超重、肥胖及其与糖尿病的患病风险分析  

Overweight and obesity as risk factors of diabetes meilitus in Chinese population

作　　者：杨泽[1] 郑宏[1] 史晓红[1] 高芳坤[1] 唐雷[1] 于普林[1] 纪立农[2] 佟之复[1] 

机构地区：[1]卫生部北京医院卫生部老年医学研究所,北京100730 [2]北京大学人民医院内分泌科

出　　处：《中华内分泌代谢杂志》2003年第3期177-180,共4页Chinese Journal of Endocrinology and Metabolism

基　　金：国家"九五"攻关项目(96-906-05-01):863专题(2002AA223031)

摘　　要：目的 调查中国40岁以上社区人群超重、肥胖的基线数据,并探讨超重、肥胖与糖尿病(DM)和糖耐量低减(IGT)的患病风险。方法 在1997～1998年随机抽取我国22个社区人群,测量研究对象的体重指数(BMI),腰围(WC),腰臀比(WHR)以诊断肥胖。并按WHO标准筛查了DM和IGT。结果获得了我国≥40岁人群的年龄调整超重率(男34.88％,女34.94％)和年龄调整肥胖率(男9.75％,女15.48％)等指标的基线数据。超重、肥胖率随地区和人群有很大的差别。随超重,肥胖程度增加,可明显加大DM(OR值,男性:1.90;女性:1.75)和IGT(OR值,男性:1.65;女性:1.46)的患病风险,并且这一患病风险与年龄增长无关。WC和WHR的增加,不仅与年龄增长有关,而且与增加DM和IGT的患病风险也有关。结论 我国≥40岁人群中的超重和肥胖人数在增加。超过限值的BMI,WC和WHR是易患DM,IGT的危险因素。Objective To investigate the baseline data of overweight and obesity and to explore the risk of diabetes mellitus (DM) and impaired glucose tolerance (IGT) in Chinese population aged over 40 years old. Methods A total of 25 896 individuals were randomly selected from 22 communities in urban and rural areas in China from 1997 to 1998. All subjects underwent interviewing, measuring height, weight, waist and hip circumferences and performing oral glucose tolerance test according to WHO criterion. Body mass index (BMI) , waist circumference ( WC) and waist/hip ratio ( WHR) were calculated. Results The overall age-adjusted prevalences of overweight (male; 34.88%; female; 34.94%) and obesity (male; 9.75%; female; 15.48%) were calculated. There were marked population distribution characteristics such as differences by gender, areas, urban and rural, as well as the Southern and Northern areas etc. With increasing overweight and obesity there were increasing risks of DM ( OR: male 1. 90 and female 1.75) and IGT ( OR: male 1. 65 and female 1.46) , but the risks were not related to aging. Increased WC and WHR were related both to aging and to increased risks of DM and IGT. Conclusion The prevalences of obesity and overweight are increased in Chinese population over 40 years of age. Increased BMI, WC, and WHR are the important risk factors associated with diabetes and IGT.

关 键 词：糖尿病 超重 肥胖 患病率 糖耐量低减 

分 类 号：R587.1[医药卫生—内分泌] R589.2[医药卫生—内科学]