【摘要】：目的了解青島市35~74歲居民代謝正常型肥胖流行特征及影響因素。方法于2009-2011年利用多階段分層整群抽樣方法對(duì)青島市35~74歲共5 095名居民進(jìn)行現(xiàn)場(chǎng)問(wèn)卷調(diào)查和體格檢查,并采集血樣進(jìn)行實(shí)驗(yàn)室檢測(cè),利用腰圍來(lái)定義肥胖,血壓、血糖、血脂來(lái)定義代謝正常型肥胖,采用X~2檢驗(yàn)、F檢驗(yàn)等進(jìn)行流行特征分析,logistic回歸進(jìn)行影響因素分析。結(jié)果共發(fā)現(xiàn)代謝正常型肥胖215人,占肥胖總?cè)藬?shù)的10.65%,與代謝異常型肥胖者相比,表現(xiàn)為在女性占比較高(P0.001)、年齡較小(P0.001)、工作較好且學(xué)歷較高(P=0.003和0.013),吸煙飲酒率低(P0.001),BMI較小(P0.001);多因素logistic回歸分析發(fā)現(xiàn)代謝正常型肥胖的影響因素有年齡、城鄉(xiāng)、飲酒、工作、體質(zhì)指數(shù)、平均動(dòng)脈壓、谷丙轉(zhuǎn)氨酶水平、血清總膽固醇、甘油三酯和血糖。結(jié)論代謝正常型肥胖具有其獨(dú)有的特征,多種因素可影響代謝正常型肥胖的形成。
[Abstract]:Objective to investigate the epidemic characteristics and influencing factors of normal metabolic obesity in 35 ~ 74 years old residents in Qingdao. Methods from 2009 to 2011, 5,095 residents aged 35 to 74 years old in Qingdao were investigated by multi-stage stratified cluster sampling, and blood samples were collected for laboratory examination. Obesity, blood pressure and blood glucose were defined by waist circumference. Normal metabolic obesity was defined by blood lipids, and logistic regression was used to analyze the influencing factors by using X2 test and F test. Results A total of 215 subjects (10.65%) were found to be obese with normal metabolism, compared with those with abnormal metabolism. The results of multivariate logistic regression analysis showed that women had higher proportion (P0. 001), younger age (P0. 001), better work and higher education (P0. 003 and 0.013), lower smoking and drinking rate (P0. 001) and lower BMI (P0. 001). Multivariate logistic regression analysis showed that the influencing factors of normal metabolic obesity were age, urban and rural areas, drinking and working. Body mass index, mean arterial pressure, alanine aminotransferase level, serum total cholesterol, triglyceride, and blood sugar. Conclusion Metabolic normal obesity has its unique characteristics, and many factors may influence the formation of metabolic normal obesity.
【作者單位】： 青島市疾病預(yù)防控制中心;
【基金】：世界糖尿病基金會(huì)支持項(xiàng)目(WDF07-308) 青島市醫(yī)療衛(wèi)生優(yōu)秀人才培養(yǎng)項(xiàng)目
【分類(lèi)號(hào)】：R589.2

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