甘肃省两地超重和肥胖人群的城乡差异及影响因素分析  

Urban and rural differences factors of overweight and obesity in two areas of Gansu Province

作　　者：侯丽杰 傅松波[1,2] 关聪会[1,2] 汤旭磊[1,2] 甄东户[1,2] 孙蔚明[1,2] 单忠艳[3] HOU Lijie;FU Songbo;GUAN Conghui;TANG Xulei;ZHEN Donghu;SUN Weiming;SHAN Zhongyan(Department of Endocrinology,The First Hospital of Lanzhou University,Lanzhou 730000,China;Gansu Provincial Endocrine Disease Clinical Medicine Research Center,The First Hospital of Lanzhou University,Lanzhou 730000,China;Department of Endocrinology,The First Affiliated Hospital of China Medical University,Shenyang 110000,China)

机构地区：[1]兰州大学第一医院内分泌科,甘肃兰州730000 [2]兰州大学第一医院甘肃省内分泌疾病临床医学研究中心,甘肃兰州730000 [3]中国医科大学第一附属医院内分泌科,辽宁沈阳110000

出　　处：《兰州大学学报(医学版)》2025年第3期67-73,共7页Journal of Lanzhou University(Medical Sciences)

基　　金：甘肃省自然科学基金资助项目(25JRRA556,22JR5RA914);甘肃省科技计划资助项目(25CXKA003);甘肃省联合科研基金资助项目(23JRRA1490);甘肃省内分泌疾病临床医学研究中心建设规划资助项目(20JR10FA667)。

摘　　要：目的调查甘肃省部分地区超重和肥胖人群的城乡分布差异,并分析其潜在影响因素,为甘肃省“体重管理年”活动提供数据。方法基于中国甲状腺疾病与碘营养状况流行病学调查的甘肃省数据,运用多阶段分层整群随机抽样,选取兰州市和陇南市18岁及以上城乡居民为研究对象,共计2812人。分析不同特征城乡居民超重和肥胖的患病情况,并采用多因素Logistic回归分析超重和肥胖的影响因素。结果甲状腺疾病与碘营养状况流行病学调查研究的甘肃省数据显示,城乡居民中超重和肥胖率分别为36.0%和10.2%。城市男性居民的超重率为49.7%,显著高于农村男性的36.8%(P<0.05),而肥胖率城乡差异无统计学意义。城市女性的超重率和肥胖率均低于农村女性的。超重和肥胖人群高血压、高血糖、血脂异常的患病率较高。Logistic回归分析显示:城市居住、男性、年龄增长为甘肃省居民超重和肥胖的危险因素,研究生以上学历为其保护因素。城乡分层分析显示,城市男性、年龄增长为超重和肥胖的危险因素,大学及以上学历为其保护因素;农村男性、年龄增长、高中学历为危险因素。结论甘肃省部分地区成人超重和肥胖呈城乡及性别差异,需针对性开展健康干预。Objective To investigate the urban-rural distribution of overweight and obesity in some areas of Gansu Province,and to analyze the possible influencing factors,to offer scientific basis for Gansu Province's"weight management year"initiative.Methods Based on the information of Gansu Province from the nation-al epidemiological survey on thyroid disease and iodine nutritional status,a total of 2812 urban and rural residents aged 18 years and above in Lanzhou and Longnan were selected as the study subjects by using multi-stage stratified whole cluster random sampling.The prevalence of overweight and obesity among urban and ru-ral residents with different characteristics was analysed,and the influencing factors of overweight and obesity were analysed using multifactorial Logistic regression.Results Data from the thyroid disease and iodine nutri-tional status study in Gansu Province showed that the prevalence of overweight and obesity among urban and rural residents was 36.0%and 10.2%,respectively.The overweight rate of urban male residents was 49.7%,which was significantly higher than that of rural males,which was 36.8%(P<0.05),while the obesity rate did not differ significantly between urban and rural areas.The prevalence of overweight and the prevalence of obesity were all lower among urban women than those among rural women.The prevalence of hypertension,hyperglycemia and dyslipidemia was higher in overweight and obese people.Logistic regression analysis showed that urban area,male and age increase were the risk factors for overweight and obesity in Gansu Prov-ince residents,while postgraduate education or above was a protective factor.Stratified analyses in urban and rural areas showed that in urban areas,male and age growth were risk factors for overweight and obesity,while university and higher education were protective factors for overweight and obesity.In rural areas,male,age growth and high school education were risk factors.Conclusion The rate of overweight and obesity among adults in some areas of Gansu Pro

关 键 词：超重 肥胖 城乡差异 影响因素 体重管理 甘肃省 

分 类 号：R589.2[医药卫生—内分泌]