The Prevalence of Overweight and Obesity in Iranian Men; a Systematic Review and Meta-Analysis Study
Men's Health Journal,
Vol. 5 No. 1 (2021),
6 January 2021
,
Page e1
https://doi.org/10.22037/mhj.v5i1.33612
Abstract
Introduction: Overweight and obesity is one of the most common diseases worldwide that is less considered in men. In this regard scattered studies have been conducted in Iran, and our aim was to systematically study the prevalence of overweight and obesity in Iranian men. Methods: Major international databases including: Scopus and PubMed, and Web of Science and national databases including Magiran and SID were searched for articles in Persian and English which were published from August 10, 2010 to August 10, 2020. Qualitative evaluation of the studies was performed using the Newcastle-Ottawa Scale checklist (NOS). Random effects model was used to estimate the pooled prevalence by STATA software version 14.2 with significance level of 0.05. Results: Overall, 52 studies with a total sample size of 120,440 men with age range of 20-77 years were included in this systematic review. Most studies were conducted in 2017 and almost all of them were in Tehran province. The pooled prevalence of overweight was 46% (95% CI: 46, 46) in men. The lowest prevalence of overweight was 11.1% in Fars and the highest was 57% in Tabriz. The pooled prevalence of obesity in men was 18% (95% CI: 18, 19) with the highest prevalence in Birjand (46.5%) and the lowest in Tehran (0.8%). Conclusion: Our results showed a variety of tools for measuring overweight and obesity in Iran. Based on the BMI index, we found that the prevalence of overweight and obesity was substantial among Iranian men. There seems to be an urgent need for health policy makers to develop and implement proper preventive strategies in order to control this public health problem and its serious health consequences among men, especially in the workplace.
- Iran; Overweight; Obesity; Prevalence; Systematic Review
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Referances
Roberto CA, Swinburn B, Hawkes C, Huang TT, Costa SA, Ashe M, et al. Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. The Lancet. 2015;385(9985):2400-9.
Collaborators GO. Health effects of overweight and obesity in 195 countries over 25 years. New England Journal of Medicine. 2017;377(1):13-27.
Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, et al. National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9· 1 million participants. The lancet. 2011;377(9765):557-67.
Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the projected obesity trends in the USA and the UK. The Lancet. 2011;378(9793):815-25.
Eapen D, Kalra GL, Merchant N, Arora A, Khan BV. Metabolic syndrome and cardiovascular disease in South Asians. Vascular health and risk management. 2009;5:731.
Ansarimoghaddam A, Adineh HA, Zareban I, Iranpour S, HosseinZadeh A, Kh F. Prevalence of metabolic syndrome in Middle-East countries: Meta-analysis of cross-sectional studies. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2018;12(2):195-201.
Casazza K, Brown A, Astrup A, Bertz F, Baum C, Brown MB, et al. Weighing the evidence of common beliefs in obesity research. Critical reviews in food science and nutrition. 2015;55(14):2014-53.
Zhang X, Zhang G, Zhang H, Karin M, Bai H, Cai D. Hypothalamic IKKβ/NF-κB and ER stress link overnutrition to energy imbalance and obesity. Cell. 2008;135(1):61-73.
Groessl EJ, Kaplan RM, Barrett-Connor E, Ganiats TG. Body mass index and quality of well-being in a community of older adults. American Journal of Preventive Medicine. 2004;26(2):126-9.
Musaiger AO. Overweight and obesity in eastern mediterranean region: prevalence and possible causes. Journal of obesity. 2011;2011.
Vaisi-Raygani A, Mohammadi M, Jalali R, Ghobadi A, Salari N. The prevalence of obesity in older adults in Iran: a systematic review and meta-analysis. BMC geriatrics. 2019;19(1):1-9.
Azizi F, Hadaegh F, Hosseinpanah F, Mirmiran P, Amouzegar A, Abdi H, et al. Metabolic health in the Middle East and north Africa. The Lancet Diabetes & Endocrinology. 2019;7(11):866-79.
Orr JS, Gentile CL, Davy BM, Davy KP. Large artery stiffening with weight gain in humans: role of visceral fat accumulation. Hypertension. 2008;51(6):1519-24.
Kolahi AA, Moghisi A, Ekhtiari YS. Socio-demographic determinants of obesity indexes in Iran: Findings from a nationwide STEPS survey. Health Promotion Perspectives. 2018;8(3):187-94.
