2010—2012年貴州省5個(gè)監(jiān)測(cè)地區(qū)成人超重肥胖流行現(xiàn)狀及與慢性病的關(guān)系
發(fā)布時(shí)間:2018-05-05 08:52
本文選題:超重 + 肥胖; 參考:《衛(wèi)生研究》2017年01期
【摘要】:目的了解貴州省5個(gè)監(jiān)測(cè)地區(qū)成人超重肥胖流行現(xiàn)狀,并分析與慢性病的關(guān)系。方法采取多階段分層整群隨機(jī)抽樣的方法,對(duì)2010—2012年"中國居民營養(yǎng)與健康狀況監(jiān)測(cè)"中貴州省云巖區(qū)、白云區(qū)、德江縣、黔西縣及三穗縣5個(gè)監(jiān)測(cè)地區(qū)3682名18歲及以上常住人群進(jìn)行身高、體重、血壓測(cè)量和總膽固醇(TC)、甘油三酯(TG)、高密度脂蛋白膽固醇(HDL-C)、血糖的測(cè)定。分析超重、肥胖及中心型肥胖在人群的分布及與糖尿病、血脂異常和高血壓的關(guān)系。結(jié)果貴州省5個(gè)監(jiān)測(cè)地區(qū)成人超重率為27.0%,肥胖率為7.5%,中心型肥胖率為16.9%。男性和女性的中心型肥胖率均隨年齡的增長呈上升趨勢(shì),且中心型肥胖率以老年人(≥60歲)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)。在控制年齡、性別、地區(qū)因素的情況下,超重者患糖尿病、血脂異常和高血壓風(fēng)險(xiǎn)分別為非超重者的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、血脂異常和高血壓的風(fēng)險(xiǎn)則是非肥胖者的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);中心型肥胖會(huì)增加患糖尿病(OR=2.18,95%CI 1.58~3.01,P0.001)及高血壓(OR=2.2,95%CI 1.74~2.57,P0.001)的風(fēng)險(xiǎn)。結(jié)論成人超重與肥胖是糖尿病、血脂異常和高血壓發(fā)生的危險(xiǎn)因素,中心型肥胖則是高血壓和糖尿病發(fā)生的危險(xiǎn)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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