福建省年龄35~75岁人群超重和肥胖流行现状及影响因素  

The prevalence and influencing factors of overweight and obesity among populations aged 35-75 years old in Fujian province

作　　者：胡祥炬[1,2] 薛志榕 陈铁晖 方欣[1] 杨泽[1] 林修全 谢晓明[4] 刘志强 钟文玲[1] HU Xiang-ju;XUE Zhi-rong;CHEN Tie-hui;FANG-xin;YANG-ze;LIN Xiu-quan;XIE Xiao-ming;LIU Zhi-qiang;ZHONG Wen-ling(Department of Endemic and Non-communicable Diseases Prevention,Fujian Provincial Center for Disease Control and Prevention,Fuzhou,Fujian 350001,China;Public Health School of Fujian Medical University;Hanjiang District Center for Disease Control and Prevention of Putian City;Unit 31617 of the Chinese People’s Liberation Army)

机构地区：[1]福建省疾病预防控制中心地方病及慢性非传染性疾病防治所,福建福州350001 [2]福建医科大学公共卫生学院 [3]莆田市涵江区疾病预防控制中心 [4]中国人民解放军31617部队

出　　处：《中华高血压杂志》2022年第6期557-561,共5页Chinese Journal of Hypertension

基　　金：福建省卫生健康中青年骨干人才培养项目(2020GGA023);福建省科技厅引导性项目(2020Y0060);福建省科技创新平台项目(2019Y2001)。

摘　　要：目的 了解福建省部分地区年龄35~75岁人群超重和肥胖的流行现状,分析其影响因素。方法 通过多阶段随机整群抽样方法,采用面对面问卷调查、体格检查、实验室检测等方式收集福建省10个县(市、区)年龄35~75岁居民120 739人的资料,利用多因素logistic回归模型分析超重及肥胖的影响因素。结果 获取居民120 739人的资料,体质量指数为(24.00±3.17)kg/m^(2),超重肥胖率47.63%(95%CI 47.28%~47.93%),肥胖率10.70%(95%CI 10.45%~10.94%),标准化超重肥胖率46.83%(95%CI 46.24%~46.95%),城市和农村超重肥胖率分别为48.68%(95%CI 47.24%~49.93%)和47.15%(95%CI 46.26%~47.93%)。超重肥胖率存在地区和人群差异,城市高于农村。多因素logistic回归分析显示,男性、年龄、家庭收入高、受教育程度低、非国家公职人员、城市地区、无医保、吸烟、饮酒是超重肥胖的危险因素(均P<0.05)。结论 福建省年龄35~75岁人群超重肥胖率高,应重点对有烟酒不良嗜好、经济收入好、文化水平低者等高危人群开展综合干预以降低肥胖发生。Objective To investigate the prevalence of overweight and obesity among population aged 35-75 years in some areas of Fujian province and to analyze the influencing factors.Methods A total of 120 739 residents aged of 35 to 75 years old came from 10 counties of Fujian province were enrolled by multi-stage random cluster sampling.The data was collected from face to face questionnaire survey,physical examination and laboratory test.Multivariate logistic regression model was used to explore the influencing factors of overweight and obesity.Results A total of 120 739 respondents were investigated.The body mass index was(24.00±3.17) kg/m~2.The rates of overweight,obesity and standardized rate of overweight-obesity were 47.63%(95%CI 47.28%-47.93%),10.70%(95%CI 10.45%-10.94%) and 46.83%(95%CI 46.24%-46.95%),respectively.The rate of overweight and obesity in urban and rural areas was 48.68%(95%CI 47.24%-49.93%) and 47.15%(95%CI 46.26%-47.93%),respectively.The prevalence of overweight and obesity was higher in urban areas than in rural areas.Multivariate logistic regression analysis showed that males,age,high family income,low education level,non-state public servants,live in urban areas,had no medical insurance,smoking,alcohol drinking were risk of overweight and obesity(P<0.05).Conclusions The rate of overweight and obesity among population of 35-75 years old in Fujian province is high.Comprehensive intervention should be carried out to reduce the incidence of obesity in high-risk groups,such as smokers,drinkers,those with high economic income and low educational level.

关 键 词：超重 肥胖 流行病学 患病率 影响因素 

分 类 号：R589.2[医药卫生—内分泌] R181.3[医药卫生—内科学]