Lo CKL, Mertz D, Loeb M. Newcastle-Ottawa Scale: comparing reviewers’ to authors’ assessments. . BMC Med Res Methodol. 2014;14(45): https://doi.org/10.1186/471-2288-14-45.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. Bmj. 2003;327(7414):557-60.
Higgins J, Altman D, Sterne J. assessing risk of bias in included studies. In: Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1. 0 (updated March 2011). The Cochrane Collaboration; 2011. The Cochrane Collaboration www handbook cochrane org (accessed 17 May 2018). 2011.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.
Barzin M, Hosseinpanah F, Arzhan S, Azizi F. Trends of obesity and abdominal obesity in Tehranian adults (1999-2008). Pajoohandeh Journal. 2011;16(5):212-8.
Dee A, Kearns K, O’Neill C, Sharp L, Staines A, O’Dwyer V, et al. The direct and indirect costs of both overweight and obesity: a systematic review. BMC research notes. 2014;7(1):1-9.
Salimi Y, Taghdir M, Sepandi M, Zarchi A-AK. The prevalence of overweight and obesity among Iranian military personnel: a systematic review and meta-analysis. BMC public health. 2019;19(1):162.
Naghashpour M, Shakerinejad GH, Haghighizadeh MH, Hajinajaf S, Jarvandi F. Prevalence of Obesity and its Association with Demographic Indices in Referents to University Jahad Khozestan Clinic Scientific Journal of Medicine. 2011;10(1).
Gholipour M, Tabrizi A. Prevalence of cardiovascular risk factors among students of Sharif University of Technology Cardiovascular Nursing Journal. 2012;1(2).
Khodabakhshi H, Tiyuri A, Yari E, Beheshti D, Sharifzadeh G. Prevalence of Non-Communicable Disease Risk Factors Among the Elderly of Birjand in 2014 (Persian)]. Salmand: Iranian Journal of Ageing. 2019;14(1):52-63. http://dx.doi. org/10.32598/sija.13.10.370.
Veghari G, Sedaghat M, Maghsoudlo S, BaniHashem S, Angizeh A, al. e. Obesity and its related socio-economic factors: An epidemiologic study. Payesh. 2012;11(6):807-13.
Gholabi F, AlizadehAghdam MB, AghayariHir T, Hobbi A. Association between nutrition literacy and diet with obesity Journal of the Iranian Institute for Health Sciences Research. 2019;18(4):393-404.
Alavai S, Ahmadi MA, Zar A, ShayanNooshabadi A, Ashraf N. Obesity and Overweight and Its Association with Lifestyle and Fitness Level in Students. Journal of Health 2018;9(4):379-88.
Najafipour H, Yousefzadeh G, Forood A, Karamouzian M, Shadkam M, Mirzazadeh A. Overweight and obesity prevalence and its predictors in a general population: A community-based study in Kerman, Iran (Kerman coronary artery diseases risk factors studies) ARYA Atheroscler 2016;12(1).
Abdollahi AA, Behnampour N, Vaghari G, Bazrafshan H. The Correlation Between Age, Gender and Education with Obesity in Urban Population of Golestan Province. Iranian Journal of Endocrinology and Metabolism. 2010;12(3).
Fallah Moshkani R, Saneei P, Esmaillzadeh A, Hassanzadeh-Keshteli A, Feizi A, Adibi P. Association between Patterns of Dietary Habits and Obesity in Iranian Adults. Iranian Journal of Nutrition Sciences & Food Technology 2016;11(2).
Karimi N, DabidiRoshan V, Fayyaz A. Investigation of abdominal obesity prevalence and cardiovascular fitness among the citizens of Babolsar, Iran in 2017. Journal of Health Research in Community. 2017;3(3):70-81.
Shishebor F, Mansouri A, Mohammadi-Nejat S, Barati M, Sadeghi H. Comparison of waist circumference measured at six difference sites in the adults in Ahvaz city. Jundishapor scientific medical journal. 2016;15(6):685-95.
Mirzaeian S, Esmaillzadeh A, Hoshyarrad A, Rashidkhani B. Association Between Nuts Consumption and Abdominal Obesity, Overweight and Obesity in Female Adolescents: An Epidemiological Study. Iranian Journal of Endocrinology and Metabolism 2013;15(3).
