应城市不同性别居民中心性肥胖及影响因素分析  

Central obesity and its releted factors among different genders in general population of Yingcheng City

作　　者：代雅琪 张琰[1] 刘娟[1] 陈芳[1] 黄从新[1] 

机构地区：[1]武汉大学人民医院心内科,湖北武汉430060

出　　处：《中国医药导报》2015年第27期161-164,168,共5页China Medical Herald

基　　金："十二五"国家科技支撑计划项目(2011BAI11B01)

摘　　要：目的研究应城市不同性别居民中心性肥胖患病率及影响因素,为降低肥胖率及制订心血管疾病防治策略提供循证科学依据。方法采用横断面研究,在应城市随机抽取2156名居民(男1063名,女1093名)为研究对象,平均年龄(45.35±19.39)岁,通过问卷调查及体格检查的方法获取健康资料。数据分析采用SPSS 17.0软件,对可能与中心性肥胖有关的因素分别进行单因素和多因素Logistic回归分析。结果2156名受试者中超重率为23.3%,肥胖率为6.6%,其中,男性超重率和肥胖率分别为19.1%和4.9%,女性超重率和肥胖率分别为27.5%和8.3%。Logistic回归分析表明,BMI、基础代谢、内脏脂肪指数、高血压在男、女性人群中均为中心性肥胖的危险因素(P<0.05);而SBP(OR=1.021)、身体脂肪率(OR=1.123)、吸烟(OR=1.282)仅在男性中为中心性肥胖的危险因素;年龄(OR=1.023)仅在女性中为中心性肥胖的危险因素,饮酒(OR=0.445)在女性中为中心性肥胖的保护因素。结论不同性别间中心性肥胖的相关因素有差异。健康工作者应协助当地居民养成良好的生活方式,定期体格检查以降低中心性肥胖发生率,预防和阻止心血管等慢性疾病的发生和进展。Objective To investigate the prevalence of central obesity and its related factors among people living in Yingcheng City, so as to provide scientific basis for intervention strategies and health policies. Methods In a cross- sectional study, 2156 subjects （1063 men and 1093 women） were recruited, with average age of （43.35±19.39） years. Health data was obtained through questionnaires and physical examinations. Data was analyzed using SPSS 17.0 stastical software.Univariate and multivariate Logistic regression analysis was done to analyze factors which may relate to central obesity. Results The overall prevalence of mild central obesity and severe central obesity in general population of Yingcheng City was 23.3% and 6.6%, with male as 19.1%, 4.9% and female as 27.5%, 8.3%. Results of the multi- variate Logistic regression analysis revealed that the risk factors of central obesity in both men and women were BMI, basal metabolism,visceral fat index and high blood pressure; the independent risk factors of central obesity in men were SBP （OR=l.021）, percent of body fat （OR=1.123） and smoking （OR=1.282）; the independent risk factor of central obesi- ty in women was age （OR=1.023）, the protective factor of central obesity in women was drinking （0R=0.445）. Conclusion There is a gender difference in the related factors of central obesity. Health promoters should assist local residents to develop good lifestyle, take regular physical examination, in order to reduce the prevalence of central obesity, prevent and stop the onset and progression of cardiovascular and other chronic diseases.

关 键 词：中心性肥胖 性别 影响因素 

分 类 号：R589.2[医药卫生—内分泌]