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Yazdi, Maryam; Kelishadi, Roya; Schmid, Volker J. ORCID: 0000-0003-2195-8130; Motlagh, Mohammad Esmaeil; Heshmat, Ramin; Mansourian, Marjan (9. December 2020): Geographic risk of general and abdominal obesity and related determinants in Iranian children and adolescents: CASPIAN-IV Study. In: Eastern Mediterranean Health Journal, Vol. 26, No. 12: pp. 1532-1538
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Background: Obesity, as a risk factor for many noncommunicable diseases, is a common public health problem in developed and developing countries. Among Iranian children and adolescents, the prevalence of being overweight has increased by almost 50% in the past two decades. Aims: To visualize the geographic differences in general and abdominal obesity risks and related determinants among Iranian children and adolescents. Methods: Participants consisted of 14 880 students, aged 7-19 years, living in urban and rural areas of the Islamic Republic of Iran. Spatial patterns of obesity and its association with related risk factors were identified using Bayesian spatial modeling. Results: The highest spatial risks of general obesity (odds ratio 1.21-1.66 for males and 1.81-2.02 for females) and abdominal obesity (odds ratio 1.20-1.82 for males and 1.25-1.78 for females) were observed in the north, northwest and southwest of the country. Risk of obesity was significantly higher in areas with a higher rate of urban residence, active current smokers and prolonged screen time. Conclusion: Identification of high-risk regions for obesity and spatially related risk factors can be used as informative tools for decision-making and planning in health systems at national and subnational levels.