2010—2012年贵州省5个监测地区成人超重肥胖流行现状及与慢性病的关系

发布时间：2018-05-05 08:52

  本文选题：超重 + 肥胖　； 参考：《卫生研究》2017年01期

【摘要】：目的了解贵州省5个监测地区成人超重肥胖流行现状,并分析与慢性病的关系。方法采取多阶段分层整群随机抽样的方法,对2010—2012年"中国居民营养与健康状况监测"中贵州省云岩区、白云区、德江县、黔西县及三穗县5个监测地区3682名18岁及以上常住人群进行身高、体重、血压测量和总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、血糖的测定。分析超重、肥胖及中心型肥胖在人群的分布及与糖尿病、血脂异常和高血压的关系。结果贵州省5个监测地区成人超重率为27.0%,肥胖率为7.5%,中心型肥胖率为16.9%。男性和女性的中心型肥胖率均随年龄的增长呈上升趋势,且中心型肥胖率以老年人(≥60岁)最高(χ~2=32.03,P0.001),女性中心型肥胖率高于男性(χ~2=4.2,P=0.04)。在控制年龄、性别、地区因素的情况下,超重者患糖尿病、血脂异常和高血压风险分别为非超重者的1.4倍、1.4倍和2.0倍(95%CI 1.0~2.0、1.2~1.7、1.6~2.5,P0.05);肥胖者患糖尿病、血脂异常和高血压的风险则是非肥胖者的2.6倍(95%CI 1.7~4.1,P0.001)、1.5倍(95%CI 1.1~1.9,P0.001)和3.7倍(95%CI 2.7~5.1,P0.001);中心型肥胖会增加患糖尿病(OR=2.18,95%CI 1.58~3.01,P0.001)及高血压(OR=2.2,95%CI 1.74~2.57,P0.001)的风险。结论成人超重与肥胖是糖尿病、血脂异常和高血压发生的危险因素,中心型肥胖则是高血压和糖尿病发生的危险因素。
[Abstract]:Objective to investigate the prevalence of overweight and obesity among adults in 5 surveillance areas of Guizhou Province and to analyze the relationship between overweight and obesity and chronic diseases. Methods the methods of multi-stage stratified cluster random sampling were used to monitor the nutrition and health status of Chinese residents in Yunyan District, Baiyun District, Dejiang County of Guizhou Province from 2010 to 2012. The height, weight, blood pressure and total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), and blood sugar were measured in 3682 residents aged 18 and above in 5 surveillance areas of Qianxi and Sansui counties. To analyze the distribution of overweight, obesity and central obesity and its relationship with diabetes mellitus, dyslipidemia and hypertension. Results the overweight rate of adults was 27.0, the obesity rate was 7.5 and the central obesity rate was 16.9in 5 surveillance areas in Guizhou province. The rate of central obesity in both males and females increased with the increase of age, and the rate of central obesity was the highest in the elderly (鈮，

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