甘肃省汉族和藏族中老年居民不同类型肥胖患病情况及其影响因素分析  

Prevalence and influencing factors of different types of obesity among middle-aged and elderly Han and Tibetan residents in Gansu province:a cross-sectional study

作　　者：张茜 严斌国 唐天慧 樊航兆 赵翊 汪亚琼 高梓源 胡家浩 裴磊磊 陈方尧 党少农 王新华 颜虹 赵亚玲 ZHANG Qian;YAN Binguo;TANG Tianhui;FAN Hangzhao;ZHAO Yi;WANG Yaqiong;GAO Ziyuan;HU Jiahao;PEI Leilei;CHEN Fangyao;DANG Shaonong;WANG Xinhua;YAN Hong;ZHAO Yaling(Department of Epidemiology and Biostatistics,School of Public Health,Xi′an Jiaotong University Health Science Center,Xi′an 710061,China;School of Public Health,Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]西安交通大学医学部公共卫生学院流行病与卫生统计学系,西安710061 [2]甘肃中医药大学公共卫生学院,兰州730000

出　　处：《中国公共卫生》2024年第8期912-918,共7页Chinese Journal of Public Health

基　　金：国家重点研发计划精准医学研究重点专项(2017YFC0907200,2017YFC0907202)。

摘　　要：目的了解甘肃省汉族和藏族中老年居民不同类型肥胖的患病情况及其影响因素,为肥胖的预防和控制提供参考依据。方法收集国家重点研发计划精准医学研究重点专项“西北区域自然人群队列研究”项目下设课题“甘肃城乡自然人群队列建设与肿瘤随访研究”中2018年11月—2019年5月参与基线调查且身体测量数据完整的18114名35~75岁中老年居民的数据,采用体质指数(BMI)、腰围(WC)、体脂率(BFP)和内脏脂肪指数(VFI)分析甘肃省汉族和藏族中老年居民一般性肥胖、中心性肥胖、体脂肥胖和内脏肥胖的患病情况,并采用多因素非条件logistic回归模型分析不同类型肥胖的影响因素。结果调查的18114名汉族和藏族中老年居民中,汉族居民16999人(93.8%),藏族居民1115人(6.2%);汉族和藏族中老年居民一般性肥胖、中心性肥胖、体脂肥胖、内脏肥胖的患病率分别为12.5%和9.0%、31.4%和33.9%、50.7%和41.9%、40.0%和27.7%,汉族中老年居民一般性肥胖、体脂肥胖和内脏肥胖的患病率均高于藏族中老年居民(均P<0.05)。多因素非条件logistic回归分析结果显示,女性为甘肃省汉族中老年居民体脂肥胖和藏族中老年居民一般性肥胖、中心性肥胖和体脂肥胖患病的危险因素,但为甘肃省汉族中老年居民一般性肥胖、中心性肥胖、内脏肥胖和藏族中老年居民内脏肥胖患病的保护因素;年龄≥45岁为甘肃省汉族中老年居民一般性肥胖、中心性肥胖、体脂肥胖、内脏肥胖和藏族中老年居民内脏肥胖患病的危险因素;小学及以上文化程度是甘肃省汉族中老年居民中心性肥胖患病的保护因素;在婚为甘肃省汉族中老年居民一般性肥胖和内脏肥胖患病的危险因素;非农民为甘肃省汉族中老年居民一般性肥胖和中心性肥胖患病的危险因素;家庭人均年收入≥4000元为甘肃省汉族中老年居民内脏肥胖患病的危险因素;�Objective To understand the prevalence and influencing factors of different types of obesity among middle-aged and elderly Han and Tibetan residents in Gansu province,and to provide evidence for the prevention and control of obesity.Methods Data of 18114 middle-aged and elderly adults aged 35 to 75 years old with complete body measurement information were analyzed.The data were collected in the baseline survey of"Gansu Province′s Urban and Rural Natural Population Cohort Establishment and Tumor Follow-up Study"of the"Regional Ethnic Cohort Study in Northwest China"conducted from November 2018 to May 2019.Body mass index(BMI),waist circumference(WC),body fat percentage(BFP)and visceral fat index(VFI)were used to assess the prevalence of general obesity,central obesity,body fat obesity,and visceral obesity,respectively.Multivariable unconditional logistic regression analyses were used to explore the influencing factors of different types of obesity.Results Among the 18114 middle-aged and elderly adults enrolled in Gansu Province,there were 16999 Han(93.8%)and 1115 Tibetan(6.2%)ones.The prevalence rates of general obesity,central obesity,body fat obesity,and visceral obesity among middle-aged and elderly Han and Tibetan residents were 12.5%and 9.0%,31.4%and 33.9%,50.7%and 41.9%,40.0%and 27.7%,respectively.The prevalence rates of general obesity,body fat obesity,and visceral obesity among Han adults were higher than those among Tibetan residents(all P<0.05).The results of multivariable unconditional logistic regression analysis showed that being female was a risk factor for body fat obesity among middle-aged and elderly Han residents and for general obesity,central obesity,and body fat obesity among middle-aged and elderly Tibetan residents in Gansu province,but was a protective factor for general obesity,central obesity,visceral obesity among middle-aged and elderly Han residents and for visceral obesity among middle-aged and elderly Tibetan residents in Gansu province.Age≥45 years old was a risk factor for gene

关 键 词：肥胖 患病情况 影响因素 汉族 藏族 中老年居民 甘肃省 

分 类 号：R589.2[医药卫生—内分泌]