Mohammadi M, Mirzaei M. Population attributable fraction of abdominal obesity in men in Fars province. Neishabour Journal of medical school. 2016;5(1).
Nouri M, Tarighat-Esfanjani A, Ghazizahedi S, Mohajeri SAR, Nematy M, Norouzy AR, et al. The Relationships between Dietary Patterns and Energy and Nutrient Intakes and Body Mass Index in Iranian Adults. Journal of Health. 2017; 8(1):85-101.
Barghamadi M, Khajehlandi M. Evaluation of Prevalence of Obesity and its Relationship with Physical Fitness Indices of Mashhad Offices Employees. Journal of Health. 2020;10(4):457-67.
Salem Z, Sheikh-Fathollahi M, Khatami F, Iranmanesh F, Rezaeian M. Survey of Anthropometric Indices and Body Composition Changes at the End of the Second semester, among Medical Students Entranced at Rafsanjan University of Medical Sciences in 2012 J Rafsanjan Univ Med Sci 2014;13(5):407-18. [Farsi].
Mohammadi M, Ghanbari-Moghadam A, Karbalaei Z, Ikhani M. The prevalence of obesity in the elderly in Tehran and its relation to mental health. Journal of nursing in vulnerable individuals. 2016;3(9):1-13.
Agha-Alinejad H, Gharakhanlou R, Farzad B, Bayati M. Norms of anthropometric, body composition measures and prevalence of overweight and obesity in urban populations of Iran. J Shahrekord Univ Med Sci 2014;15(6):18-27.
Fallahzadeh H, Javan-Rashid A, Esmaeily H, Kiani. O., Mirzaei M. Reference value for body mass index in adult living in Yazd city using the "Generalized Additive Models for Location, Scale and Shape. J Shahid Sadoughi Uni Med Sci 2017;25(9):984-93.
Mohammadi M, Mirzaei M, Barati H. The Estimated Joint Impact of Obesity and Abdominal Obesity in the Prevalence of Hypertension of Males of Qom City: The Study of Population-Attributable Fraction. Military caring Sciences. 2016;3(2):133-8.
Jahanlou AS, Kouzekanani K. Accuracy of Gallagher’s Classification in Detecting Overweightness and Obesity on the Basis of World Health Organization Gold Standards Cutoff Points. Scientific Journal of Hamadan University of Medical Sciences. 2015;22(1).
Mojtahedzadeh SM, Holakouie-Naieni K, Nematollahi S, Mazarei AH. Prevalence of Overweight and Obesity in the Personnel of Abadan Oil Refinery and Factors Related to It. . sjsph. 2017;15(1):35-46.
Mirzaei M, Sharifnia G, Khazaei Z, Sadeghi E, Fallahzadeh H, Namayandeh SM. Prevalence of general obesity and central adiposity and its related factors in adult population of Yazd. J Shahid Sadoughi Univ Med Sci. 2017;25(9):736-47.
Hashemzadeh M, Taghizadeh Z, Behboodi Z, Montazeri A, Rashidi B, Shams M, et al. Association between obesity with spermogram in men with idiopathic infertility. IJOGI. 2018;21(9):35-41.
AttarzadehHosseini R, Mohammad-Rahimi G, Ghaemi J. Comparing waist circumference, waist-to-hip ratio and waist-to-stature ratio in predicting overweight/obese male students Razi Journal of Medical Sciences 2017;24(161).
Serahati S, Hosseinpanah F, Biglarian A, Barzin M, Bakhshi E. Related Factors for obesity in households of Tehran city: A cross-sectional study. Journal of Health management and promotion. 2013;2(2).
Hassanipour-Azgomi S, Fathalipour M, Daryabeigi R, Soheili-Azad A. Prevalence of obesity and overweight in students of Tehran university of medical sciences in 2015. Journal of health chimes. 2017;4(4):40-5.
Oji F, Yaghoubi H. Association of polymorphism Enzhiotensyn convereting enzyme of D/I with obesity in Ardebil city. Journal of news in Cellular-Molecular biotechnology. 2016;7(28).
Moghaddas F, Khamnian Z. The Prevalence of Obesity, Hypertension, Diabetes and Hyperlipidemia among Elderlies Over 60 Years of Age of Sahlan area in Tabriz. Depiction of Health 2018;9(3):206-13
Sarraf P, Mohammadbeigi A, Mohammadsalehi N, Kheirollahi F, M. A. Investigation of Abdominal and General Obesity and Its Related Factors in students of Qom City, 2015, Iran. . Qom Univ Med Sci J 2017;11(2):66-76.
