内蒙古城镇汉族成年人超重和肥胖现状及影响因素  

The prevalence and its related factors of overweight and obesity in Han adults of Inner Mongolia

作　　者：李延龙[1] 王海玲 王棵[1] 朱京博 董芬[1] 迟富利 龚海英[1] 钱永刚 李国菊[1] 徐国栋[1,3] 潘利[1] 王斌[1] 朱广瑾[1] 单广良[1] 

机构地区：[1]中国医学科学院基础医学研究所,北京协和医学院基础学院流行病学与卫生统计学系,北京100005 [2]内蒙古疾病预防控制中心慢性病预防控制所,内蒙古呼和浩特010031 [3]吉林大学公共卫生学院流行病与卫生统计学教研室,吉林长春130021

出　　处：《中华疾病控制杂志》2016年第1期30-33,78,共5页Chinese Journal of Disease Control & Prevention

基　　金："十二五"国家科技支撑项目(2012BAI37B02)

摘　　要：目的了解内蒙古地区城镇汉族成年人超重和肥胖及相关因素的流行现状，为制定肥胖防治措施和策略提供参考。方法采用分层整群随机抽样的方法，对20-80岁内蒙古地区城镇汉族居民2373人进行问卷调查及体格检查，采用非条件Logistic回归对超重和肥胖可能的影响因素进行分析。结果内蒙古地区城镇汉族成年人超重和肥胖患病率分别为36．3％和17．0％，男性超重率和肥胖率（40．3％，21．9％）均高于女性（33．8％，13．9％）（均有P〈0．05）。单因素分析结果显示不同地区、性别、年龄、婚姻状况、文化程度、经济收入、吸烟、饮酒以及身体锻炼的人群间超重和肥胖的患病率不同，差异有统计学意义（均有P〈0．05）；Logistic回归分析显示，老年、男性、已婚、高收入、饮酒和经常锻炼是超重和肥胖的危险因素，而发达地区、高文化程度、重体力劳动为保护因素。结论内蒙古自治区半数以上的城镇汉族成年人超重或肥胖，具有罹患慢性病风险，有必要采取针对性的人群干预措施。Objective To investigate the prevalence and its related factors of overweight and obesity in Han adults of Inner Mongolia and to provide evidences for developing obesity-related intervention strategies. Methods 2 373 Han subjects aged 20-80 years were selected with multi-stage stratified cluster sampling who participated in questionnaire survey and physical examination. Logistic regression model was used to analyse the associated factors. Results The prevalence of overweight and obesity were 36. 3% and 17.0% , respectively. Men had higher prevalence of overweight and obesity than women （40. 3% , 21.9% for men, 33. 8%, 13. 9% for women, all P 〈0. 05）. In univariate analysis, region, gender, age, marriage status, education, income, smoking, alcohol drinking and exercise were assosiated with overweight and obe- sity（all P 〈0. 05）. Logistic regression analysis showed that the elderly, male, married, high income, alcohol drinking, physical exercises were risk factors for both overweight and obesity, while developed region, high education and heavy labor were protective factors. Conclusions More than half of Han residents of Inner Mongolia were overweight or obesity, which may increase non-communicable diseases risk. Therefore, targeted interventions are urgently needed for prevention and con- trol of obesity.

关 键 词：超重 肥胖症 患病率 危险因素 

分 类 号：R163[医药卫生—公共卫生与预防医学] R181