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dc.contributor.authorCuschieri, Sarah-
dc.identifier.citationCuschieri, S. (2020). The characteristics of an obesogenic small European country: results from a Malta cross-sectional study. Perspectives in Public Health, 1757913920926533.en_GB
dc.description.abstractAim: Obesity is a chronic disease and a global epidemic. The pathophysiology is well-ocumented; however, different countries are faced with different obesity characteristics. The aim was to establish the adult obesity characteristics of the obesogenic European country of Malta and explore for obesity links. Method: A national representative health examination survey was conducted. A single-stage random stratified sample population (n=4000) was obtained from a national register. Data on sociodemographic, comorbidities and lifestyle were collected. Body weight and height were measured, and blood collected for fasting glucose and lipid profile. Multiple binary logistic regression analyses through generalized linear models were performed to assess for associations between obesity, sociodemographic characteristics and dysglycaemic status. Results: Out of the study population (n = 3947), 69.75% (confidence interval (CI) 95%: 68.32– 71.18) were obese, with a male predominance (55%). The obese category sub-population resided mostly (25.80%, CI 95%: 23.53–28.21) within the highly densely populated district (Northern Harbour) of Malta and had a ‘routine and manual’ social position (55.76%, CI 95%: 53.10–58.40). On multiple logistic regression modelling, an obese status was linked with males (odds ratio (OR): 1.8, CI 95%: 1.53–2.12, p < .01), age (OR: 1.01, CI 95%: 1.01–1.02, p < .01), Northern Harbour district (OR: 1.11, CI 95%: 0.91–1.36, p < .02), type 2 diabetes (OR: 2.46, CI 95%: 1.79–3.38, p < .01) and impaired fasting blood glucose (IFG: 1.31, CI 95%: 1.17–1.90, p < .01) after adjusting for confounders. Conclusion: Obesity is a major health concern in Malta. Social determinants of health and metabolic changes appear to have a role in the obesity phenotype. Target actions that are gender-sensitive, social groups-focused and geographically oriented may be essential. The link between obesity and dysglycaemia brings forward the suggestion for incorporation of routine dysglycaemia screening during family doctors’ consultations for patients with higher than normal body weight.en_GB
dc.subjectObesity -- Maltaen_GB
dc.subjectObesity -- Preventionen_GB
dc.subjectObesity -- Social aspectsen_GB
dc.subjectObesity -- Risk factors -- Maltaen_GB
dc.subjectOverweight personsen_GB
dc.titleThe characteristics of an obesogenic small European country : results from a Malta cross-sectional studyen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.publication.titlePerspectives in Public Healthen_GB
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