Cheraghpour K, Ehrampoush E, Sahahbazi R, Alipour M, Ghanavati M, Khodadadi B, et al. Evaluation and compare the indices of body adiposity in Ahvaz University students. Jundishapor scientific medical journal. 2015;14(5):533-49.
Kolahi AA, Pakdaman R, Mivehchi M, Dehghan P. Comparison of Nutritional Behaviors and Body Mass Index in Patients with and without Non-Alcoholic Fatty Liver Disease. . Community Health 2015;2(2):80-7.
AbbasalizadFarhangi M, Alipour B, Rezazadeh K, Ghaffary A, Eidi F, SaberGharamaleki A, et al. Food insecurity and its related socioeconomic and nutritional factors: evidence from a sample of population in the northwest of Iran. Quality Assurance and Safety of Crops & Foods. 2015;7(2):109-13.
Alavi SS, Makarem J, Mehrdad R, Abbasi M. Metabolic syndrome: A common problem among office workers. Int J Occup Environ Med 2015;6(3):34-40.
Amani S, Rahmani K, Ghaderi E, Bidarpoor F, Rahimzadeh A, Resaeian S. Prevalence of non-communicable diseases risk factors among the population of rural areas of Kurdistan province in Iran: A population-based study by rapid assessment method in 2015. Scientific Journal of Kurdistan University of Medical Sciences. 2017;90.
Ayatollahi SMT, Ghoreshizadeh Z. Prevalence of obesity and overweight among adults in Iran. obesity reviews 2010;11:335–7.
Heydari T, Ayatollahi MT, Zare N. Diagnostic Value of Bioelectrical Impedance Analysis versus Body Mass Index for Detection of Obesity among Students Asian Journal of Sports Medicine. 2011;2(2):68-74.
Baygi F, Jensen OC, Qorbani M, Farshad A, Salehi A, Mohammadi F, et al. Pattern of some risk factors of cardiovascular diseases and liver enzymes among Iranian seafarers. Med J Islam Repub Iran. 2017;31:23. https://doi.org/10.18869/mjiri.31.23.
Dalvand S, Koohpayehzadeh J, Karimlou M, Asgari F, Seifi B, Niksima H, et al. Assessing Factors Related to Waist Circumference and Obesity: Application of a Latent Variable Model. Journal of Environmental and Public Health. 2015:Article ID 893198.
Djalalinia S, SaeediMoghaddam S, Sheidaei A, Rezaei N, NaghibiIravani SS, Modirian M, et al. Patterns of Obesity and Overweight in the Iranian Population: Findings of STEPs 2016. . Front Endocrinol 2020;11:42. doi: 10.3389/fendo.2020.00042.
Emamian MH, Fateh M, Hosseinpoor AR, Alami A, Fotouhi A. Obesity and its socioeconomic determinants in Iran. Econ Hum Biol. 2017 26:144-50.
Gandomkar A, Poustchi H, Moini M, Moghadami M, Imanieh H, Fattahi MR, et al. Pars cohort study of non-communicable diseases in Iran: protocol and preliminary results. Int J Public Health
:DOI 10.1007/s00038-016-0848-2.
Ghaderian B, Yazdanpanah L, Shahbazian H, Sattari AR, Latifi M, Sarvandian S. Prevalence and Correlated Factors for Obesity, Overweight and Central Obesity in Southwest of Iran Iran J Public Health. 2019;48(7):1354-61
Gharakhanlou R, Farzad B, Agha-Alinejad H, Steffen LM, Bayati M. Anthropometric Measures as Predictors of Cardiovascular Disease Risk Factors in the Urban Population of Iran Arq Bras Cardiol [online]ahead print. 2011.
Ghorbani A, Ziaee A, Oveisi S, Afaghi A. A Comparison of Health-Related Quality of Life among Normal-Weight, Overweight and Obese Adults in Qazvin Metabolic Diseases Study (QMDS), Iran. Global journal of health science. 2013;5:156-62. 10.5539/gjhs.v5n3p156.
Ghorbani R, Abtahinaeini B, Eskandarian R, Rashidy-Pour A, Khamseh M, Malek M. Prevalence of metabolic syndrome according to ATPIII and IDF criteria in the Iranian population Koomesh. 2012;14(1).
