广州市公职人员内脏型肥胖与生活方式的相关性调查  

Investigation on the correlation between visceral obesity and lifestyle among public servants in Guangzhou

作　　者：曾洪利 梁玉婵 黄鲁 邱振阳 ZENG Hong-li;LIANG Yu-chan;HUANG Lu;QIU Zhen-yang

机构地区：[1]广州市干部健康管理中心/广州市第十一人民医院,广东广州510530

出　　处：《中国疗养医学》2024年第2期95-100,共6页Chinese Journal of Convalescent Medicine

摘　　要：目的探索广州市公职人员内脏型肥胖与生活方式的相关性,为指导这部分人群建立健康生活方式、防治内脏型肥胖的发生发展提供依据。方法收集2022年5月至2023年5月在广州市干部健康管理中心的716例体检者的内脏脂肪面积、相关指标检测及生活方式问卷内容,将数据进行统计分析。结果广州市公职人员内脏型肥胖患病率37.85%,男性(46.06%)高于女性(11.70%),差异有统计学意义(P<0.05);按年龄分组,内脏型肥胖患病率随年龄增长而增高,各年龄组患病率差异有统计学意义(P<0.05);同时文化程度越高,内脏型肥胖患病率越低,差异有统计学意义(P<0.05)。内脏型肥胖组中年龄、腰围、体质指数(BMI)、收缩压、舒张压、空腹血糖、血肌酐、血尿酸、丙氨酸氨基转移酶、三酰甘油、载脂蛋白A1、载脂蛋白B均高于内脏脂肪面积正常组,高密度脂蛋白胆固醇低于内脏脂肪面积正常组,差异有统计学意义(P<0.05)。单因素分析发现吸烟、每周饮酒次数及每次饮酒量越多、经常喝含糖饮料、经常吃宵夜、作息不规律的人群内脏型肥胖的患病率较高,而经常吃水果、参加运动锻炼越多的人群内脏型肥胖的患病率较低,差异均有统计学意义(P<0.05)。多因素二分类Logistics回归分析显示男性、年龄增长、每次饮酒量越多、经常吃甜食是内脏型肥胖的危险因素,文化程度越高、经常参加运动锻炼是内脏型肥胖的保护因素。结论日常生活中减少饮酒、宵夜及甜食的摄入,保持规律作息、提升文化程度以及加强运动锻炼可以减少内脏型肥胖的发生。Objective To explore the correlation between visceral obesity and lifestyle of public servants in Guangzhou,and to provide evidence for guiding them to establish a healthy lifestyle and preventing the occurrence and development of visceral obesity.Methods From May 2022 to May 2023,716 subjects who underwent physical examination in Guangzhou Cadres Health Management Center were recruited.The visceral fat area,related indexes and lifestyle questionnaire contents were statistically analyzed.Results The prevalence of visceral obesity among 716 public servants in Guangzhou was 37.85%,which was significantly higher in males than that of females(46.06%VS 11.70%,P<0.05).Stratified by age,the prevalence of visceral obesity increased with age,showing a significant difference among age groups(P<0.05).Subjects with a higher education level had a significantly lower the prevalence of visceral obesity(P<0.05).Age,waist circumference,body mass index(BMI),systolic blood pressure,diastolic blood pressure,fasting blood glucose,serum creatinine,serum uric acid,alanine aminotransferase,triglyceride,apolipoprotein A1 and apolipoprotein B were significantly higher in subjects with a larger visceral fat area than those with a normal visceral fat,and high density lipoprotein cholesterol was significantly lower(P<0.05).Univariate analysis found that the prevalence of visceral obesity was significantly higher in those who smoked,drank more alcohol per week and more alcohol per drink,drank sugary drinks frequently,ate night snacks frequently and had irregular rest,which was significantly lower in those who ate fruits frequently and participated in more exercise(P<0.05).Multivariate Logistics regression analysis showed that male,older age,more alcohol per drink and frequent intake of sweet food were risk factors for visceral obesity,while higher education level and frequent exercise were protective factors.Conclusion Reducing the intake of alcohol,midnight snacks and sweets in daily life,keeping regular work and rest,improving educational l

关 键 词：内脏型肥胖 内脏脂肪面积 生物电阻抗法 生活方式 相关性 

分 类 号：R58[医药卫生—内分泌]