陕西省汉中地区农村男性居民吸烟行为与肥胖的关系  

Relationships between smoking behavior and obesity in men from 9 rural districts of Hanzhong in Shaanxi province

作　　者：任琳[1] 裴磊磊[1] 颜虹[1] 党少农[1] 李强[1] 赵亚玲[1] 刘小宁[1] 杨睿海[2] 任勇[2] 

机构地区：[1]西安交通大学医学院公共卫生系卫生统计学教研室,710061 [2]汉中市人民医院心内科

出　　处：《中华流行病学杂志》2012年第9期907-911,共5页Chinese Journal of Epidemiology

基　　金：美国中华医学基金会（08-925）

摘　　要：目的探讨陕两省汉中农村地区男性居民的吸烟行为与不同百分位点上BMI和腰围（WC）的关系。方法利用2010年汉中农村居民健康调查的数据进行分析，将BMI（wc）和吸烟状况（程度）分别以因变量和自变量纳入分位数回归模型，并控制相关混杂因素。结果调查汉中市农村地区男性居民1039人；超重和肥胖率分别为28．0％和5．9％，中心性肥胖率为35．0％，现在吸烟率为63．6％；分位数回归结果表明，当BMI处于第80百分位点（BMI=24．4）及以上时，已戒烟者、不吸烟者与现在吸烟者的BMI差异无统计学意义；当BMI处于第90百分位点（BMI=24．9）及以上时，随着BMI的增加，与轻度吸烟者相比，重度吸烟者BMI增加的幅度随之增加；当WC处于第95百分位点时（WC=96．7cm），现在吸烟者的WC显著高于已戒烟者；WC第85百分位点（wc=89．9cm）及以上时，随着WC增加，中度和重度吸烟者的WC幅度随之增加。结论吸烟状况和吸烟程度对不同百分位点上的BMI和WC的影响不一致，在较高百分位点上，随着吸烟程度的加深，BMI和WC增加的更明显，应大力倡导肥胖者戒烟。Objective To examine the relationship between cigarette smoking and body mass index （BMI） as well as waist circumference （WC） of men from 9 rural districts of Hanzhong, Shaanxi province. Methods Cross-sectional data was analyzed from Hanzhong Health Survey on rural residents in 2010. Quantile regression mode was used to compare the results using the BMI （WC） and smoking status （degree） as the dependent variables and independent variable and confounding factors were also controlled. Results 1039 rmale residents of rural areas of Hanzhong city were investigated. The prevalence rates on overweight and obesity among the males were 28.0% and 5.9%, with central obesity as 35.0% and the rate of current cigarette smoking was 63.6% in the areas. Results from the quantile regression showed that the relationship between smoking status and BMI beyond 80 percentile in men （BMI-----24.4） which was not significantly different BMI among the heavy smokers, was much higher than those mild smokers beyond 90 percentile （BMI=24.9）. WC of the current smokers was significantly higher than those ex-smokers beyond the 95 percentile （WC=96.7 cm）. WCs of the moderate and heavy smokers had an increase along with the increase of WCs beyond the 85 percentiles （WC=89.9 cm）. Conclusion The effect of smoking status and BMI （WC） were inconsistent, however, with BMI and WC increased among the subjects whose BMI or WC were at the high extreme end of the distribution. Thus, we should advise the obese subjects to quit smoking.

关 键 词：吸烟 体重指数 腰围 分位数回归 

分 类 号：R589.2[医药卫生—内分泌]