2016年北京市昌平区成人超重肥胖流行特征及与常见慢性病的关系  

Epidemic characteristics of overweight and obesity and their correlations with chronic diseases among adults in Changping District of Beijing in 2016

作　　者：白云[1] 耿坤[1] 徐志鑫[1] BAI Yun;GENG Kun;XU Zhi-xin(Department of Chronic Disease Prevention and Treatment,Changping District Center for Disease Control and Prevention,Beijing, 102200, China)

机构地区：[1]北京市昌平区疾病预防控制中心慢性病防治科,北京102200

出　　处：《职业与健康》2018年第6期820-823,共4页Occupation and Health

摘　　要：目的了解北京市昌平区成人超重、肥胖流行特征及与常见慢性病的关系,为居民超重和肥胖防控提供依据。方法采用多阶段分层整群随机抽样方法,对纳入调查的3 857名18岁以上常住居民进行体格检查、问卷调查和实验室检测。结果调查对象体质指标(BMI)均值为(26.02±3.81)kg/m2,超重率为42.5%,肥胖率为26.8%。不同BMI人群SBP、DBP、FPG、TC、TG、LDL-C和HDL-C均值不同,差异均有统计学意义(均P<0.01)。超重和肥胖人群患高血压、糖尿病和血脂异常的风险高于体重正常人群,超重人群OR值(95%CI)分别为1.89(1.60~2.23)、1.55(1.27~1.89)和1.60(1.34~1.91);肥胖人群OR值(95%CI)分别为3.05(2.52~3.68)、1.91(1.55~2.37)和2.15(1.78~2.60)。结论北京市昌平区成人超重率和肥胖率较高,应采取综合措施,有效控制居民体重,进而降低与超重和肥胖相关的慢性病的发生。[Objective]To understand the epidemic characteristics of overweight and obesity and their correlations with chronic diseases among adults in Changping District of Beijing provide evidence for the prevention and control of overweight and obesity.[Methods] 3 857 local residents over 18 years old were selected by using multi-stage stratified cluster random sampling method for a study including physical examination,questionnaire survey and laboratory test. [Results] The mean of body mass index（BMI） was（26.02 ±3.81）kg/m2,and the rate of overweight and obesity was 42.5% and 26.8% respectively. The differences in means of SBP,DBP,FPG,TC,TG,LDL-C and HDL-C were statistically significant among different BMI groups（P0.01）. The risk of hypertension,diabetes and dyslipidemia among the overweight group and obesity group was higher than the normal group. The odds ratio（95%CI） of the obesity group was respectively 1.89（1.60-2.23）,1.55（1.27-1.89） and 1.60（1.34-1.91）,while that of the obesity group was respectively 3.05（2.52-3.68）,1.91（1.55-2.37） and 2.15（1.78-2.60）. [Conclusion] The prevalence rates of overweight and obesity are high in the adults in Changping District of Beijing. And it is necessary to carry out the comprehensive measures to control adults＇ weight and reduce the occurrence of chronic diseases related to the overweight and obesity.

关 键 词：超重 肥胖 慢性病 

分 类 号：R181.37[医药卫生—流行病学]