辽宁省城市40岁及以上居民肥胖患病现状及其影响因素分析  

Morbidity and influencing factors of obesity among urban residents (≥40 years old) in Liaoning Province

作　　者：张博强[1] 井丽 田园梦 阎涵[1] 李树宝 石雷[3] 张云江[4] 高政南[5] 徐冰[6] 邢立莹[1] ZHANG Bo-qiang;JING Li;TIAN Yuan-meng;YAN Han;LI Shu-bao;SHI Lei;ZHANG Yun-jiang;GAO Zheng-nan;XU Bing;XING Li-ying(The Institute of Non-communicable Chronic Diseases,Centers for Disease Control of Liaoning Province,Shenyang,Lioning Province 110005,China)

机构地区：[1]辽宁省疾病预防控制中心慢性非传染性疾病预防控制所,辽宁省沈阳110005 [2]朝阳市疾病预防控制中心 [3]辽阳市疾病预防控制中心 [4]丹东市疾病预防控制中心 [5]大连市中心医院 [6]沈阳市第一人民医院

出　　处：《中国慢性病预防与控制》2020年第12期903-906,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：2019年辽宁省重点研发计划项目(2019JH2/10300001225066);辽宁省“百千万人才工程”资助项目(辽人社[2018]47号)。

摘　　要：目的了解辽宁省40岁及以上城市居民肥胖患病情况及其影响因素,为肥胖防治提供理论依据。方法于2018年3—12月,采用分层整群随机抽样的方法,选取辽宁省2个城市5424名40岁及以上常住居民为研究对象,进行问卷调查、体格检查和实验室检测。采用SPSS 21.0统计软件进行χ^(2)检验、趋势χ^(2)检验及logistic回归分析。结果辽宁省城市地区40岁及以上居民肥胖患病率为16.59%,标化率为16.51%。40~岁和50~岁年龄组肥胖患病率男性(分别为25.62%、19.56%)均高于女性(分别为14.29%、15.30%),差异均有统计学意义(χ^(2)值分别为13.12、4.66,P<0.05)。70岁及以上年龄组肥胖患病率女性(16.22%)高于男性(9.97%),差异有统计学意义(χ^(2)=7.36,P<0.05)。男性肥胖患病率随着年龄的升高而下降(χ修回日期:2020-04-17趋势=27.73,P<0.01)。多因素logistic回归分析结果显示,男性(OR=1.27,95%CI:1.07~1.52)、缺乏锻炼(OR=1.37,95%CI:1.17~1.56)、丧偶(OR=1.40,95%CI:1.12~1.75)与辽宁省城市40岁及以上居民肥胖高风险相关;高年龄(OR=0.57,95%CI:0.42~0.76)、高教育水平(OR=0.70,95%CI:0.56~0.88)和吸烟(OR=0.74,95%CI:0.60~0.92)与辽宁省城市40岁及以上居民肥胖低风险相关,均有统计学意义(P<0.05,P<0.01)。结论辽宁省城市40岁及以上居民肥胖患病率较高,应加强有关肥胖知识的宣教、坚持体育锻炼,做到早预防、早发现、早治疗,提高居民生命质量。Objective To investigate the morbidity and influencing factors of obesity among urban residents (≥40 years old) in Liaoning Province,and to provide the theoretical basis for prevention and treatment of obesity. Methods From March to December of 2018,the stratified cluster random sampling method was used to select 5 424 permanent residents (≥40 years old) in 2 cities of Liaoning Province as the subjects. The investigation was performed with questionnaire,physical examination and laboratory test.The χ2 test,trend χ2 test and multivariate logistic regression were used to analyze the data,the used software was SPSS 21.0. Results The morbidity of obesity was 16.59% and the standardized morbidity was 16.51% for residents (≥40 years old) in urban areas of Liaoning Province. The morbidities(25.62% and 19.56%) of obesity in males(40-49 years old and 50-59 years old) were significantly higher than those(14.29% and 15.30%) in females,P<0.05. The morbidity(16.22%) of obesity in females (≥ 70 years old) was significantly higher than that(9.97%) in males,P<0.05. The morbidity of males decreased with age(P<0.01).Multivariate logistic analysis showed that male(OR=1.27,95%CI:1.07-1.52),lack of exercise(OR=1.37,95%CI:1.17-1.56)and widowhood(OR=1.40,95%CI:1.12-1.75) were related to the high risk of obesity among urban residents (≥40 years old) in Liaoning Province.High age(OR=0.57,95%CI:0.42-0.76),high education level(OR=0.70,95%CI:0.56-0.88) and smoking(OR =0.74,95% CI:0.60-0.92) were related to the low risk of obesity among urban residents (≥40 years old) in Liaoning Province(P<0.05 or P<0.01). Conclusion The obesity morbidity of urban residents (≥40 years old) in Liaoning Province was higher,the propaganda and education of obesity knowledge should be strengthened,the physical exercise should be kept,the early prevention,detection and treatment should be performed for improving the life quality of residents.

关 键 词：肥胖 患病率 影响因素 

分 类 号：R589.2[医药卫生—内分泌]