2013年吉林省成人超重和肥胖流行现状及与高血压的关系  

Prevalence of overweight,obesity and its relation to hypertension among adults in Jilin province in 2013

作　　者：范吉祥[1] 刘鑫[2] 张昭[2] 王燕[2] 逄颖鑫 姜雪敏[3] FAN Ji-xiang, LIU Xin, ZHANG Zhao, WANG Yan, PANG Ying-xin, JIANG Xue-min(Department of AIDS and Venereal Disease Control and Prevention,Jilin Provincial Center for Disease Control and Prevention, Changchun Jilin 130062, China)

机构地区：[1]吉林省疾病预防控制中心艾滋病性病预防控制所,吉林长春130062 [2]吉林大学公共卫生学院 [3]长春市疾病预防控制中心

出　　处：《中国卫生工程学》2018年第5期678-681,共4页Chinese Journal of Public Health Engineering

摘　　要：目的了解吉林省成人超重肥胖流行现状,分析与高血压的关系,为预防或控制高血压的发生提供参考依据。方法采用分层整群随机抽样方法,对抽取的4 644名年龄≥18岁的常住居民进行问卷调查、体格检查和实验室检测,计算其超重率、肥胖率及中心性肥胖率,并应用多因素logistic回归模型分析超重、肥胖及中心性肥胖与高血压的关系。结果 2013年吉林省居民超重率、肥胖率及中心性肥胖率分别为37.7%、17.0%、39.7%,经性别、年龄校正后的多因素Logistic回归分析显示,超重者、肥胖者高血压的患病风险分别为非超重者的1.615倍(95%CI:1.370~1.902)、2.596倍(95%CI:2.055~3.280),中心型肥胖者高血压的患病风险为非中心型肥胖者的1.609倍(95%CI:1.357~1.908)。结论吉林省2013年超重肥胖流行状况不容忽视,超重、肥胖、中心性肥胖为高血压发生的危险因素,应结合重点人群展开有针对性的措施。Objective To assess the prevalence of overweight and obesity and analyze the relationship with hypertension among adult in Jilin province,to provide references for prevention and control of hypertension. Methods With stratified cluster random sampling,4 644 residents aged ≥18 years were selected for a questionnaire survey,physical examination and laboratory tests. The rate of overweight,obesity and central obesity were calculated and the risk factors of unawareness rate were analyzed with multivariate logistic regression analysis. Results The prevalence rates were 37.7%,17.0% and 39.7%for overweight,obesity and the central obesity in Jilin province in 2013. Under controlling for age,gender factors,the results of multivariate logistic regression analysis indicated that compared with the normal weight population,the onset risk of hypertension in the overweight,obesity populations were 1. 615 times（ 95% CI： 1. 370-1. 902）,2. 956 times（ 95% CI： 2. 055-3.280）,central obesity might increase the risk of hypertension,centaral obesity population were 1.609 times than non-cennal obesity.（ 95%CI： 1.357-1.908）.Conclusion Prevalence of overweight and obesity can＇t be ignored in Jilin province in 2013. Overweight,obesity and central obesity are the risk factors for hypertension in adults,it should be combined with focus groups to carry out targeted measures.

关 键 词：超重 肥胖 高血压 

分 类 号：R181[医药卫生—流行病学] R544[医药卫生—公共卫生与预防医学]