长沙地区50岁以上常住居民超重及肥胖的流行病学调查  

Epidemiological Investigation of Overweight and Obesity Inhabitants Aged over 50 in Changsha

作　　者：曾凤[1] 刘运海[1] 杨期东[1] 周琳[1] 王玮[1] 刘元[1] 孙新刚[1] 田田[1] 靳欣[1] 李灵娟[1] 

机构地区：[1]中南大学湘雅医院神经内科湖南省脑血管病研究中心,湖南省长沙市41008

出　　处：《中国卒中杂志》2010年第9期700-705,共6页Chinese Journal of Stroke

基　　金：国家"十一五"脑血管病科技攻关项目国家"十一五"科技支撑计划课题(2007BA124B03)

摘　　要：目的调查长沙市50岁以上人群超重和肥胖的流行特征,为制定相应的干预措施提供科学依据。方法采用分层整群随机抽样的方法,以长沙市天心区20个社区作为调查点,对50～90岁常住居民超重和肥胖的相关因素进行调查,并调查不同体质量人群中的高血压分布。结果该地区人群超重及肥胖患病率分别为38.9%和6.1%,女性超重和肥胖患病率为33.1%和5.3%,男性为46.8%和7.1%,男性明显高于女性(P均<0.01)。60～69岁人群超重的发生率较50～59岁和70～90岁人群高(P=0.032,0.005)。经多元逐步回归分析发现,年龄、性别、劳动强度、吸烟、饮酒与体质指数(body mass index,BMI)有相关性,高血压的患病率与BMI呈正比。结论长沙市50岁以上人群超重和肥胖患病率较高,尤其是男性;影响BMI的主要因素有年龄、性别、劳动强度、吸烟和饮酒等;随着BMI增加,高血压患病率增加。Objective To study the general characteristics of the over 50-year old populations with overweight and obesity in Changsha; to further provide the basis in exploring intervention measures accordingly. Methods Using stratified cluster random sampling, 20 communities were selected from Tianxin District of Changsha as the investigation subjects. In each sample, the correlation study of overweight and obesity were conducted among the over 50-year old permanent residents, and the hypertensive distribution in different body weight groups of the population was investigated at the same time. Results The prevalence rate of overweight was 38,9%, and with male being 46.8%, female being 33.1%, and that of obesity was 6.1%, with male being 7.1%, female being 5.3%, respectively. The prevalence rate between men and women in terms of overweight and obesity demonstrated a statistical significance. The prevalence rate of overweight in 60-69 years old group was higher than that in 50-59 and 70-90 years old groups（P=0.032, 0.005）. As multiple linear regression showed that age, gender, labor intensity, smoking, drit^king were significantly associated with body mass index（BMl）, which was positively correlated with hypertension. Conclusion The prevalence of overweight and obesity in Changsha showed higher among the elder populations, especially in male. Age, sex, labor, smoking and drinking are predominant influences in BMI which implies that a comprehensive intervention should be taken to decrease overweight and obesity in populations, it plays an important role in the incidence of hypertension reduction.

关 键 词：超重 肥胖 患病率 高血压 流行病学 

分 类 号：R589.2[医药卫生—内分泌] R181.3[医药卫生—内科学]