山东省中西部农村居民肥胖与高血压和糖尿病的关系  

Analysis on Relationship of Overweight and Obesity with Hypertension and Diabetes Mellitus among Rural Residents in Midwestern Areas of Shandong Province,China

作　　者：郭晓雷[1] 白同禹[2] 苏军英[1] 于洋[3] 王维夫[4] 刘甲野[3] 

机构地区：[1]山东省疾病预防控制中心慢性非传染性疾病防制所,山东济南250014 [2]山东省卫生厅,山东济南250014 [3]山东大学公共卫生学院,山东济南250012 [4]山东大学卫生管理与政策研究中心,山东济南250012

出　　处：《中国慢性病预防与控制》2009年第5期451-454,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：卢森堡-WHO-山东省农村卫生人员培训与慢病控制项目(WP/2006/CHN/NCD/2.4/001)

摘　　要：目的研究超重、肥胖和中心性肥胖与糖尿病(DM)、高血压之间的关系。方法按照多阶段分层随机抽样原则,对山东省中西部农村居民16388人进行问卷调查并测量身高、体重、腰围、血压、空腹血糖。空腹血糖在6.1～7.0mmol/L间复做口服葡萄糖耐量试验(OGTT)。分析超重肥胖、中心性肥胖与糖尿病和高血压患病率间的关系。结果超重、肥胖、中心性肥胖患病率分别为35.28%,15.31%,40.63%,DM患病率为4.27%,高血压患病率为43.8%,DM和高血压患病率随BMI和腰围的增加而升高,经χ2趋势检验,有统计学意义(P<0.05)。经分层分析,高血压患病率随BMI和腰围增加而升高,DM患病率随腰围增加而升高(P<0.05),随BMI增加,DM患病率并无上升(P>0.05)。多因素Logistic回归分析证实,高血压患病危险性与BMI和腰围相关(P<0.05),而DM仅与腰围有关(P<0.05),与BMI无关(P>0.05)。结论超重、肥胖和中心性肥胖与高血压、糖尿病关系密切。必须加强超重、肥胖和中心性肥胖的干预控制工作。Objective To analyze the relationship of overweight and obesity with hypertension and diabetes mellitus （DM） among rural residents aged 〉25 yrs in midwestern areas of Shandong province. Methods According to the principle of multistage and randomization, a sample of 16 388 rural residents was selected and investigated. All participants were interviewed with standard questionnaire and physically examined on body height, weight, waist circumference and fasting plasma glucose （FPG）. Subjects with FPG value ranging from 6.1 to 7.0mmol/L would be re-examined through oral glucose tolerance test（OGTT）. The relationship of overweight and obesity with central obesity and NCD was analyzed. Results The crude prevalence of overweight, obesity, central obesity was 35.28%, 15.31%, 40.63%. The crude prevalence of DM and hypertension was 4.27% and 43.80%. With the increasing of waist circumference and BMI, the prevalence of DM and hypertension increased, 2 trend tests were significant （P〈0.05）. By stratified analysis, with the increasing of waist circumference and BMI, the prevalence of hypertension increased, and with the increasing of waist circumference, the prevalence of DM increased（P〈0.05）, but with the increasing of BMI, the prevalence of DM did not increase（P〉0.05）. Multivariate logistic regression analysis confirmed that the risk of hypertension associated with BMI and waist circumference（P〈0.05）, but DM associated with waist circumference only（P〈0.05）. Conclusion Overweight, obesity and central obesity have a close relationship with the prevalence of NCD. So, it is necessary to enhance intervention on overweight, obesity and central obesity.

关 键 词：超重 肥胖 中心性肥胖 高血压 糖尿病 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]