2019年秦皇岛市超重肥胖人群采取体重控制措施及影响因素分析  

Weight Control Measures and Influencing Factors for Overweight and Obese People in Qinhuangdao City in 2019

作　　者：王宇 陈旭 王丹彤 董俊善[1] 王志刚[1] 王岚[1] 刘卫刚[2] 张洪亮[2] WANG Yu;CHEN Xu;WANG Dantong;DONG Junshan;WANG Zhigang;WANG Lan;LIU Weigang;ZHANG Hongliang(Qinhuangdao Center for Disease Control and Prevention,Qinhuangdao 066000,Hebei Province,China;Affiliated Hospital of Hebei University of Engineering,Handan 056002,Hebei Province,China)

机构地区：[1]秦皇岛市疾病预防控制中心,河北秦皇岛066000 [2]河北工程大学附属医院,河北邯郸056002

出　　处：《预防医学情报杂志》2021年第1期89-95,共7页Journal of Preventive Medicine Information

基　　金：秦皇岛市科学技术研究与发展计划项目(项目编号:201902A198);河北省医学科研研究项目(项目编号:20190126)。

摘　　要：目的了解秦皇岛市超重肥胖人群采取体重控制措施情况,分析其影响因素。方法于2019年采用多阶段分层整群抽样法选取秦皇岛市3352名18~79岁超重肥胖者为调查对象,进行面对面问卷调查。采用SPSS 22.0软件进行χ^2检验和多因素非条件Logistic回归分析。结果秦皇岛市超重肥胖人群采取体重控制措施率为13.9%。不同控制措施构成比例由高到低依次为控制饮食(41.3%)、控制饮食和运动组合措施(33.0%),加强运动措施(24.0%)、采取药物控制措施(1.7%)。多因素Logistic回归分析结果显示:性别、年龄、文化程度、城乡、经济收入、高血压及血脂异常均是超重肥胖者采取体重控制措施的影响因素。女性(OR=1.646,95%CI:1.226~2.210)、≥65岁人群高年龄(与18~40岁相比,OR=1.445,95%CI:1.130~1.848)、初中及高中和大专及以上(与小学及以下相比,初中及高中OR=1.885,95%CI:1.225~2.902;大专及以上OR=1.581,95%CI:1.096~2.281)、城镇(OR=1.948,95%CI:1.579~2.403)、中等收入和高收入(与低收入相比,中等收入OR=2.276,95%CI:1.716~3.020;高收入OR=2.181,95%CI:1.617~2.941)、高血压(OR=1.500,95%CI:1.153~1.951)、血脂异常(OR=1.568,95%CI:1.096~2.281)均是超重肥胖者采取体重控制措施的影响因素,均有统计学意义(P<0.05)。结论秦皇岛市超重肥胖人群采取体重控制措施率较低,饮食和运动相结合的控制措施最有利于超重肥胖人群,应针对不同特征群体开展针对性干预措施。Objective To investigate the weight control measures taken by overweight and obese people in Qinhuangdao,and to analyze the influencing factors.Methods About 3352 overweight and obese people aged 18-79 years old in Qinhuangdao were selected by multi-stage stratified cluster sampling method to conduct face-to-face questionnaire survey.SPSS 22.0 software was used forχ~2 test and multivariate unconditional logistic regression analysis.Results In Qinhuangdao,13.9%of overweight and obese people took weight control measures.From high to low,the proportion of different control measures such as diet control was 41.3%,combination of diet control exercise was 33.0%,enhance exercise was 24.0%and medication control was 1.7%,respectively.The results of multivariate logistic regression analysis showed that:gender,age,education level,urban and rural areas,economic income,hypertension and dyslipidemia were all the influencing factors of weight control measures.Female(OR=1.646,95%CI:1.226-2.210),≥65 age elder group(OR=1.445,95%CI:1.130-1.848,compared with 18-40 years old group),junior and senior high school,college and above(compared with primary school and below,junior and senior high school was OR=1.885,95%CI:1.225-2.902,college was and above OR=1.581,95%CI:1.096-2.281),town(OR=1.948,95%CI:1.579-2.403),middle income and high income(compared with low income,middle income was OR=2.276,95%CI:1.716-3.020;high income was OR=2.181,95%CI:1.617-2.941),hypertension(OR=1.500,95%CI:1.153-1.951),dyslipidemia(OR=1.568,95%CI:1.096-2.281)were all significant factors for overweight and obese people to take weight control measures,all of them had statistical significance(P<0.05).Conclusion In Qinhuangdao city,the rate of taking weight control measures is low,and the combination of diet and exercise control measures is most beneficial to the overweight and obese people,so targeted interventions should be carried out for different characteristic groups.

关 键 词：超重 肥胖 体重控制 影响因素 

分 类 号：R589.2[医药卫生—内分泌]