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Risk Factors for Overweight and Obesity among Thai Adults: Results of the National Thai Food Consumption Survey
Institute for Biobehavioral Health Research, NDRI-Mid America, 1920 W. 143rd Street, Suite 120, Leawood, Kansas 66224 USA
Mead Johnson Nutrition (Thailand) Ltd., 388 Exchange tower 14th Fl., Sukhumvit Road, Klongtoey, Bangkok, 10110 Thailand
Institute of Nutrition, Mahidol University, Phutthamonthon 4 Rd., Salaya, Phutthamoonthon, Nakorn Pathom, 73170 Thailand
* Author to whom correspondence should be addressed.
Received: 30 December 2009; Accepted: 19 January 2010 / Published: 21 January 2010
Abstract: We evaluated the associations between overweight and obesity and socio-economic status (SES), behavioral factors, and dietary intake in Thai adults. A nationally representative sample of 6,445 Thais adults (18–70 years) was surveyed during 2004–2005. Information including demographics, SES characteristics, dietary intake, and anthropometrics were obtained. Overall, 35.0% of men, and 44.9% of women were overweight or obese (BMI ≥ 23 kg/m2) using the Asian cut-points. Regression models demonstrated that age was positively associated with being overweight in both genders. In gender-stratified analyses, male respondents who were older, lived in urban areas, had higher annual household income, and did not smoke were more likely to be classified as overweight and obese. Women who were older, had higher education, were not in a marriage-like relationship and were in semi-professional occupation were at greater risk for being overweight and obese. High carbohydrate and protein intake were found to be positively associated with BMI whereas the frequent use of dairy foods was found to be negatively associated with BMI among men. The present study found that SES factors are associated with being classified as overweight and obese in Thai adults, but associations were different between genders. Health promotion strategies regarding obesity and its related co-morbidity are necessary.
Keywords: overweight/obesity; SES; smoking; dietary intake; Thailand
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Jitnarin, N.; Kosulwat, V.; Rojroongwasinkul, N.; Boonpraderm, A.; Haddock, C.K.; Poston, W.S. Risk Factors for Overweight and Obesity among Thai Adults: Results of the National Thai Food Consumption Survey. Nutrients 2010, 2, 60-74.
Jitnarin N, Kosulwat V, Rojroongwasinkul N, Boonpraderm A, Haddock CK, Poston WS. Risk Factors for Overweight and Obesity among Thai Adults: Results of the National Thai Food Consumption Survey. Nutrients. 2010; 2(1):60-74.
Jitnarin, Nattinee; Kosulwat, Vongsvat; Rojroongwasinkul, Nipa; Boonpraderm, Atitada; Haddock, Christopher K.; Poston, Walker S.C. 2010. "Risk Factors for Overweight and Obesity among Thai Adults: Results of the National Thai Food Consumption Survey." Nutrients 2, no. 1: 60-74.