7039例不同体质指数成人肥胖相关知识、态度和行为调查  

Study on Obesity-related Knowledge,Attitude and Behaviour(KAB) in 7 039 Adults with Different Body Mass Index

作　　者：颜流霞[1] 陈晓荣[1] 陈波[1] 董忠[2] 张新卫[3] 李剑虹[1] 白雅敏[1] 冯雅靖[1] 赵文华[1] 

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]北京市疾病预防控制中心慢性病防治所 [3]浙江省疾病预防控制中心慢性病防治所

出　　处：《中国慢性病预防与控制》2011年第5期458-461,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金："十一五"国家科技支撑课题(2008BAI56B04)

摘　　要：目的了解不同体质指数成人肥胖相关知识的获取以及知识、态度和行为现况。方法 2010年4—6月,在北京市海淀区和顺义区,浙江省嘉兴市和桐乡市采用整群随机抽样的方法,选择35～60岁成人进行面对面问卷调查,收集人口学信息、肥胖相关知识和态度、膳食和身体活动信息,并测量了身高和体重。以体质指数≥18.5kg/m2者为调查对象。结果 7039人中,正常体重、超重和肥胖者分别占41.7%、39.0%和19.3%,肥胖相关知识获取率分别为21.7%、25.1%和25.6%,差异有统计学意义(P=0.02)。各种肥胖知识的知晓率为0.7%～43.9%,不同体质指数人群知晓率差异无统计学意义。超重和肥胖者在"肥胖对健康有影响"、"有必要控制烹调用油量"等问题持肯定态度的比例显著高于正常体重者(均P<0.05)。超重和肥胖者至少每季度测量一次体重的比例(66.3%和65.9%)高于正常体重者(62.0%),食用油炸食物的比例(41.1%和47.3%)高于正常体重者(38.4%),食用油消费量超过25g/d的比例(70.4%和79.3%)高于正常者(65.8%),业余静态时间在4h/d以上者比例(22.6%和25.0%)高于正常体重者(19.6%),差异均有统计学意义(P<0.05)。结论不同体质指数成人肥胖相关知识的获取和知晓均有待提高,超重和肥胖者高脂食物消费和业余静态生活方式等行为高于正常体重者,应加强针对性健康教育和干预。Objective To investigate the obesity-related knowledge, attitude and behavior （KAB） in aduhs with different body mass index （BMI）. Methods Subjects aged 35-60 years old from Shunyi and Haidian District in Beijing and Jiaxing and Tongxiang in Zhejiang province were recruited by cluster sampling from April to June in 20101 Face to face questionnaire interview was conducted and height and weight were measured. Subjects with BMI above 18.5 kg/m2 were used in the analysis. Results 41.7%, 39.0% and 19.3% of the subjects were normal weight, overweight and obesity according to their BMI. 21.7% of the normal weight and 25.1% and 25.6% of the overweight and obesity had acquired obesity-related knowledge （P=0.02）. The awareness rate of the listed obesity-related knowledge was 0.7%-43.9%, which was not significant between different BMI groups. Overweight and obesity subjects had higher positive attitude on the negative health impact of obesity on health and the necessary to control oil consumption than the normal weight did （P〈0.05 for all）. 66.3% of the overweight and 65.9% of the obesity took body weight measurement once quarterly at least, which was significantly higher than the normal weight （62.0%） did. 41.1% of the overweight and 47.3% of the obesity consumed fried food, while was significantly higher than the normal weight subjects （38.4%）. The proportion of those whose daily oil consumption over the recommendation by the Chinese dietary guideline （〉25 g/d） and sedentary hour in the leisure-time over 4 hours per day was higher in the overweight （70.3% and 22.6%） and obesity （79.3% and 25.0%） than that in the normal weight （65.8% and 19.6%）, all P〈0.05. Conclusion The knowledge acquirement and awareness is not satisfied in all the subjects. The fried food , oil consumption and sedentary lifestyle in leisure-time is higher in the overweight and obesity subjects. Further health education and intervention should be strengthened.

关 键 词：超重 肥胖 知识 态度 行为 

分 类 号：R589.2[医药卫生—内分泌]