德清农村社区成人超重现况及其与空腹血糖异常的关系研究  

Prevalence of overweight and its relationship with hyperglycaemia in adults of rural communities in Deqing County,China

作　　者：卫国荣[1] 付朝伟[1] 王法弟[2] 王学才[2] 宋建根[2] 陈跃[3] 姜庆五[1] 

机构地区：[1]复旦大学公共卫生学院流行病学教研室,公共卫生安全教育部重点实验室,上海200032 [2]浙江省德清县疾病预防控制中心 [3]加拿大渥太华大学医学院,Ontario K1H 8M5

出　　处：《卫生研究》2011年第1期74-77,共4页Journal of Hygiene Research

基　　金：复旦大学研究生创新基金(No.EYF201019);上海市重点学科建设(No.B118)资助项目

摘　　要：目的了解当前农村社区成人居民超重状况及其与空腹血糖异常的关系。方法采用流行病学现况研究设计,整群抽取浙江省德清县4个农村社区,使用统一调查表面对面调查上述社区中所有18～64周岁的社区户籍居民5840人的一般人口特征和健康相关内容,同时测量身高、体重、空腹血糖等指标。利用Epidata 3.1中文版建立数据库,SPSS 16.0进行数据分析。结果在5840名调查对象中,平均BMI为22.7±11.6,超重率25.1%,肥胖率3.8%(按照2000年全国人口进行年龄性别标化,标化的超重率为21.8%)。从年龄分布看,无论男性还是女性社区居民的超重率均在35岁之后明显增加,表现出一定的年龄趋势(男:χ2趋势=5.61,P=0.018;女:χ2趋势=50.96,P<0.001;合并:χ2趋势=14.05,P<0.001)。校正了年龄、性别、吸烟、饮酒和规律体育锻炼后,在多分类Logistic回归模型中,与非超重居民相比,超重与较高的空腹血糖受损和糖尿病风险有关,其调整OR(aOR)分别为1.8(95%CI 1.34～2.37)和3.7(95%CI 2.42～5.65),BMI每增加一个单位,空腹血糖受损和糖尿病的风险分别增加14%和24%(aOR=1.14,95%CI 1.10～1.20;aOR=1.24,95%CI 1.16～1.32)。结论德清农村社区成人居民超重率较高,超重既与糖尿病密切相关也与空腹血糖受损有关,值得进一步研究与监测。Objective To understand the prevalence of overweight and its relationship with hyperglyceamia in adults in rural Deqing county,China.Method A cross-sectional study was carried out in four rural communities randomly sampled from Deqing county,Zhejiang province,China.A total of 5840 subjects aged 18 to 64 years participated in this study.General demographics and items related to health were collected and the length,weight,fast glucose etc of subjects were measured.EpiData 3.1（Chinese version） was used to manage the data and SPSS 16.0 was used for statistical analysis.Result The average BMI was 22.7 ± 11.6kg /m^2,the crude prevalence of overweight was 25.1%（of obesity was 3.8%） and the age-gender-standardized prevalence of overweight was 21.8%.There was a significantly higher trend of overweight with age regardless of gender,especially after 35 years old（χ^2Trend = 5.61,P = 0.018 for men;χ^2Trend = 50.96,P〈0.001 for women;χ^2Trend = 14.05,P〈0.001）.The risk of impaired fasting glucose（IFG） and diabetes mellitus（DM）（adjusted OR = 1.8,95% CI 1.34-2.37 and 3.7,95% CI 2.42-5.65,respectively） in subjects with overweight was significantly higher than that in subjects without overweight /obesity in the multinomial Logistic model;and the risk of IFG and DM was increased 14% and 24%respectively with the increase of one BMI unit（adjusted OR = 1.14,95% CI： 1.10-1.20 and adjusted OR =1.24,95% CI 1.16-1.32,respectively）.Conclusion The prevalence of overweight in adults aged 18 to 64 yearsold was high in rural Deqing,which was significantly associated with IFG and DM.

关 键 词：BMI 糖尿病 农村 成人 社区 

分 类 号：R181.37[医药卫生—流行病学] R587.1[医药卫生—公共卫生与预防医学]