西藏部分地区干部超重和肥胖患病情况与防治策略浅析  

Analysis on Prevalence of Obesity and Overweight of Cadres in Certain Tibet Areas and its Control Strategies

作　　者：闫敏[1] 关志峰 陈勇[1] 杨荣[1] 

机构地区：[1]西藏自治区人民医院,西藏拉萨850000 [2]西藏自治区卫生厅干部保健处

出　　处：《实用预防医学》2007年第2期296-300,共5页Practical Preventive Medicine

基　　金：西藏自治区软科学研究项目(编号2006-014)

摘　　要：目的了解目前西藏部分地区干部患超重和肥胖的患病现状，探讨高原地区超重和肥胖的患病因素与相关疾病的关系，以及防治策略。为更好地做好西藏医疗保健工作提供依据。方法对不同海拔696名干部的体检资料进行分析，针对发现的问题提出防治策略。结果BMI总体水平有随着年龄增长而增高的趋势。男性高于女性，藏族高于汉族。超重和肥胖患病（检出）率为50．43％，与民族x^2=8．792、性别x^2=12．222、年龄x^2=40．888之间有关（P〈0．05），藏族明显高于汉族，男性明显高于女性，随着年龄增长有一定上升趋势，主要发生在51～60岁组。超重肥胖组、非肥胖组血脂（TC、TG）水平与藏汉族、男女性别关系分析，TC水平藏族较汉族高；TG水平汉族高于藏族。TC水平在非肥胖组男性高于女性；TG水平男性高于女性。不同海拔（即〉3800m组和3650m两组）超重和肥胖患病率分析：在〉3800m组为79．66％，3650m组为47．72％；两组藏汉族在3650m组藏族为56．25％、汉族为39．94％；男女性别在3650m组男性为53．81％、女性为28．29％；在〉3800m组患病率，藏汉族之间、男女性别之间比较无统计学意义。患超重和肥胖人群与高血压、FBG、HUA、TG↑、HDL—C↓及脂肪肝的患病有明显的伴随关系。结论超重和肥胖患病（检出）率为50．43％，我们认为造成西藏高原藏、汉族超重和肥胖及相关疾病（高血压、FBG、HUA、血脂异常及脂肪肝）的主要原因：可能除了与他们不同的生活习惯、不合理的膳食结构、缺乏体育锻炼有关以外，也与高原缺氧及特殊的地理气候环境有关。在高原，应重视干部的定期体检、休假和健康教育，做好预防和保健工作。Objective To know the obesity and overweight＇s prevalence of the cadres in certain Tibet areas, and to survey the relation of risk factors for obesity and overweight and the related diseases in plateau area, and the control strategies for providing scientific basis of health policy in Tibet. Method The physical examination data of 696 cadres in different altitude were reviewed, and then presented the control strategy for the discoverable problems. Results The overall level of BMI had a tendency toward rising with the increase of age. The males were above the females, and the Tibetans above the Hans. The detectable rate of obesity and overweight was 50.34 %, and it was related with nationality （X2 = 8. 792）, sex （X^2 =12. 222）, and age （X^2 = 40. 888）; the Tibetans were significantly above the Hans, the males significantly above the females, and it showed a tendency toward rising with the increase of age, mostly in the 51 - 60 years group. Comparison of blood lipid profiles （TC and TG） between the overweight group and the normal group with the nationality and sex was found that TC of the Tibetans was higher than that of the Hans, TG of the Hans above the Tibetans, TO of males above females in the normal group; TG of males was higher than that of females. An analysis of incidence of obesity and overweight in different altitude（ 〉 3,800 group and 3,650 group）, found that the 〉 3,800 group was ？9.66 %, and the 3,650 group was 4？. ？2 % ; both in the 3,650 group the Tibetans were 56.25 %, and the Hans 39.94 %; both sexes in the 3,650 group males was 53.81% and females 28.29 % ; and the morbidity in the 〉 3,800 group showed no statistical significant difference between the nationality and genders. People suffered from obesity and overweight were closely associated with hypertension, FBG, HUA, high TG, low HDL - C and fatty liver. Conclusions The detected incidence of obesity and overweight was 50.34 %, and it is considered that the major cause of obesity and overweight and its related d

关 键 词：西藏 干部 超重 肥胖 防治 

分 类 号：R589.2[医药卫生—内分泌]