宜昌市职业人群肥胖情况的流行病学调查  

Epidemiology investigation of obesity in Yichang professional crowd

作　　者：罗春华[1,2] 龚峰[1,2] 刘敏[1,2] 杨绍玉[1,3] 李雪莉[1,3] 

机构地区：[1]三峡大学第一临床医学院 [2]湖北省宜昌市中心人民医院检验科,443003 [3]湖北省宜昌市中心人民医院体检科,443003

出　　处：《重庆医学》2015年第13期1827-1829,1832,共4页Chongqing medicine

基　　金：湖北省宜昌市科技攻关项目(A09302-20)

摘　　要：目的调查宜昌市职业人群中肥胖患病规律及其与代谢综合征(MS)的关系。方法抽样调查宜昌市城区15个单位职业人群共6 450人,对其进行体格检查,检测总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)、葡萄糖(GLU)、尿酸(UA)、C反应蛋白(CRP)水平。结果宜昌市职业人群肥胖的发病率为30.34%,其中男性为39.34%,女性为21.00%(P<0.01)。肥胖人群中MS患病率明显高于非肥胖人群(P<0.01);与对照组比较,肥胖组收缩压(SBP)、舒张压(DBP)、TG、CRP、LDL-C、GLU、UA水平均升高,HDL-C下降(P<0.01)。不同职业人群中,肥胖患病率从高至低依次为离退休、自由职业、企业、事业单位、公务员、教师、警察组。结论肥胖是MS的重要危险因素,肥胖患者MS患病率显著增高。Objective To investigate the characteristics of obesity among professional crowd in Yichang city and its correla- tion with metabolic syndrome（MS）. Methods The physical check-up was performed and fasting blood TCH, HDL-C,LDL-C,TG, GLU,UA and CRP levels were measured in 6 450 professional people from 15 companies of Yichang city. The results were analyzed. Results The total prevalence rate of obesity in Yichang professional crowd was 30.34%, which was 39.34% in males and 21.00% in females（P〈0. 01）. The prevalence rate of MS in obesity crowd was higher than that in non-obesity crowd,the difference was statistically significant（P〈0.01）; compared with control group, SBP, DBP, TG, CRP, LDL-C, GLU and UA levels in the obesity group were increased, while the HDL-C level was decreased, the differences were statistically significant（P%0. 01）. The prevalence rates of obesity in different occupational groups from high to low were retired group,liberal professions group, enterprise unit group,public institution group,civil servants group,teachers group and police groups. Conclusion Obesity is an important risk factor for MS and the prevalence rate of MS is significantly increased in the patients with obesity.

关 键 词：肥胖 流行病学研究 宜昌市 职业人群 

分 类 号：R589.2[医药卫生—内分泌]