湖南省18岁及以上超重肥胖患者采取体重控制措施情况及影响因素分析  

Status of taking weight control measures and its influencing factors among overweight and obesity patients aged 18 years and above in Hunan Province

作　　者：刘琼 刘意 殷蕾 谢羡 金东辉[1] LIU Qiong;LIU Yi;YIN Lei;XIE Xian;JIN Donghui(Hunan Provincial Center for Disease Control and Prevention,Changsha,Hunan 410153,China)

机构地区：[1]湖南省疾病预防控制中心,湖南长沙410153

出　　处：《实用预防医学》2024年第8期961-965,共5页Practical Preventive Medicine

摘　　要：目的了解湖南省18岁及以上不同特征超重肥胖患者采取体重控制措施情况及影响因素,为超重肥胖患者控制体重提供干预措施。方法于2018年8—11月,采用多阶段分层整群随机抽样方法在湖南省13个县(区)抽取8466名18岁及以上居民进行问卷调查、体格检查及实验室检测,最终对3614名超重肥胖患者进行分析。采用SAS 9.4软件进行基于复杂抽样设计Rao-Scottχ^(2)检验估计湖南省超重肥胖患者采取体重控制措施率,采用基于复杂抽样设计的多因素logistic回归模型分析采取体重控制措施影响因素。结果湖南省超重肥胖患者采取体重控制措施率为22.27%(95%CI:16.09%~28.45%)。不同控制措施构成比由高到低依次为饮食运动组合(59.18%)、饮食(21.82%)、其他(12.20%)、运动(6.80%)。有利于采取体重控制措施的因素有高文化程度、单身、肥胖、知晓患高血压、未患糖尿病。不利因素有较高年龄、农村、农林牧渔水利职业,差异均有统计学意义(P<0.05)。结论湖南省超重肥胖患者采取体重控制措施率较低,应针对不同特征的人群采取干预性措施。Objective To understand the status of taking weight control measures and its influencing factors amongst patients with different characteristics of overweight and obesity aged 18 years and above in Hunan Province,and to provide intervention measures for overweight and obesity patients to maintain a healthy weight.MethodsWith a multi-stage stratified cluster random sampling method,8,466 residents aged 18 years and above in 13 counties(districts)of Hunan Province in August-November 2018 were selected to participate in a questionnaire survey,physical examination and laboratory tests.Finally,3,614 overweight and obese ity patients were analyzed.Using SAS 9.4 software,Rao-Scott X°test based on complex sampling design was performed to estimate the rate of adopting weight control measures in the overweight and obesity patients in Hunan Province.Multivariate logistic regression model based on complex sampling design was employed to analyze the influencing factors of adopting weight control measures.Results The rate of taking weight control measures in the overweight and obesity patients in Hunan Province was 22.27%(95%Cl:16.09%-28.45%).The composition ratios of different control measures from high to low were diet and physical exercise combination(59.18%),diet(21.82%),other measures(12.20%)and physical exercise(6.80%).The factors favorable for taking weight control measures were high-level education background,celibacy,obesity,awareness of suffering from hypertension,and having no diabetes.The unfavorable factors were older ages,rural areas,and occupations like agriculture,forestry,animal husbandry,fishery and water conservancy,showing statistically significant differences(all P<0.05).Conclusion The rate of taking weight control measures in the overweight and obesity patients in Hunan Province is low,and hence intervention measures should be taken according to different characteristics of populations.

关 键 词：超重 肥胖 体重控制 影响因素 

分 类 号：R589.2[医药卫生—内分泌]