唐山市45～64岁城乡居民超重肥胖流行现状调查  

Prevalence of overweight and obesity among urban and rural residents aged 45-64 years in Tangshan city

作　　者：张志坤[1] 刘丹[1] 符金鹏 杨梅 张晓慧[1] 何金奎[1] 项东[1] 高庆华[1] 张绍文[1] 

机构地区：[1]唐山市疾病预防控制中心,河北063000 [2]遵化市疾病预防控制中心 [3]玉田县疾病预防控制中心

出　　处：《中国公共卫生》2013年第6期805-808,共4页Chinese Journal of Public Health

基　　金：唐山市科学技术研究与发展指导计划课题(09130235a)

摘　　要：目的了解河北省唐山市45～64岁城乡居民肥胖流行现状,为采取干预措施提供参考依据。方法采用随机整群抽样方法对在河北省唐山市14个县(市)区抽取的5 759名45～64岁城乡居民进行问卷调查和体格检查。结果按WHO成人体质指数(BMI)分类标准,唐山市城乡居民超重率、超重/肥胖率、肥胖率分别为44.0%、12.3%、56.3%,男性和女性居民分别为41.3%和45.5%、50.0%和59.7%、8.7%和14.2%,男性居民超重率、超重/肥胖率和肥胖率均低于女性居民(P<0.01);按中国成人超重和肥胖症预防控制指南,唐山市城乡居民超重率、肥胖率、超重/肥胖率、中心性肥胖率分别为43.3%、24.8%、68.1%、73.5%,男性和女性居民分别为44.6%和42.5%、18.6%和28.2%、63.2%和70.7%、65.2%和77.9%,男性居民肥胖率、超重/肥胖率和中心性肥胖率均低于女性居民(P=0.000),男性和女性居民超重率间差异无统计学意义(P>0.05);按中国成人血脂异常防治指南推荐标准,中心性肥胖率为54.1%,男性居民中心性肥胖率为48.1%,低于女性居民的57.3%,差异有统计学意义(χ2=44.59,P=0.000);按WHO成人BMI分类标准,不同年龄男性居民和不同文化程度女性居民肥胖率均不同(P<0.05);按中国成人超重和肥胖症预防控制指南,不同年龄、文化程度男性居民和不同文化程度女性居民肥胖率均不同(P<0.05),不同文化程度、地区男性居民和不同年龄、文化程度、地区女性居民中心性肥胖率均不同(P<0.05);按中国成人血脂异常防治指南推荐标准,不同年龄、文化程度、地区男性和女性居民中心性肥胖率均不同(P<0.05)。结论唐山市45～64岁城乡居民超重和肥胖率较高,女性居民超重/肥胖率、肥胖率和中心性肥胖率均高于男性居民。Objective To investigate the prevalences of overweight/obesity and central obesity among urban and rural residents of Tangshan city.Methods From March to April of 2009,a total of 5 759 urban and rural residents aged 45-64 years were selected from Tangshan city using random cluster sampling for a cross-sectional survey.Weight,height and waist circumference（WC） were measured,and body mass index（BMI） was calculated as weight in kilograms divided by the square of height in meters（kg/m2）.Results The prevalence of overweight was 44.0%（41.3% for men,45.5% for women;P=0.002） and the prevalence of obesity was 12.3%（8.7% for men,14.2% for women;P=0.000） and that of overweight/obesity was 56.3%（50.0% for men,59.7% for women;P=0.000） according to the criteria of WHO,2000,with significantly higher prevalences in men compared to those of women（P〈0.05 for all）.When body size was categorized according to the Chinese criteria,the prevalence of overweight（BMI：24.0-27.9 kg/m2） was 43.3%（44.6% for men,42.5% for women;P〈0.05）;the prevalence of obesity（BMI：≥28.0 kg/m2） was 24.8%（18.6% for men,28.2% for women;P=0.000）;the prevalence of overweight/obesity was 68.1%（63.2% for men,70.7%for women;P=0.000） and that of central obesity（WC：≥ 85 cm for men,≥80 cm for women） was 73.5%（65.2% for men,77.9% for women;P=0.000）.However,in men,there were significant differences in the prevalence of obesity（BMI ≥28.0 kg/m2） for the residents of different age（P〈0.05） and education（P〈0.01）,Moreover,among both men and women there were significant differences in the prevalence of central obesity（WC ≥ 85/80 cm） among the residents with different education and region（P〈0.05）.In the women,an increased risk of central obesity was associated with age increment（P〈0.01）.According to Chinese standard for adult dyslipidemia prevention,the prevalence of central obesity of men（WC ≥ 90 cm for men,≥85 cm for women） was 54.1%,with a significantly lower pre

关 键 词：肥胖 中心性肥胖 体质指数(BMI) 腰围 城乡居民 

分 类 号：R589.2[医药卫生—内分泌]