呼和浩特市18岁以上居民肥胖患者流行病学调查  

Epidemiological investigation on obesity in residents over 18 years old in Hohhot

作　　者：彭英兰[1] 池海谊[2] 席文琪[2] PENG Yinglan;CHI Haiyi;XIWenqi(Department of Nutrition,Hohhot First Hospital,Hohhot,Inner Mongolia,010030,China;Department of Endocrinology,Hohhot First Hospital,Hohhot,Inner Mongolia,010030,China)

机构地区：[1]呼和浩特市第一医院临床营养科,内蒙古呼和浩特010030 [2]呼和浩特市第一医院内分泌科,内蒙古呼和浩特010030

出　　处：《当代医学》2024年第16期140-143,共4页Contemporary Medicine

基　　金：呼和浩特市科学技术局(2016-社-1-2);内蒙古自治区高质量发展项目[2023SYY(BS)009]。

摘　　要：目的探讨呼和浩特市18岁以上居民肥胖患病率及影响因素。方法2016年1月至2017年12月采用分层多阶段整群随机抽样法对呼和浩特市九个旗县区抽取3754名常住居民进行问卷调查,所有调查对象均行体格检查及血液生化检测。分析不同性别、不同地区肥胖分布情况及不同体重指数(body mass index,BMI)糖尿病、高血压及血脂异常患病情况。结果3754名居民中体质量过轻153名,体质量正常1546名,超重1414名,肥胖641名。男性肥胖主要在30~39岁和40~49岁,女性主要在50~59岁和60~69岁;男性30~39岁肥胖比例高于女性,而60~69岁低于女性,差异有统计学意义(P<0.05),不同性别其他年龄段比较差异无统计学意义。城区肥胖主要在50~59岁和60~69岁,农区主要在30~39岁和40~49岁;城区40~49岁肥胖比例高于农区,而60~69岁低于农区,差异有统计学意义(P<0.05),不同地区其余年龄段比较差异无统计学意义。体质量过轻、正常、超重、肥胖人群的糖尿病、高血压及血脂异常患病率比较差异有统计学意义(P<0.05);随着BMI增加,糖尿病、高血压患病率均增高,差异有统计学意义(P<0.05),体质量过轻、体重正常人群血脂异常患病率低于超重、肥胖人群,且超重人群低于肥胖人群,差异有统计学意义(P<0.05)。结论肥胖与糖尿病、高血压、血脂异常密切相关,随着体重指数增加,肥胖患者罹患糖尿病、高血压病、血脂异常的风险可能增加。Objective To investigate the prevalence of obesity among residents over 18 years old in Hohhot city.Methods A questionnaire sur-vey of 3754 permanent residents of nine flag counties and districts in Hohhot was conducted using stratified multi-stage whole cluster random sam-pling methodfrom January 2016 to December 2017,all subjects underwent physical examination and blood biochemistry tests,the distribution of obe-sity in different genders and regions,and the prevalence of diabetes,hypertension and dyslipidemia in different BMI were analyzed.Results Of the 3754 inhabitants,153 were underweight,1546 were normal weight,1414 were overweight and 641 were obesity.Male obesity was mainly concen-trated in 30-39 and 40-49 years old,female was mainly concentrated in 50-59 and 60-69 years old.The proportion of obesity in males aged 30-39 years old was higher than that in females,while 60-69 years old was lower than that in females,and the differences were statistically significant(P<0.05),there were no significant differences in other age groups in different gender.Obesity in urban areaswas mainly concentrated in 50-59 and 60-69 years old,andrural areaswas mainly concentrated in 30-39 and 40-49 years old,the proportion of obesity between 40-49 years old in urban areas was higher than that in rural areas,while 60-69 years old was lower than that in rural areas,and the differences were statistically significant(P<0.05),there were no statistically significant differences in pairwise comparisons between urban and rural areas for other age groups.There were significant differences in the prevalence of diabetes,hypertension and dyslipidemiaamong underweight,normal,overweight and obesitypopulations(P<0.05),with the increase of BMI,the prevalence of diabetes and hypertension increased,and the differences were statistically significant(P<0.05),the prev-alence of dyslipidemia in underweight and normalpopulations were lower than that in overweight and obesity populations,overweight populations was lower than obesity populations,and t

关 键 词：肥胖 糖尿病 高血压病 血脂异常 

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