35岁以上居民超重、肥胖及其生活质量的影响因素研究

发布时间：2018-05-11 10:38

本文选题：超重 + 肥胖　；参考：《锦州医科大学》2017年硕士论文

【摘要】：目的了解十堰市城市社区35岁以上居民超重肥胖患病情况及其生活质量,并在此基础上分析超重、肥胖及生活质量的影响因素,提出超重、肥胖的社区管理对策。方法采用分层多阶段随机抽样方法,抽取符合纳入标准的35岁以上社区居民1388名,使用国家心血管病中心和中国医学科学院阜外心血管病医院联合设计的调查表进行调查。数据采用Epidata软件进行独立双份录入,经一致性检验后使用SPSS21.0软件、R3.3.3软件进行数据分析,采用卡方检验、t检验、方差分析、多重线性回归及Logistic回归分析对资料进行描述性和推论性统计。结果1.以BMI为指标时,男性超重率40.6%,肥胖率13.6%,女性超重率37.3%,肥胖率17.9%,人群总的超重率38.9%,肥胖率18.9%;以腰围为指标时,男性腹型肥胖率为20.4%,女性27.0%,人群总23.9%;以腰高比(WHt R)为指标时,男性腹型肥胖率为70.3%,女性70.7%,人群总的67.3%;女性BMI肥胖率(c2=4.79,P=0.029)和腰围肥胖率(c2=8.247,P=0.004)高于男性;男性BMI肥胖率、女性腰围肥胖率和WHt R肥胖率、人群总腰围肥胖率和总WHt R肥胖率随年龄的增长而下降。2.Logistic回归分析结果显示,年龄(OR=0.988,95%CI=[0.980-0.997])、睡眠时间6~8小时/天(OR=0.698,95%CI=[0.520-0.939])和睡眠时间8小时/天(OR=0.625,95%CI=[0.429-0.909])是超重/肥胖的保护因素,个体户(OR=1.645,95%CI=[1.181-2.291])、患1~3种慢性病(OR=1.986,95%CI=[1.562-2.526])和患3种以上慢性病(OR=4.303,95%CI=[1.369-13.527])、曾经吸烟(OR=1.690,95%CI=[1.121-2.546])是超重/肥胖的危险因素;决策树分析结果显示,首先影响超重/肥胖患病率的是慢性病患病种类,模型中自变量重要性依次为年龄、慢性病患病种类、工作日睡眠和职业分组。3.在不同文化水平下超重/肥胖者生活质量与正常人群有差异,超重/肥胖者生理领域、心理领域、社会领域和环境领域生活质量得分分别为64.65±12.51、65.91±12.05、65.52±12.01、62.52±11.58;患慢性病种类越多、年龄越大和女性是超重/肥胖患者生理领域危险因素,饮酒是社会领域危险因素,饮酒和服务业人员是环境领域危险因素,文化程度是生活质量各领域的保护因素。结论1.本次调查的人群超重和肥胖率处于较高水平;女性BMI肥胖率和腰围肥胖率高于男性;男性BMI肥胖率、女性腰围和WHt R肥胖率、人群总腰围和WHt R肥胖率随年龄的增长而下降。2.Logistic回归分析显示年龄、职业、慢性病患病种类、吸烟状况和睡眠时间是影响超重/肥胖患病率的主要因素,决策树分析出这些自变量重要性依次为年龄、慢性病种类、工作日睡眠和职业。3.在不同文化水平下超重/肥胖者生活质量与正常人群有差异,影响超重/肥胖人群生活质量的因素有慢性病种类、年龄、女性、饮酒、服务业人员和文化水平。
[Abstract]:Objective to understand the prevalence of overweight and obesity and their quality of life among residents over 35 years of age in Shiyan urban community, and to analyze the influencing factors of overweight, obesity and quality of life, and to put forward the community management countermeasures of overweight and obesity. Methods the stratified multi-stage random sampling method was used to select 1388 community residents over 35 years old who met the inclusion criteria. The questionnaire designed jointly by the National Cardiovascular Disease Center and Fuwei Cardiovascular Hospital of the Chinese Academy of Medical Sciences was used to investigate. Epidata software is used for independent double input, SPSS21.0 software R3.3.3 is used for data analysis, chi-square test / t test and variance analysis are used after consistency test. Multiple linear regression and Logistic regression were used to analyze the data. Result 1. When BMI is taken as the index, the overweight rate of male is 40.6, obesity rate is 13.6 and female overweight rate is 37.3 percent, obesity rate is 17.9, total overweight rate of people is 38.9 and obesity rate is 18.9.The abdominal obesity rate of male is 20.4, female 27.0, total population 23.9when waist circumference is taken as index, The prevalence of abdominal obesity in male was 70.3%, that in female was 70.7, and that in total population was 67.30.The obesity rate of BMI and waist circumference in female were higher than that in male (70.3%, 70.7% and 67.3% respectively), and the rate of obesity in BMI, waist circumference and WHt R in female were higher than that in male. The rate of total waist circumference obesity and total WHt R obesity rate decreased with the increase of age. 2. Logistic regression analysis showed that age orb 0.988t95CIr = [0.980-0.997], sleep time 68h / day, sleep time 0.62595CI= [0.520-0.939] and sleep time 8 hours / day OR0.62595CI= [0.429-0.909] were the protective factors of overweight / obesity. The risk factors of overweight / obesity were OR1.645-95CII = [1.181-2.291], OR1.986c95CI= [1.562-2.526] and more than three chronic diseases (1.369-13.527). The risk factors of overweight / obesity were once smoking OR1.690 95CI= [1.121-2.546]. The results of decision tree analysis showed that the type of chronic disease affected the prevalence of overweight / obesity first. The importance of independent variables in the model is age, chronic disease type, working day sleep and occupational group. 3. The scores of QOL of overweight / obese patients were 64.65 卤12.51 卤65.91 卤12.05 卤65.52 卤12.01 卤62.52 卤11.58 in physiological, psychological, social and environmental fields, respectively. The older age and female were risk factors in physical field of overweight / obesity patients, alcohol consumption was risk factor in social domain, drinking and service personnel were risk factors in environmental field, and education level was the protective factor in every field of quality of life. Conclusion 1. The prevalence of overweight and obesity in the population surveyed was high; the obesity rate of BMI and waist circumference in women was higher than that in men; the obesity rate of BMI in men, waist circumference and WHt R in women was higher than that in men. The total waist circumference and WHt R obesity rate decreased with age. 2. Logistic regression analysis showed that age, occupation, type of chronic disease, smoking status and sleep time were the main factors influencing the prevalence of overweight / obesity. The decision tree analyzed the importance of these independent variables in order of age, chronic disease type, working day sleep and occupation. 3. The quality of life of overweight / obese persons was different from that of normal population under different education level. The factors influencing the quality of life of overweight / obese people were chronic diseases, age, women, alcohol consumption, service personnel and education level.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R589.2

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