安徽省某地区老年人肥胖的流行特征及影响因素分析  

Analysis on epidemiological characteristics and influential factors of obesity in the elderly in the region of Anhui Province

作　　者：彭美玲[1] 苏虹[1] 王智化 范冬冬[1] 韩琴[1] 单晓伟[1] 王忱诚[1] 周洋洋[1] 宋健[1] 郭亮亮[1] 高继林[3] 

机构地区：[1]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032 [2]宣城市宣州区疾病预防控制中心,安徽宣城242000 [3]安徽医科大学第一临床学院,安徽合肥230032

出　　处：《中华疾病控制杂志》2013年第3期204-207,共4页Chinese Journal of Disease Control & Prevention

基　　金：安徽医科大学临床七年制学生"科研训练计划"项目(2011-ZQKY-05)

摘　　要：目的了解安徽省某地区老年人肥胖的流行现状,探讨老年人肥胖的影响因素。方法采用横断面调查方法,对安徽省某地区2 100名60岁以上老年人进行问卷调查,并进行身高、体重等指标的测量。结果共收回有效问卷1 960份。通过体质指数(body mass index,BMI)法测量有111名肥胖者,占总人数的5.7%,女性多于男性(2=34.96,P<0.001);腰围(waist circumference,WC)法测量有858名腹型肥胖者,占总人数的43.8%,女性多于男性(2=42.51,P<0.001);单因素分析显示,老年人肥胖与性别、年龄、职业、每月平均收入、对自己肥胖认知、是否喜欢吃甜食、饮食是否规律、是否锻炼和每天睡眠时间有关(均有P<0.05);多因素分析显示老年人肥胖与性别、年龄、职业、对自己肥胖认知、是否喜欢吃甜食、饮食是否规律和是否锻炼有关(均有P<0.05)。结论安徽省某地区老年人群肥胖现象比较严重,提示对老年人群的肥胖实施干预措施势在必行,对自己的体重有正确认知、适量运动、合理膳食对控制老年人群的体重,提高老年人群生活质量有促进作用。Objective To investigate the epidemiological characteristics of obesity in the elderly in some region of Anhui Province, and to explore the influential factors, so as to improve the quality of the health of the elderly. Methods 2 100 elderly people （age 〉 60） were randomly invited for the investigation by questionnaire and physical examination on height and weight and other indicators. Results There were 111 （5.7%） obesity in the 1 960 valid questionnaires by body mass index （BM1） measurement, which was more frequently in women than in men（ Zz = 34. 96, P 〈 0. 001 ） , while there were 858 （43.8%） abdominal obesity by waist circumference （WC）, which was more frequently in women than in men （X2 = 42.51 , P 〈 0. 001 ） ; Single factor analysis showed obesity was related with sex, age, occupation, economic level, self-perception of weight, sweet, enduring eating features, physical exercises and sleeping time（ all P 〈0. 05 ） ; Binary logistic regression analysis showed obesity were related with sex, age, occupation, attitude to the extent of obesity, sweet, di- etary, and physical exercises （ all P 〈 0. 05 ）. Conclusions Obesity is very serious in some region of Anhui Province. Right attitude, proper physical exercises, reasonable diets are important for the increase of life quality among the elderly people. It suggests that the policy and implementation of obesity prevention and treatment are necessary.

关 键 词：肥胖症 老年人 危险因素 

分 类 号：R589.2[医药卫生—内分泌] R181.1[医药卫生—内科学]