代谢异常型肥胖的影响因素分析  

Analysis on the influence factors of metabolically abnormal obesity

作　　者：田慧霞 韩辉武[1] 周诗[2] 陈能凤[2] 申璐 TIAN Huixia;HAN Huiwu;ZHOU Shi;CHEN Nengfeng;SHEN Lu(Teaching and Research Section of Clinical Nursing,Xiangya Hospital of Central South University,Hu’nan Province,Changsha410008,China;Department of Cardiovascular Medicine,Xiangya Hospital of Central South University,Hu’nan Province,Changsha410008,China)

机构地区：[1]中南大学湘雅医院临床护理学教研室,湖南长沙410008 [2]中南大学湘雅医院心血管内科,湖南长沙410008

出　　处：《中国医药导报》2021年第22期97-99,108,共4页China Medical Herald

基　　金：湖南省自然科学基金科卫联合项目(2018JJ6140);湖南省科技创新计划项目(2017TP1004)。

摘　　要：目的探讨代谢异常型肥胖的影响因素。方法采取便利抽样的方法选取2019年3月至12月中南大学湘雅医院门诊及体检人群563例作为研究对象,根据是否患有代谢异常性肥胖将其分为代谢异常型肥胖组(59例)和非代谢异常型肥胖组(504例)。收集两组一般资料和饮食-运动自我效能评分情况,采用多因素logistics回归分析代谢异常型肥胖的影响因素。结果代谢异常型肥胖组男性占比、年龄≥45岁占比、初中及以下文化程度占比、退休或无业占比、居住地为城市占比、腰臀比异常占比高于非代谢异常型肥胖组,运动自我效能评分低于非代谢异常型肥胖组,差异均有统计学意义(P<0.05)。两组体重指数比较,差异有统计学意义(P<0.05)。多因素logistics回归分析中,结果显示男性(OR>1,P<0.05)是代谢异常型肥胖的独立危险因素,而高运动自我效能评分(OR<1,P<0.05)是其保护性因素。结论医疗工作者应通过多种途径提高全民的健康素养,特别注意加强对男性及低运动自我效能评分人群的干预。Objective To explore the influencing factors of metabolic abnormality obesity.Methods A total of 563 outpatients and physical examination subjects in Xiangya Hospital of Central South University from March to December 2019 were selected as the research subjects by convenience sampling.According to whether they had metabolic abnormal obesity,they were divided into two groups,metabolic obesity group(59 cases)and non-metabolic obesity group(504 cases).The general information and the scores of diet and exercise self-efficacy of the two groups were collected,and the influencing factors of metabolic abnormality obesity were analyzed by multi-factorial logistics regression.Results The proportions of male,age≥45 years old,junior high school education level or below,retired or unemployed,city of residence,abnormal waist-hip ratio in the metabolic abnormality obesity group were higher than those in the non-metabolic abnormality obesity group,and sports self-efficacy score was lower than that in the non-metabolic abnormality obesity group,with statistical significance(P<0.05).There was significant difference in body mass index between the two groups(P<0.05).In the multivariate logistic regression analysis,the results showed that male(OR>1,P<0.05)was an independent risk factor for metabolic abnormality obesity,while the high exercise self-efficacy score(OR<1,P<0.05)was a protective factor.Conclusion Health care workers should improve health literacy in various ways,with special attention to strengthening intervention in men and those with low sports self-efficacy scores.

关 键 词：代谢异常型肥胖 饮食自我效能 运动自我效能 危险因素 

分 类 号：R589[医药卫生—内分泌]