1. Genetic and Environmental Adventures Research Center, School of Abarkouh Paramedicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Electronic address: askarim204@gmail.com.
  2. Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran. Electronic address: s.askari1375@gmail.com.
  3. Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran. Electronic address: hoda.zare76@gmail.com.
  4. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran. Electronic address: farjam.md@gmail.com.
  5. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran; National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: homayounfar@sbmu.ac.ir.
  6. Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Electronic address: a.mahmoodi@ssu.ac.ir.
bmj open

Abstract

Background and aims: Obesity and drug use are two major global issues today. This study aimed to evaluate the relationship between alcohol and tobacco use with general and central obesity.

Methods: The data of the longitudinal population-based study were collected from the basis of the Fasa Cohort Study (FACS). Participants were 10141 people with 35-70 years old. Data were analyzed by SPSS 20 software. Binary logistic regression (BLR) was used for modelling. A significance level (α) less than 0.05% was considered for hypothesis testing.

Results: Of the total participants (N = 10104), 54.8% (n = 5539) were women. The prevalence of central obesity in terms of waist circumference (WC), waist to hip ratio (WHR), and waist to height ratio (WHtR) were calculated 48.20% (N = 4871), 79.50% (N = 8032), and 83.30% (N = 8314). The Odds Ratio (OR) adjusted of Abnormal body mass index (BMI) for Opium and chronic smoking were 0.54 (CI: 0.47-0.63) and 0.47 (CI:0.40-0.56). OR adjusted Abnormal WC for opium and chronic smoking were calculated 0.65 (CI: 0.53-0.80) and 0.57 (CI:0.46-0.72), respectively. Three variables of opium (OR = 0.54, CI: 0.46-0.64), total opiate drugs (OR = 1.46, CI:1.16-1.83) and chronic smoking (OR = 0.58, CI: 0.48-0.70) remained in the modeling for Abnormal WHR. Which were statistically significant.

Conclusion: Significant and inverse relationships were found between obesity and opium, total opiate drugs, and chronic smoking.

Keywords: Alcohol; Central obesity; Cohort; General obesity; Tobacco.

How to Cite

Askari M, Askari Z, Zarei Z, Farjam M, Homayounfar R, Mahmoudi Kohani HA. Prevalence of general and abdominal obesity and its relationship with opium, total opiate drugs, and chronic smoking: Fasa cohort study. Diabetes Metab Syndr. 2022 Jan;16(1):102357. doi: 10.1016/j.dsx.2021.102357. Epub 2021 Nov 30. PMID: 34920194.