Obesity

Prevalence of overweight, obesity and underweight and associated factors in a three-generation population-based study in a large Russian region

Int J Obes (Lond)Published Population-based studies

Authors' conclusion

Overweight/obesity prevalences among schoolchildren/adolescents were similar to mean global figures and higher than 15 years ago. Overweight/obesity prevalences in medium-aged adults (39.3% and 30.3%, respectively) and in old adults (41.5% and 18.7%, respectively) were higher than mean global figures. Associations of BMI-related parameters with other variables differed between the three generations. In old adults, higher BMI was related to metabolic syndrome but not with diabetes mellitus and hypertension.

Study context

Population
Adults, very old adults and children/adolescents in urban and rural areas of Bashkortostan, Russia
Participants
5,899 / 1,002 / 4,906
Exposure
Ural Eye and Medical Study (UEMS) vs Ural Very Old Study (UVOS) vs Ural Children Eye Study (UCES)
  • UEMSn = 5,899
  • UVOSn = 1,002
  • UCESn = 4,906
Outcome
Prevalence of overweight, obesity and underweight
Methodological detailsthree cross-sectional cohorts, three-generation, urban and rural areas
  • Three cross-sectional cohorts
  • Three-generation
  • Urban and rural areas

Main finding

As reported in the abstract

GroupValueOverweightObesityUnderweight
UEMSmean 27.9 ± 5.0 kg/m²2317/5899 (39.3%; 95% CI: 38.0, 40.5)1787/5899 (30.3%; 95% CI: 29.1, 31.5)50/5899 (0.8%; 95% CI: 0.6, 1.1)
UVOSmean 26.6 ± 4.5 kg/m²416/1002 (41.5%; 95% CI: 38.5, 44.6)187/1002 (18.7%; 95% CI: 16.3, 21.1)16/1002 (1.6%; 95% CI: 0.8, 2.4)
UCESmean 18.6 ± 3.8 kg/m²722/4906 (14.7%; 95% CI: 13.7, 15.7)374/4906 (7.6%; 95% CI: 6.9, 8.4)153/4906 (3.1%; 95% CI: 2.6, 3.6)

Value

UEMSmean 27.9 ± 5.0 kg/m²
UVOSmean 26.6 ± 4.5 kg/m²
UCESmean 18.6 ± 3.8 kg/m²

Overweight

UEMS2317/5899 (39.3%; 95% CI: 38.0, 40.5)
UVOS416/1002 (41.5%; 95% CI: 38.5, 44.6)
UCES722/4906 (14.7%; 95% CI: 13.7, 15.7)

Obesity

UEMS1787/5899 (30.3%; 95% CI: 29.1, 31.5)
UVOS187/1002 (18.7%; 95% CI: 16.3, 21.1)
UCES374/4906 (7.6%; 95% CI: 6.9, 8.4)

Underweight

UEMS50/5899 (0.8%; 95% CI: 0.6, 1.1)
UVOS16/1002 (1.6%; 95% CI: 0.8, 2.4)
UCES153/4906 (3.1%; 95% CI: 2.6, 3.6)

Observational data: associations, not effects.

Further findings

Factors associated with higher obesity prevalence in UEMS

Younger age, female sex, Russian ethnicity, lower education, shorter height, less current smoking and alcohol, lower serum bilirubin and HDL, higher leukocyte count, more DM and metabolic syndrome, higher hypertension stage, more thoracic spine pain and CVD incl. stroke, higher intraocular pressure

Factors associated with higher obesity prevalence in UVOS

Younger age, female sex, urban habitation, shorter height, less alcohol consumption, more metabolic syndrome

Original publication

Prevalence of overweight, obesity and underweight and associated factors in a three-generation population-based study in a large Russian region. Int J Obes (Lond). Published 3 November 2025. doi:10.1038/s41366-025-01936-w

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