Læknablaðið - 15.04.2010, Blaðsíða 32

FRÆÐIGREINAR
RANNSÓKNIR
Heimildir
1. Sigfússon N, Sigurðsson G, Sigvaldason H, Guðnason V.
Breytingar á reykingavenjum miðaldra og eldri íslendinga
síðastliðin þrjátíu ár og ástæður þeirra. Niðurstöður úr
hóprannsóknum Hjartaverndar. Læknablaðið 2003; 89:489-98.
2. Umfang reykinga 1989-2005. www.Iydheilsustod.is/media/
tobaksvarnir/rannsoknir/reykingaskyrsla_2005.pdf. Febrúar
3. Þorgeirsdóttir H, Steingrímsdóttir L, Ólafsson Ö, Guðnason
V. Þróun ofþyngdar og offitu meðal 45-64 ára Reykvíkinga á
árunum 1975-1994. Læknablaðið 2001; 87: 699-704.
4. Handbók Hjartavemdar. www.hjarta.is/Uploads/document/
Timarit/Handbok%20Hjartaverndar.pdf Júlí 2008.
5. Filozof C, Fernandez Pinilla MC, Fernandez-Cruz A. Smoking
cessation and weight gain. Obes Rev 2004; 5:95-103.
6. Chiolero A, Wietlisbach V, Ruffieux C, Paccaud F, Comuz J.
Clustering of risk behaviors with cigarette consumption: a
population-based survey. Prev Med 2006; 42: 348-53.
7. Healton CG, Vallone D, McClausland KL, Xiao H, Green MP.
Smoking, obesity, and their co-occurrence in the United States:
cross sectional analysis. BMJ 2006; 333: 25-6.
8. Potter BK, Pederson LL, Chan SS, Aubut JA, Koval JJ. Does
a relationship exist between body weight, concems about
weight, and smoking among adolescents? An integration of
the literature with an emphasis on gender. Nicotine Tob Res
2004; 6: 397-425.
9. Trawdella D, Loew M, Rothenbacher D, et al. The impact of
body weight on smoking cessation in German adults. Prev
Med 2006; 42:109-13.
10. Kjaer SK, Tran TN, Sparen P, et al. The burden of genital warts:
a study of nearly 70,000 women from the general female
population in the 4 Nordic countries. J Infect Dis 2007;15:1447-
54.
11. Chiolero A, Jacot-Sadowski I, Faeh D, Paccaud F, Cornuz
J. Association of cigarettes smoked daily with obesity in a
general adult population. Obesity 2007; 15:1311-8.
12. Hvað borða íslendingar? Landskönnun á mataræði 2002.
www.lydheilsustod.is/media/manneldi/rannsoknir/
mynd35_BMI_bus.gif Febrúar 2010.
13. Sigurðsson EL, Pálsdóttir K, Sigurðsson B, Jónsdóttir S,
Guðnason V. Áhættuþættir hjarta- og æðasjúkdóma meðal
fimmtugra á Akureyri og í Hafnarfirði. Staða og áhrif
einfaldrar íhlutunar. Læknablaðið 2003 ;89 :859-64.
14. Svensson E, Reas DL, Sandager I, Nygard JF. Urban-rural
differences in BMI, overweight and obesity in Norway (1990
and 2001). Scand J Pub Health 2007; 35: 555-8.
15. Peytremann-Bridevaux I, Faeh D, Santos-Eggimann B.
Prevalence of overweight and obesity in mral and urban
settings of 10 European countries. Prev Med 2007; 44: 442-6.
16. Steingrímsdóttir L, Þorgeirsdóttir H, Ægisdóttir S. Mataræði
og mannlíf. Niðurstöður könnunar á mataræði íslendinga
1990. Rit Manneldisráðs íslands IV, Reykjavík 1991.
17. Savage JS, Marini M, Birch LL. Dietary energy density
predicts women's weight change over 6 y. Am J Clin Nutr
2008; 88: 677-84.
18. Linné Y, Dye L, Barkeling B, Rössner S. Weight development
over time in parous women-the SPAWN study-15 years
follow up. Int J Obes Relat Metab Disord 2003; 27: 1516-22
19. Pisinger C, Toft U, JXrgensen T. Can lifestyle factors expiain
why body mass index and waist-to-hip ratio increase with
increasing tobacco consumption? The Inter99 study. Public
Health 2009; 123:110-5.
20. Manson JE, Willett W, Stampfer MJ, et al. Body weight and
mortality among women. N Engl J Med 2007; 333: 677-85.
21. Hu FB. Overweight and obesity in women. Health risks and
consequences. J Women's Health 2003; 12:163-72.
22. Sigfússon N, Sigurðsson G, Aspelund T, Guðnason V.
Skaðleg áhrif reykinga á heilsufar hafa verið vemlega
vanmetin. Læknablaðið 2006; 92:263-9.
23. US Department of Health and Human Services. Women
and Smoking. A Report of the Surgeon General. Rockville,
Md: US Department of Health and Human Services, Public
Health Service, Office of the Surgeon General;2001.
24. John U, Hanke M, Grotheus J, Thyrian JR. Validity of
overweight and obesity in a nation based on self-report
versus measurement device data. Eur J Clin Nutr 2006; 60:
327-7.
25. Lýðheilsustöð. Umfang reykinga 2007. http://www.
lydheilsustod.is/media/tobaksvarnir/rannsoknir/
umfang_reykinga.pdf Febrúar 2010.
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Smoking, obesity and education of lcelandic women by rural-urban residence
Objective: To assess the prevalence of obesity and the
association with smoking and education among young
lcelandic women residing within and outside the capital
area.
Materials and methods: A self-administered questionnaire
was sent to 28.000 lcelandic women, 18-45 years-old,
in the period November 2004 to June 2005. The sample
was randomly selected from The National Registry,
response rate being 54.6%. The study was part of a large
Nordic population-based cross-sectional study. Logistic
regression was used for assessing the odds ratio of
obesity (BMI&30) in a multivariate analysis according to
smoking and education, taking also into account age and
alcohol consumption. The chi-square test was used for
comparing percentages.
Results: Thirteen percent of women residing in the capital
area were obese compared with 21 % outside the capital.
In the multivariate analysis obesity was increased among
women living outside the capital (OR = 1.66; 95% Cl 1,50-
1,83), among smokers (OR=1,13; 95% Cl 1.01-1.28), and
among women who did not have university education
(OR=1.53; 95%CI 1.36-1.71). Daily smokers within the
capital area were more likely to be obese (OR=1.27; 95%CI
1.07-1.49) but not smokers outside the capital (OR=1.0)..
Conclusions: Residence outside the capital area, daily
smoking and non-university education are associated
with an increased risk of obesity among young lcelandic
women. The relationship beween these factors is complex
and differs between women residing within and outside the
capital area.
Steingrímsdottir L, Olafsdottir EJ, Jonsdottir LS, Sigurdsson R, Tryggvadottir L.
Smoking, obesity and education of lcelandic women by rural-urban residence. Icel Med J 2010; 96:259-64
Key words: obesity, smoking, residence, education, women's health.
Correspondence: Laufey Steingrímsdóttir, laufey@hi.is
Barst: 11. febrúar 2010, - samþykkt til birtingar: 24. febrúar 2010
Hagsmunatengsl: Engin
264 LÆKNAblaðið 2010/96