{"id":4525,"date":"2023-03-28T17:46:20","date_gmt":"2023-03-28T15:46:20","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4525"},"modified":"2023-04-02T14:05:26","modified_gmt":"2023-04-02T12:05:26","slug":"social-determinants-of-overweight-and-obesity-in-paraguayan-adults-using-quantile-regression","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2196\/","title":{"rendered":"Social determinants of overweight and obesity in Paraguayan adults using quantile regression"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2021.2196\">https:\/\/doi.org\/10.4081\/jphr.2021.2196<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Ho Cheol Lee<\/strong><br \/>\n<\/span><span class=\"affiliation\">Yonsei Global Health Center, Yonsei University, Wonju, Korea, Republic of.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0003-1467-8843\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0003-1467-8843<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Ji Eon Kim<\/strong><br \/>\n<\/span><span class=\"affiliation\">Yonsei Global Health Center, Yonsei University, Wonju, Korea, Republic of.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0002-9776-0465\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0002-9776-0465<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Adriana Amarilla<\/strong><br \/>\n<\/span><span class=\"affiliation\">Pan American Health Organization (PAHO), Asuncion, Paraguay.<\/span><\/li>\n<li><span class=\"name\"><strong>Yanghee Kang<\/strong><br \/>\n<\/span><span class=\"affiliation\">Yonsei Global Health Center, Yonsei University, Wonju, Korea, Republic of.<\/span><\/li>\n<li><span class=\"name\"><strong>Boram Sim<\/strong><br \/>\n<\/span><span class=\"affiliation\">Health Insurance Review and Assessment Service (HIRA), Wonju, Korea, Republic of.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0003-0981-5102\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0003-0981-5102<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Eun Woo Nam<\/strong><br \/>\nDepartment of Health Administration, College of Health Science, Yonsei University, Wonjum , Korea, Republic of.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><strong>Background:\u00a0<\/strong>The World Health Organization (WHO) defines the double burden of malnutrition as the new face of malnutrition. This is a serious problem in Latin American countries, especially Paraguay, which has a high obesity rate. This study aimed to gather data to inform a national strategy for confronting the double-burden challenge in Paraguay by 1) identifying whether the body mass index (BMI) of study subjects differed significantly according to social determinants, and 2) assessing the factors affecting BMI and the extent of their impact according to BMI quantile levels.<\/p>\n<p><strong>Design and Methods<\/strong>. Data were collected using a questionnaire adapted from the WHO World Health Survey. We collected 2,200 responses from September 16 to October 7, 2018. After excluding the questionnaires with missing data, we analyzed 1,994 respondents aged 17 years and older living in Limpio, Paraguay. The analyses included t-test and chi-squared test to identify significant differences and 10th quantile regression to assess associations.<\/p>\n<p><strong>Results<\/strong>. Analyses showed significant differences in participants\u2019 BMI levels based on age and diagnoses of diabetes or hypertension. In quantile regression analyses, age was significantly associated with BMI quantiles at all but one level. Educational attainment was significantly associated with the 10%\u201340% and 60%\u201370% quantiles of BMI.<\/p>\n<p><strong>Conclusions<\/strong>. Age, education level, diabetes, and hypertension were significant predictors of obesity. Obesity programs that focus on people aged more than 60 years are required. In addition, targeted nutritional education may be a useful intervention.<\/p>\n<h3 class=\"label\">REFERENCES<\/h3>\n<div class=\"value\">\n<p>World Health Organization. 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Boram Sim Health Insurance Review &#8230; <a title=\"Social determinants of overweight and obesity in Paraguayan adults using quantile regression\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2196\/\" aria-label=\"More on Social determinants of overweight and obesity in Paraguayan adults using quantile regression\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4525","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Social determinants of overweight and obesity in Paraguayan adults using quantile regression - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2196\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Social determinants of overweight and obesity in Paraguayan adults using quantile regression - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2021.2196 Ho Cheol Lee Yonsei Global Health Center, Yonsei University, Wonju, Korea, Republic of. https:\/\/orcid.org\/0000-0003-1467-8843 Ji Eon Kim Yonsei Global Health Center, Yonsei University, Wonju, Korea, Republic of. https:\/\/orcid.org\/0000-0002-9776-0465 Adriana Amarilla Pan American Health Organization (PAHO), Asuncion, Paraguay. Yanghee Kang Yonsei Global Health Center, Yonsei University, Wonju, Korea, Republic of. Boram Sim Health Insurance Review ... 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Yanghee Kang Yonsei Global Health Center, Yonsei University, Wonju, Korea, Republic of. Boram Sim Health Insurance Review ... 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