS 2013). In total, 222,650 men and 248,590 women aged 19–55 years were enrolled. A validated questionnaire, physical activity card, and food card were used for the assessments. The results showed that the prevalence of obesity (body mass index of ≥27.5 kg/m2) was higher in women (18.71%) than in men (8.67%). The mean body mass index in women tended to be higher than in men. After adjusting for age and education, the gender effect on obesity persisted in women and was more significant than in men. There was also a positive and significant effect on obesity of sedentary behaviors and unhealthy foods intake. Moreover, fatty and fried foods displayed a positive multiplicative interaction, increasing obesity risk in women more than in men and indicating a possible dietary risk in in women in relation to obesity. The study suggests that the implementation of educational programs on nutrition and physical activity is particularly important for promoting a healthy body weight among Indonesian women. View Full-Text
Keywords: obesity; sedentary behaviors; refined carbohydrates; sweet foods and beverages; fatty fried foods obesity; sedentary behaviors; refined carbohydrates; sweet foods and beverages; fatty fried foods
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Nurwanti, E.; Uddin, M.; Chang, J.-S.; Hadi, H.; Syed-Abdul, S.; Su, E. .-Y.; Nursetyo, A.A.; Masud, J.H.B.; Bai, C.-H. Roles of Sedentary Behaviors and Unhealthy Foods in Increasing the Obesity Risk in Adult Men and Women: A Cross-Sectional National Study. Nutrients 2018, 10, 704.

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