内蒙古城镇汉族成年人超重和肥胖现状及影响因素

李延龙; 王海玲; 王棵; 朱京博; 董芬; 迟富利; 龚海英; 钱永刚; 李国菊; 徐国栋; 潘利; 王斌; 朱广瑾; 单广良

doi:10.16462/j.cnki.zhjbkz.2016.01.008

内蒙古城镇汉族成年人超重和肥胖现状及影响因素

doi: 10.16462/j.cnki.zhjbkz.2016.01.008

1. 中国医学科学院基础医学研究所, 北京协和医学院基础学院流行病学与卫生统计学系, 北京 100005;
2. 内蒙古疾病预防控制中心慢性病预防控制所, 内蒙古呼和浩特 010031;
3. 吉林大学公共卫生学院流行病与卫生统计学教研室, 吉林长春 130021

基金项目:

“十二五”国家科技支撑项目（2012BAI37B02）

详细信息

作者简介:
李延龙(1991-),男,河北邯郸人,在读硕士研究生。主要研究方向:慢性病的预防与控制。

中图分类号: R163;R181;R195.2
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- 被引次数: 0
出版历程
- 收稿日期: 2015-10-20
- 修回日期: 2015-12-16

The prevalence and its related factors of overweight and obesity in Han adults of Inner Mongolia

1. ;
2. Department of Chronic Disease Control and Provention Inner Mongolian Autonomous Region Center for Disease Control and Prevention, Hohhot 010031, China;
3. Department of Epidemiology and Health Statistics, School of Public Health, Jilin University, Changchun 130021, China

摘要

摘要: 目的了解内蒙古地区城镇汉族成年人超重和肥胖及相关因素的流行现状，为制定肥胖防治措施和策略提供参考。方法采用分层整群随机抽样的方法，对20～80岁内蒙古地区城镇汉族居民2 373人进行问卷调查及体格检查，采用非条件Logistic回归对超重和肥胖可能的影响因素进行分析。结果内蒙古地区城镇汉族成年人超重和肥胖患病率分别为36.3%和17.0%，男性超重率和肥胖率（40.3%，21.9%）均高于女性（33.8%，13.9%）（均有P<0.05）。单因素分析结果显示不同地区、性别、年龄、婚姻状况、文化程度、经济收入、吸烟、饮酒以及身体锻炼的人群间超重和肥胖的患病率不同，差异有统计学意义（均有P<0.05）；Logistic回归分析显示，老年、男性、已婚、高收入、饮酒和经常锻炼是超重和肥胖的危险因素，而发达地区、高文化程度、重体力劳动为保护因素。结论内蒙古自治区半数以上的城镇汉族成年人超重或肥胖，具有罹患慢性病风险，有必要采取针对性的人群干预措施。
- 超重 /
- 肥胖症 /
- 患病率 /
- 危险因素
Abstract: Objective To investigate the prevalence and its related factors of overweight and obesity in Han adults of Inner Mongolia and to provide evidences for developing obesity-related intervention strategies. Methods 2 373 Han subjects aged 20-80 years were selected with multi-stage stratified cluster sampling who participated in questionnaire survey and physical examination. Logistic regression model was used to analyse the associated factors. Results The prevalence of overweight and obesity were 36.3% and 17.0%, respectively. Men had higher prevalence of overweight and obesity than women (40.3%, 21.9% for men, 33.8%, 13.9% for women, all P<0.05). In univariate analysis, region, gender, age, marriage status, education, income, smoking, alcohol drinking and exercise were assosiated with overweight and obesity(all P<0.05). Logistic regression analysis showed that the elderly, male, married, high income, alcohol drinking, physical exercises were risk factors for both overweight and obesity, while developed region, high education and heavy labor were protective factors. Conclusions More than half of Han residents of Inner Mongolia were overweight or obesity, which may increase non-communicable diseases risk. Therefore, targeted interventions are urgently needed for prevention and control of obesity.
- Overweight /
- Obesity /
- Prevalence /
- Risk factors

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参考文献(19)

Wang C, Li J, Xue H, et al. Type 2 diabetes mellitus incidence in Chinese: contributions of overweight and obesity [J]. Diabetes Res Clin Pract, 2015,107(3):424-432.

Bazzano LA, Gu D, Whelton MR, et al. Body mass index and risk of stroke among Chinese men and women [J]. Ann Neurol, 2010,67(1):11-20.

World Health Organization. Global status report on noncommunicable diseases 2014 [M]. Rede De Informacao E Conhecimento, 2014.

张继国. 中国成年居民膳食模式变化及与肥胖关系的研究(1991-2009) [D]. 北京: 中国疾病预防控制中心, 2013.

周北凡. 我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究 [J]. 中华流行病学杂志, 2002,23(1):5-10.

赵文华,翟屹,胡建平,等. 中国超重和肥胖造成相关慢性疾病的经济负担研究 [J]. 中华流行病学杂志, 2006,27(7):555-559

武阳丰,马冠生,胡永华,等. 中国居民的超重和肥胖流行现状 [J]. 中华预防医学杂志, 2005,39(5):316-320.

王文绢,王克安,李天麟,等. 中国成年人肥胖的流行特点研究:超重和肥胖的现患率调查 [J]. 中华流行病学杂志, 2001,22(2):129-132.

钱永刚,惠春霞,王海玲,等. 2009-2010年内蒙古自治区成年人超重与肥胖状况 [J]. 中华预防医学杂志, 2013,(2):188-189.

Shimokawa S, Chang HH, Pinstrup-Andersen P. Understanding the differences in obesity among working adults between Taiwan and China [J]. Asia Pac J Clin Nutr, 2009,18(1):88-95.

胡祥炬,林曙光,钟文玲,等. 福建省5个国家疾病监测点成人超重肥胖的影响因素分析 [J]. 中华疾病控制杂志, 2013,17(1):20-23.

Wu Y. Overweight and obesity in China [J]. BMJ, 2006,333(7564):362-363.

Shi XD, He SM, Tao YC, et al. Prevalence of obesity and associated risk factors in Northeastern China [J]. Diabetes Res Clin Pract, 2011,91(3):389-394.

彭美玲,苏虹,王智化,等. 安徽省某地区老年人肥胖的流行特征及影响因素分析 [J]. 中华疾病控制杂志, 2013,17(3):204-207.

Wardle J, Carnell S, Haworth CM, et al. Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment [J]. Am J Clin Nutr, 2008,87(2):398-404.

马文军,许燕君,李剑森,等. 广东省成人超重与肥胖的影响因素分析 [J]. 中国公共卫生, 2004,20(8):1006-1007.

马玉霞,张兵,王惠君,等. 饮酒行为对我国9省成年居民高血压患病的影响研究 [J]. 中国慢性病预防与控制, 2011,19(1):9-12.

Bauman A, Allman-Farinelli M, Huxley R, et al. Leisure-time physical activity alone may not be a sufficient public health approach to prevent obesity-a focus on China [J]. Obes Rev, 2008,9(suppl1):119-126.

张璐,宋波,李建富. 城市社区超重与肥胖人群综合干预效果分析 [J]. 中华疾病控制杂志, 2011,15(10):909-911.

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