2010—2012年贵州省5个监测地区成人超重肥胖流行现状及与慢性病的关系  

Prevalence of overweight,obesity and its relation to chronic diseases among adults of 5 monitoring areas in Guizhou Province in 2010-2012

作　　者：刘怡娅[1] 陈桂华[1] 李忻[1] 赵松华[1] Liu Yiya Chen Guihua Li Xin Zhao Songhua(Guizhou Center for Disease Control and Prevention,Guiyang 550001 , China)

机构地区：[1]贵州省疾病预防控制中心,贵阳550001

出　　处：《卫生研究》2017年第1期36-39,45,共5页Journal of Hygiene Research

基　　金：国家卫生计生委(原卫生部)医改重大项目[中国居民营养与健康状况监测(2010-2012年)]

摘　　要：目的了解贵州省5个监测地区成人超重肥胖流行现状,并分析与慢性病的关系。方法采取多阶段分层整群随机抽样的方法,对2010—2012年"中国居民营养与健康状况监测"中贵州省云岩区、白云区、德江县、黔西县及三穗县5个监测地区3682名18岁及以上常住人群进行身高、体重、血压测量和总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、血糖的测定。分析超重、肥胖及中心型肥胖在人群的分布及与糖尿病、血脂异常和高血压的关系。结果贵州省5个监测地区成人超重率为27.0%,肥胖率为7.5%,中心型肥胖率为16.9%。男性和女性的中心型肥胖率均随年龄的增长呈上升趋势,且中心型肥胖率以老年人(≥60岁)最高(χ~2=32.03,P<0.001),女性中心型肥胖率高于男性(χ~2=4.2,P=0.04)。在控制年龄、性别、地区因素的情况下,超重者患糖尿病、血脂异常和高血压风险分别为非超重者的1.4倍、1.4倍和2.0倍(95%CI 1.0~2.0、1.2~1.7、1.6~2.5,P<0.05);肥胖者患糖尿病、血脂异常和高血压的风险则是非肥胖者的2.6倍(95%CI 1.7~4.1,P<0.001)、1.5倍(95%CI 1.1~1.9,P<0.001)和3.7倍(95%CI 2.7~5.1,P<0.001);中心型肥胖会增加患糖尿病(OR=2.18,95%CI 1.58~3.01,P<0.001)及高血压(OR=2.2,95%CI 1.74~2.57,P<0.001)的风险。结论成人超重与肥胖是糖尿病、血脂异常和高血压发生的危险因素,中心型肥胖则是高血压和糖尿病发生的危险因素。Objective To understand the prevalence of overweight and obesity among adults of 5 monitoring areas in Guizhou Province and to analyze the correlation between overweight,obesity and incidence of related chronic diseases. Methods Multistage stratified cluster random sampling was employed,using data from ＂the 2010- 2012 National Nutrition and Health Survey＂. The physical measurement and the TC,TG,HDLC and blood glucose were conducted among 3682 resident population aged 18 years and above who from 5 monitoring areas（ Yunyan and Baiyun District,Dejiang,Qianxi andSansui County in Guizhou Province）. To analyze the distribution of overweight,obesity and central obesity in the population and its relationship with diabetes,dyslipidemia and hypertension. Results The prevalence rates were 27%,7. 5% and 16. 9% for overweight,obesity and the central obesity in 5 surveillance areas of Guizhou Provinc. The central obesity rate increase with age,which was the highest in the elderly（ over 60years）（ χ2= 32. 03,P 0. 001）,the female were higher than the male（ χ2= 4. 2,P =0. 04）. Under controlling for age,gender,regional factors,compared with the normal weight population,the onset risk of diabetes,hyperlipidemia and hypertension in the overweight populations were 1. 4 times,1. 4 times and 2 times（ 95% CI 1. 0- 2. 0,1. 2-1. 7,1. 6- 2. 5,P 0. 05） respectively. The risk of obesity diabetes,hyperlipidemia and hypertension were 2. 6 times（ 95% CI 1. 7- 4. 1,P 0. 001）,1. 5 times（ 95% CI 1. 1-1. 9,P 0. 001） and 3. 7 times（ 95% CI 2. 7- 5. 1,P 0. 001）,respectively. Central obesity may increase the risk of diabetes（ OR = 2. 18,95% CI 1. 58- 3. 01,P 0. 001）and the risk of hypertension（ OR = 2. 2,95% CI 1. 74- 2. 57,P 0. 001）. Conclusion Adult overweight and obesity were risk factors of diabetes,dyslipidemia and hypertension risk factors. Central obesity were risk factors of diabetes and hypertension risk factors.

关 键 词：超重 肥胖 中心型肥胖 慢性病 

分 类 号：R181.37[医药卫生—流行病学] R589.2[医药卫生—公共卫生与预防医学]