Kheradmand M, Moosazadeh M, Saeedi M, Poustchi H, Eghtesad S, Esmaeili R, et al. Tabari Cohort Profile and Preliminary Results in Urban Areas and Mountainous Regions of Mazandaran, Iran. Archive of SID Arch Iran Med 2019;22(6):279-85.
Hosseinpanah F, Mirbolouk M, Mossadeghkhah A, Barzin M, Serahati S, Delshad H, et al. Incidence and potential risk factors of obesity among Tehranian adults. Preventive Medicine. 2016;82:99-104.
Mohebbi I, Saadat S, Aghassi M, Shekari M, Matinkhah M, al. e. Prevalence of Metabolic Syndrome in Iranian Professional Drivers: Results from a Population Based Study of 12,138 Men. . PLoS ONE 2012;7(2):e31790. doi:10.1371/journal.pone.0031790.
Katibeh M, SanjariMoghaddam A, Yaseri M, Neupane D, Kallestrup P, Ahmadieh H. Hypertension and associated factors in the Islamic Republic of Iran: a population‐based study Eastern Mediterranean Health Journal 2019.
Khabazkhoob M, Emamian MH, Hashemi H, Shariati M, Fotouhi A. Prevalence of Overweight and Obesity in the Middle-age Population: A Priority for the Health System Iran J Public Health 2017;46(6):827-34
Veghari G, Sedaghat M, Maghsodlo S, Banihashem S, Moharloei P, al. e. Differences in the Prevalence of Obesity among Fars-Native, Turkman, and Sisstanish Ethnic Groups in Iranian Northern Adults in 2010. International Cardiovascular Research Journal. 2013;7(2):56-61.
Shahbazian H, Latifi M, Jalali MT, Shahbazian H, Amani R, Nikhoo A, et al. Metabolic syndrome and its correlated factors in an urban population in South West of Iran Journal of Diabetes & Metabolic Disorders 2013;12(11).
Haghighian-Roudsari A, Vedadhir A, Kalantari N, Amiri P, Omidvar N, Eini-Zinab H, et al. Concordance between self-reported body mass index with weight perception, self-rated health and appearance satisfaction in people living in Tehran. Journal of Diabetes & Metabolic Disorders 2016;15(22).
Mouodi S, Hosseini R, Ghadimi R, Bijani A, Cumming RG, AshrafianAmiri H, et al. The First Step of Health Policy-Making for Lifestyle Modifications at Middle Age: Problem Identification in 40- to 60-Year-Old Population, Northern Iran. Journal of Obesity 2018: Article ID 9895346, 8 pages https://doi.org/10.1155/2018/.
Rashidi AA, HeidariBakavoli AR, Avan A, Aghasizade M, Ghazizadeh H, Tayefi M, et al. Dietary Intake and Its Relationship to Different Body Mass Index Categories: A Population-Based Study. . J Res Health Sci. 2018;18(4):e00426. .
Sarrafzadegan N, Kelishadi R, Sadri G, Malekafzali H, Pourmoghaddas M, Heidari K, et al. Outcomes of a comprehensive healthy lifestyle program on cardiometabolic risk factors in a developing country: The Isfahan healthy heart program. . Arch Iran Med 2013;16(1):4 – 11.
Sarrafzadegan N, Talaei M, Sadeghi M, Mohammadifard N, Taheri M, Lotfizadeh M, et al. Determinants of Weight Change in a Longitudinal Study of Iranian Adults: Isfahan Cohort Study. . Arch Iran Med 2014;17(8):539 – 44.
Saberi HR, Moravveji AR, Fakharian E, Motalebikashani M, Dehdashti AR. Prevalence of metabolic syndrome in bus and truck drivers in Kashan, Iran Diabetology & Metabolic Syndrome 2011;3(8).
Pourabdian S, Golshiri P, Janghorbani M. Overweight, underweight, and obesity among male long-distance professional drivers in Iran. J Occup Health. 2020;62:e12114.
Damirchi A, Mehrabani J, MousaviBaghrabad S. The Relationship between Obesity, Overweight and Demographic Factors with Physical Activity in 18-69 YearOld Adults in Rasht City Iranian Journal of Endocrinology and Metabolism 2013;15(4).
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