西昌市社区居民中心性肥胖流行特征与影响因素分析  

The prevalence characteristics and influencing factors of central obesity among community residents in Xichang City

作　　者：王鹤璇 于洁 李里诗洛 王惠敏 朱文辉 唐欣怡 廖强[2] 杨端丹 张韬 谢林伸 WANG He-xuan;YU Jie;LI Li-shi-luo;WANG Hui-min;ZHU Wen-hui;TANG Xin-yi;LIAO Qiang;YANG Duan-dan;ZHANG Tao;XIE Lin-shen(不详;West China School of Public Health/West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西公共卫生学院/华西第四医院,四川成都610041 [2]凉山州疾病预防控制中心 [3]西昌市疾病预防控制中心

出　　处：《现代预防医学》2022年第23期4241-4245,共5页Modern Preventive Medicine

基　　金：重庆市科技局项目(cstc2020jscx-cylhX0003);成都市科技局项目(2021-YF05-01585-SN);四川省卫健委项目(20PJ092);四川省科技厅项目(2020YFS0091);四川大学大学生创新创业项目(C2023123320、C2023127403、C2023125872、C2023125891)。

摘　　要：目的了解四川省西昌市居民的中心性肥胖流行现况与影响因素,为后续当地相关的干预措施的制定提供理论依据与数据支持。方法综合考虑经济水平、民族构成、地理位置等因素,在西昌市选择6个调查点,根据调查点社区人口数确定抽样比例,采用简单随机抽样的方法抽取18周岁及以上的成年居民进行问卷调查与体格检查,对所得数据进行描述性分析、单因素χ^(2)分析与多因素logistic回归分析。结果共纳入874名居民,中心性肥胖率为39.24%。单因素分析结果显示,不同饮酒情况(χ^(2)=4.914,P<0.05)、高血压患病情况(χ^(2)=15.869,P<0.001)、BMI(χ^(2)=300.521,P<0.001)的成年居民中心性肥胖率不同。多因素分析结果显示,饮酒者(OR=1.545,95%CI:1.028~2.322)、高血压患者(OR=1.684,95%CI:1.093~2.592)发生中心性肥胖的风险所增加;相较于正常体重(18.5 kg/m^(2)≤BMI<23.9 kg/m^(2))的居民,BMI<18.5 kg/m^(2)组别人群(OR=0.114,95%CI:0.015~0.843)发生中心性肥胖的风险更低,而BMI≥24.0 kg/m^(2)组别人群(OR=12.196,95%CI:8.630~17.234)则风险更高。结论西昌市成年居民中心性肥胖率较低。BMI<18.5 kg/m^(2)为中心性肥胖的保护因素,而饮酒、高血压患病、BMI≥24.0 kg/m^(2)为中心性肥胖的危险因素。Objective To investigate the prevalence of central obesity and the factors influencing it in Xichang City,Sichuan Province,and to provide a theoretical basis and data support for the development of subsequent local interventions.Methods Considering the economic level,ethnic composition and geographical location,six survey sites were selected in Xichang city,and the sampling proportion was determined according to the population size of the survey site communities.The sampling proportion was determined according to the number of community population,and the adult residents aged 18 and above were selected by simple random sampling method for questionnaire survey and physical examination.Descriptive analysis,univariate Chi-square analysis and multivariate Logistic regression analysis were performed on the data obtained.Results A total of 874residents were included,and the central obesity rate was 39.24%.Univariate analysis showed that the rate of central obesity differed among adult residents with different drinking conditions(χ^(2)=4.914,Ρ<0.05),hypertension(χ^(2)=15.869,Ρ<0.001)and BMI(χ^(2)=300.521,Ρ<0.001).The results of the multivariate analysis showed an increased risk of central obesity among alcohol drinkers(OR=1.545,95%CI:1.028-2.322),hypertensive patients(OR=1.684,95%CI:1.093-2.592).Compared to residents with normal weight(18.5 kg/m^(2)≤BMI<23.9 kg/m^(2)),those in the BMI<18.5 kg/m^(2)group(OR=0.114,95%CI:0.015-0.843)had a lower risk of central obesity,while those in the BMI≥24 kg/m^(2)group(OR=12.196,95%CI:8.630-17.234)were at higher risk.Conclusion The rate of central obesity among adult residents in Xichang is low.BMI<18.5 kg/m^(2)is a protective factor for central obesity,while alcohol consumption,hypertension,and BMI≥24.0 kg/m^(2)are risk factors for central obesity.

关 键 词：腰围 中心性肥胖 流行病学 影响因素 

分 类 号：R181.3[医药卫生—流行病学]