贵州省少数民族成人代谢健康型肥胖的流行现状及影响因素分析  

Analysis on the prevalence and its influencing factors of metabolically healthy obesity among ethnic minority adults in Guizhou Province

作　　者：王鑫 曾奇兵[1] 王子云[1] 马娜娜 彭莲 袁质平 唐学杰 洪峰[1] 徐玉艳[1] WANG Xin;ZENG Qi-bing;WANG Zi-yun;MA Na-na;PENG Lian;YUAN Zhi-ping;TANG Xue-jie;HONG Feng;XU Yu-yan(School of Public Health,the Key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education,Guizhou Medical University,Guiyang,Guizhou 550025,China;不详)

机构地区：[1]贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵州贵阳550025 [2]贵州医科大学大学城医院

出　　处：《现代预防医学》2023年第7期1153-1158,共6页Modern Preventive Medicine

基　　金：国家重点研发计划课题(2017YFC0907301);国家自然科学基金(82173566)。

摘　　要：目的 了解贵州省少数民族30~79岁人群代谢健康型肥胖的流行现状及影响因素。方法 采用多阶段分层抽样的方法抽取贵州省侗族、布依族及苗族成人共10 110名;采用Kruskal-Wallis H检验、χ^(2)检验描述贵州省少数民族人群代谢健康型肥胖的流行现状,采用多因素logistic回归模型分析探讨影响因素。结果 贵州省少数民族人群代谢健康型肥胖的总体患病率及95%CI为9.1%(8.6%~9.7%),在肥胖人群中的患病率及95%CI为38.8%(36.9%~40.8%)。MHO的患病率存在一定民族差异(χ^(2)=100.983, P<0.001);且随着年龄的增加而降低(χ^(2)趋势=59.897, P趋势<0.001),女性高于男性(χ^(2)=22.158, P<0.001)。多因素logistic回归分析结果显示女性(OR=1.429, 95%CI: 1.133~1.803)、布依族(OR=1.475, 95%CI: 1.182~1.841)、苗族(OR=1.448, 95%CI: 1.177~1.782)及从事中重度体力活动(中度:OR=1.544, 95%CI: 1.250~1.906;重度:OR=1.420, 95%CI: 1.141~1.765)患MHO的风险较高;40~49岁(OR=0.621, 95%CI: 0.466~0.828)、50~59岁(OR=0.312, 95%CI: 0.233~0.417)、60~69岁(OR=0.296, 95%CI: 0.212~0.413)、≥70岁(OR=0.272, 95%CI: 0.169~0.436)及饮酒(OR=0.716, 95%CI: 0.524~0.979)患MHO的风险较低。结论 代谢健康型肥胖在贵州省少数民族成人中的患病率较高,以布依族、苗族较为明显。女性、低龄、饮酒以及从事中重度体力活动是影响MHO发生的主要因素。Objective To understand the current prevalence and influencing factors of metabolically healthy obesity(MHO)among ethnic minorities aged 30 to 79 years in Guizhou Province.Methods A total of 10110 people from Dong,Bouyei,and Miao ethnic groups in Guizhou Province were selected using a multi-stage,stratified sampling method.Kruskal-Wallis H test and chi-square test were used to describe the prevalence and multivariate logistic regression model analysis was used to explore the influencing factors.Results The overall prevalence and 95%CI of metabolically healthy obesity in minority populations in Guizhou Province was 9.1%(8.6%-9.7%)and 38.8%(36.9%-40.8%)in the obese population.There were ethnic differences in the prevalence of MHO(χ^(2)=100.983,P<0.001).The MHO prevalence decreased with increasing age(χ^(2)trend=59.897,Ptrend<0.001)and was higher in females than in males(χ^(2)=22.158,P<0.001).Multifactorial logistic regression analysis showed that females(OR=1.429,95%CI:1.133-1.803),Bouyei(OR=1.475,95%CI:1.182-1.841),Miao(OR=1.448,95%CI:1.177-1.782),and moderate to heavy physical activity(moderate:OR=1.544,95%CI:1.250-1.906;heavy:OR=1.420,95%CI:1.141-1.765)increased the risk of developing MHO.Age of 40 to 49 years(OR=0.621,95%CI:0.466-0.828),50 to 59 years(OR=0.312,95%CI:0.233-0.417),60 to 69 years(OR=0.296,95%CI:0.212-0.413),≥70 years(OR=0.272,95%CI:0.169-0.436),and alcohol consumption(OR=0.716,95%CI:0.524-0.979)decreased the risk of MHO.Conclusion The prevalence of MHO is high among ethnic minorities in Guizhou Province and is more pronounced among the Bouyei and Miao ethnic groups.Females,young age,alcohol consumption,and moderate to heavy physical activity are all associated with the occurrence of MHO.

关 键 词：少数民族 代谢健康型肥胖 患病率 影响因素 

分 类 号：R589.2[医药卫生—内分泌]