吉林省居民中心性肥胖及其前期流行特征的影响因素分析  

Analysis on epidemiological characteristics of central obesity/pre-central obesity and influencing factors in Jilin Province

作　　者：刘婷 李璐[1] 贾淯媛 朱颖俐[1] 卢欣荣[1] 郭伟[1] Liu Ting;Li Lu;Jia Yuyuan;Zhu Yingli;Lu Xinrong;Guo Wei(Department of Chronic and Non-communicable Disease Control and Prevention,Jilin Provincial Center for Disease Control and Prevention,Changchun 130062,China)

机构地区：[1]吉林省疾病预防控制中心慢性非传染性疾病预防控制所,长春130062

出　　处：《中华流行病学杂志》2023年第12期1928-1935,共8页Chinese Journal of Epidemiology

基　　金：中央财政转移支付地方重大公共卫生项目。

摘　　要：目的:了解吉林省居民中心性肥胖及其前期的流行特征的影响因素,为制定相关预防与控制策略及措施提供参考依据。方法:本研究以2017-2018年吉林省心血管病高危人群早期筛查与综合干预项目为基础,纳入吉林省6个项目点35~75岁常住居民11 903人为研究对象,进行体格检查、实验室检测和问卷调查。采用 χ^(2)检验、趋势 χ^(2)检验、 F检验计算不同特征人群和健康指标的中心性肥胖及其前期情况,其影响因素采用多因素logistic回归模型分析。 结果:吉林省居民中心性肥胖率为33.35%(3 970/11 903),标化率为31.73%,中心性肥胖前期率为28.79%(3 427/11 903),标化率为28.86%。多因素分析结果显示,农村居民( OR=1.99,95% CI:1.78~2.23)、女性( OR=1.76,95% CI:1.57~1.97)、65~75岁组( OR=1.21,95% CI:1.03~1.45)、高中/中专文化程度( OR=1.38,95% CI:1.17~1.63)、家庭年收入>10万元( OR=1.65,95% CI:1.20~2.26)、超重( OR=9.27,95% CI:8.26~10.41)、肥胖( OR=82.82,95% CI:62.63~109.52)、正常高值血压( OR=1.49,95% CI:1.27~1.74)、高血压( OR=1.70,95% CI:1.42~2.04)、糖尿病( OR=2.30,95% CI:1.94~2.73)、血脂异常( OR=1.33,95% CI:1.18~1.50)与中心性肥胖及其前期发生风险呈正相关。 结论:吉林省居民中心性肥胖及其前期率均处于较高水平,农村居民、女性、年龄大、高中/中专文化程度、高收入、超重、肥胖、正常高值血压、高血压、糖尿病、血脂异常是吉林省居民中心性肥胖及其前期的危险因素。Objective To understand the epidemiological characteristics of central obesity and pre-central obesity and influencing factors in residents in Jilin Province,and provide reference for the prevention and control of central obesity and pre-central obesity.Methods Based on the results of early screening and comprehensive intervention program in high-risk groups of cardiovascular disease in Jilin dyring 2017-2018,a total of 11903 participants aged 35-75 years in 6 project areas in Jilin were included as the survey subjects for physical examination,laboratory test and questionnaire survey.The prevalence of central obesity and pre-central obesity in populations with different characteristic and health status were analyzed by χ^(2) test,trend χ^(2) test,F-test.Multivariate logistic regression model was used for influencing factor analysis.Results The central obesity rate was 33.35%(3970/11903),the standardized rate was 31.73%,the pre-central obesity rate was 28.79%(3427/11903),the standardized rate was 28.86%.Multifactor analysis results showed that being rural resident(OR=1.99,95%CI:1.78-2.23),being woman(OR=1.76,95%CI:1.57-1.97),65-75 years old(OR=1.21,95%CI:1.03-1.45),senior high school and technical secondary school education level(OR=1.38,95%CI:1.17-1.63),annual family income>100000 yuan(OR=1.65,95%CI:1.20-2.26),overweight(OR=9.27,95%CI:8.26-10.41),obesity(OR=82.82,95%CI:62.63-109.52),normal high blood pressure(OR=1.49,95%CI:1.27-1.74),hypertension(OR=1.70,95%CI:1.42-2.04),diabetes(OR=2.30,95%CI:1.94-2.73),dyslipidemia(OR=1.33,95%CI:1.18-1.50)were positively related to the risk for central obesity and pre central obesity.Conclusions The prevalence rates of central obesity and pre central obesity in residents in Jilin were at high levels,being rural resident,being woman,older age,senior high school and technical secondary school education level,high income,overweight and obesity,normal high blood pressure and hypertension,diabetes,dyslipidemia were risk factors for central obesity and pre-central obesity in Jilin.

关 键 词：中心性肥胖前期 中心性肥胖 流行特征 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]