{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:00:09Z","timestamp":1790586009300,"version":"4.1.0"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"abstract":"Zusammenfassung<\/jats:title>\n Aus anderen einkommensstarken Industrienationen ist bekannt, dass die\n l\u00e4ndliche Bev\u00f6lkerung meist st\u00e4rker von \u00dcbergewicht und Adipositas betroffen\n ist als die st\u00e4dtische Bev\u00f6lkerung, woraus sich ein erh\u00f6hter\n Pr\u00e4ventionsbedarf ergibt. Zu dieser Thematik liegen in Deutschland nur\n wenige Befunde aus r\u00e4umlichen Analysen vor. In dieser Studie wurden daher\n Stadt-Land-Unterschiede beschrieben und auf m\u00f6gliche Erkl\u00e4rungsfaktoren hin\n untersucht.<\/jats:p>\n In einer Sekund\u00e4rdatenanalyse wurden die bev\u00f6lkerungsrepr\u00e4sentativen Daten\n der GEDA 2019\/2020-EHIS-Studie ausgewertet. Zun\u00e4chst erfolgte eine bivariate\n Analyse zum Vergleich der \u00fcbergewichtigen und adip\u00f6sen Bev\u00f6lkerungsanteile\n nach Kreistypen und anschlie\u00dfend eine Sch\u00e4tzung von Zusammenh\u00e4ngen zwischen\n den Kreistypen und der Chance von \u00dcbergewicht und Adipositas anhand\n multinomialer logistischer Regressionsmodelle unter Adjustierung bekannter\n Erkl\u00e4rungsfaktoren.<\/jats:p>\n Die bivariate Analyse zeigte einen statistisch signifikanten Zusammenhang\n zwischen der Siedlungsstruktur des Wohnortes und der Pr\u00e4valenz von\n \u00dcbergewicht und Adipositas. Besonders betroffen waren dabei die l\u00e4ndlichen\n Kreise mit Verdichtungsans\u00e4tzen (36,6%, \u00dcbergewicht) und die d\u00fcnn\n besiedelten l\u00e4ndlichen Kreise (22,2%, Adipositas). Gegen\u00fcber den kreisfreien\n Gro\u00dfst\u00e4dten war die relative Chance in diesen Kreisen mit einem Odds Ratio\n von 1,43 (\u00dcbergewicht) bzw. 1,71 (Adipositas) signifikant erh\u00f6ht mit\n p<0,001. Unter Adjustierung sozio-demographischer und sozio-\u00f6konomischer\n Merkmale sowie des Ern\u00e4hrungs- und Bewegungsverhaltens reduzierten sich\n diese Unterschiede, blieben aber statistisch signifikant.<\/jats:p>\n Die l\u00e4ndliche Bev\u00f6lkerung in Deutschland ist h\u00e4ufiger \u00fcbergewichtig oder\n adip\u00f6s. Dieser Zusammenhang ist nicht ausschlie\u00dflich auf die Altersstruktur\n und den sozio-\u00f6konomischen Status zur\u00fcckzuf\u00fchren. Die Ergebnisse geben\n Hinweise auf einen erh\u00f6hten Bedarf an gezielten Pr\u00e4ventions- und\n Gesundheitsf\u00f6rderungsstrategien f\u00fcr die l\u00e4ndliche Bev\u00f6lkerung, der in\n L\u00e4ngsschnittstudien weiter untersucht werden sollte.<\/jats:p>","DOI":"10.1055\/a-2904-5141","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:41:40Z","timestamp":1790584900000},"source":"Crossref","is-referenced-by-count":0,"title":["Erh\u00f6htes Risiko f\u00fcr \u00dcbergewicht und Adipositas in der Landbev\u00f6lkerung\n in Deutschland: Ergebnisse einer Sekund\u00e4rdatenanalyse der GEDA\n 2019\/2020-EHIS-Studie"],"prefix":"10.1055","author":[{"given":"Lena Isabell","family":"Mertink","sequence":"additional","affiliation":[{"name":"Fakult\u00e4t III \u2013 Health, Medical & Life Sciences, Hochschule\n Furtwangen University, Furtwangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Weidmann","sequence":"additional","affiliation":[{"name":"Fakult\u00e4t III \u2013 Health, Medical & Life Sciences, Hochschule\n Furtwangen University, Furtwangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"ref1","volume-title":"Regional Office for Europe. 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