A demographic, clinical, and behavioral typology of obesity in the United States: an analysis of National Health and Nutrition Examination Survey 2011-2012

作者：Jimenez Marcia P; Green Mark A; Subramanian S V; Razak Fahad^*

来源：Annals of Epidemiology, 2018, 28(3): 175-181.

DOI：10.1016/j.annepidem.2018.01.001

• Obesity
• Body mass index
• Cluster analysis
• Population heterogeneity

Purpose: Public health reporting, randomized trials, and epidemiologic studies of obesity tend to consider it as a homogeneous entity. However, obesity may represent a heterogeneous condition according to demographic, clinical, and behavioral factors. We assessed the heterogeneity of individuals with obesity in the United States.
Methods: We analyzed data from the 2011-2012 wave of the National Health and Nutrition Examination Survey, a nationally representative sample of adults in the United States with detailed physical examination and clinical data (n = 1380). We used cluster analysis to identify subgroups classified as obese according to demographic factors, clinical conditions, and behavioral characteristics.
Results: We found significant heterogeneity among participants with obesity according to six distinct clusters (P < .001): affluent men with sleep disorders (16% of sample); older smokers with cardiovascular disease (16%); older women with high comorbidity (20%); healthy white women (13%); healthy nonwhite women (14%); and active men who drink higher amounts of alcohol (21%).
Conclusions: Obesity in the United States is not a homogeneous condition. Current research and treatment may fail to account for complex and interrelated factors, with implications for prevention strategies and diverse risks of obesity.

• 出版日期2018-3