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  • 1
    In: Journal of Obesity, Hindawi Limited, Vol. 2014 ( 2014), p. 1-8
    Abstract: We determined the prevalence of obesity in Thai adults aged 20 and over in 2009 and examined trends of body mass index (BMI) between 1991 and 2009. Data from Thai National Health Examination Survey for 19,181 adults in 2009 and 64,480 adults between 1991 and 2004 were used to calculate age-adjusted mean and prevalence. Logistic regression was used to examine the association of obesity with education level. In 2009, age-adjusted prevalence of obesity classes I (BMI 25–29.9 kg/m 2 ) and II (BMI ≥30 kg/m 2 ) in Thai adults aged ≥20 years were 26.0% and 9.0%, respectively. Compared with primary education, the odds of obesity class I were highest in men with university education. For women, the odds of obesity classes I and II were highest in those with primary education. BMI significantly increased from 21.6 kg/m 2 in men and 22.8 kg/m 2 in women in 1991 to 23.3 kg/m 2 and 24.4 kg/m 2 in 2009, respectively. The average BMI increases per decade were highest in men with secondary education (1.0 kg/m 2 , P 〈 0.001 ) and in women with primary education with the same rate. There were increasing trends in BMI with slight variation by SES groups in Thai men and women during 1991–2009.
    Type of Medium: Online Resource
    ISSN: 2090-0708 , 2090-0716
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2014
    detail.hit.zdb_id: 2573566-4
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  • 2
    In: Journal of Lipids, Hindawi Limited, Vol. 2014 ( 2014), p. 1-13
    Abstract: This study determined the prevalence and management of dyslipidemia in Thai adults using data from the Thai National Health Examination Survey IV in 2009. Dyslipidemia was defined based on the Third Adult Treatment Panel guidelines. A total of 19,021 adults aged 20 yr and over were included. Mean (SE) levels of total cholesterol, HDL-C, LDL-C, and triglycerides were 206.4 (1.03), 46.9 (0.34), 128.7 (1.09), and 131.4 (2.20) mg/dL, respectively. Prevalence of high LDL-C, low HDL-C, and high triglycerides were 29.6 %, 47.1 %, and 38.6%, respectively. Compared with individuals in the north and northeast, residents in Bangkok and Central region had significant higher levels of LDL-C but lower level of HDL-C. Triglyceride level was the highest in the northeast residents. Overall, 66.5% of Thais had some forms of dyslipidemia. Awareness and treatment of high LDL-C among those with high LDL-C were 17.8% and 11.7%, respectively. Among individuals aware of high LDL-C, those at highest CHD risk compared with those at low risk had higher percentage of treatment (73.1% versus 51.7%, resp.) but lower percentage of control at goal (32.9% versus 76.4%, resp.). Various forms of dyslipidemia are common in Thai adults, with a low level of awareness and treatment of high LDL-C.
    Type of Medium: Online Resource
    ISSN: 2090-3030 , 2090-3049
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2014
    detail.hit.zdb_id: 2582309-7
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  • 3
    Online Resource
    Online Resource
    Hindawi Limited ; 2012
    In:  International Journal of Hypertension Vol. 2012 ( 2012), p. 1-7
    In: International Journal of Hypertension, Hindawi Limited, Vol. 2012 ( 2012), p. 1-7
    Abstract: Diabetes and hypertension are major independent risk factors for cardiovascular and renal diseases; however, prevalence and characteristics of the coexistence in general population is not clear. Data from Thai National Health Examination Survey III were used to estimate the prevalence of coexistence of diabetes and hypertension, and to estimate the proportion of awareness, treatment and control of both conditions. A total of 36,877 (male 17,614 and female 19,263) participants were included in the study. The prevalence of people with diabetes and hypertension was 3.2% (male 2.8% and female 3.6%). Approximately half of the diabetes patients (49.0%, 95%CI 45.6, 52.5) had hypertension, and 14.4% (95%CI 13.0, 16.0) of hypertensive patients had diabetes. After controlling for covariates, factors associated with coexistence of diabetes and hypertension included; age ≥60 years (adjust odds ratio 1.38, 95%CI 1.14, 1.73), having education less than 6 years (1.83, 95%CI 1.03, 3.38) and abdominal obesity (2.49, 95%CI 2.00, 3.10). More than 80% were unaware of having both conditions. Target for control of both glucose and blood pressure among those treated was achieved in only 6.2%. In conclusion, patients with diabetes or hypertension should be promoted to have weight control and screening for the comorbidity.
    Type of Medium: Online Resource
    ISSN: 2090-0384 , 2090-0392
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2012
    detail.hit.zdb_id: 2573167-1
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  • 4
    In: International Journal of Pediatrics, Hindawi Limited, Vol. 2014 ( 2014), p. 1-6
    Abstract: Studies of the relationship between sedentary behaviors and overweight among children and adolescents show mixed results. The fourth Thai National Health Examination Survey data collected between 2008 and 2009 were used to explore this association in 5,999 children aged 6 to 14 years. The prevalence of overweight defined by the age- and gender-specific body mass index cut-points of the International Obesity Task Force was 16%. Using multiple logistic regression, computer game use for more than 1 hour a day was found to be associated with an increased risk of overweight (adjusted odds ratio (AOR) = 1.4; 95% confidence interval: 1.02–1.93). The effect of computer game use and TV viewing on the risk for overweight was significantly pronounced among girls who spent ≤3 days/week in 60 minutes of moderate-intensity physical activity (AOR = 1.99 and 1.72, resp.). On the contrary, these sedentary behaviors did not exert significant risk for overweight among boys. The moderating effect on risk of overweight by physical inactivity and media use should be taken into consideration in designing the interventions for overweight control in children and adolescents. Tracking societal changes is essential for identification of potential areas for targeted interventions.
    Type of Medium: Online Resource
    ISSN: 1687-9740 , 1687-9759
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2014
    detail.hit.zdb_id: 2495026-9
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