2007-2015年陕西省成年居民BMI的变化情况

王维华; 冯刘欣; 邱琳; 飒日娜; 汪晶; 刘蓉; 胡志平; 王艳平; 刘峰

doi:10.16462/j.cnki.zhjbkz.2019.07.005

2007-2015年陕西省成年居民BMI的变化情况

doi: 10.16462/j.cnki.zhjbkz.2019.07.005

1.
710054 西安, 陕西省疾病预防控制中心
2.
710004 西安, 西安交通大学第二附属医院
3.
200336 上海, 上海市疾病预防控制中心

基金项目:

陕西省科学技术研究发展计划项目 2012K18-03-03

详细信息

通讯作者:
刘峰, E-mail: myjshy@163.com

中图分类号: R181.22
计量
- 文章访问数: 342
- HTML全文浏览量: 144
- PDF下载量: 43
- 被引次数: 0
出版历程
- 收稿日期: 2018-10-08
- 修回日期: 2019-03-01
- 刊出日期: 2019-07-10

Analysis on trends in BMI among adults in Shaanxi Province from 2007 to 2015

1.
Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
2.
The Second Hospital, Xi'an Jiaotong University, Xi'an 710004, China
3.
Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China

Funds:

Shanxi Science and Technology Research and Development Plan Project 2012K18-03-03

More Information

Corresponding author: LIU Feng, E-mail: myjshy@163.com

摘要

摘要: 目的分析2007-2015年陕西省成年人体重指数(body mass index，BMI)现状及变化趋势。方法利用2007、2010、2013和2015年四次"全国慢性病及其危险因素监测"的数据，采用复杂抽样方法，考虑抽样权重，计算BMI分类(低体重、正常体重、超重和肥胖)率及BMI的不同百分位数(P₅，P₂₅，P₅₀，P₇₅，P₉₅)，趋势χ²检验分析四次调查中低体重率、超重和肥胖率的变化趋势，同时以敏感性分析加以验证。结果低体重率逐年下降、超重率和肥胖率不断上升，趋势χ²检验有统计学意义(Z=-14.70，P < 0.001)，其中农村居民、18~44岁居民超重率和肥胖率增长最快，BMI年均增长0.176(t=3.00，95%CI：0.055~0.298，P=0.006)个单位，2015年低体重率、超重率和肥胖率与2013年相比无统计学差异(χ²=0.196，P=0.459)。敏感性分析以上趋势不变。结论 2007-2015年陕西省成年人低体重率不断下降、超重率和肥胖率不断上升，农村居民、18~44岁居民超重率和肥胖率增长最快，值得关注。
- 横断面调查 /
- BMI /
- 变化趋势
Abstract: Objective To investigate the trend of BMI among adults in Shaanxi Province from 2007 to 2015. Methods Data was obtained from China Chronic Disease and Risk Factor Surveillance from 2007 to 2015, in which a multistage clustering sampling was adopted to collect a provincially representative sample of adults in Shaanxi Province. BMI percentile(P₅, P₂₅, P₅₀, P₇₅, P₉₅) and the prevalence of underweight, overweight and obesity was calculated with weight in each survey. Cochran-Armitage test was used to test trends across survey periods. Changes in BMI across survey years were compared by considering the sampling weight. Results The results of the surveillance indicated that the prevalence of underweight decreased while overweight and obesity increased among adults in Shaanxi province (Z=-14.70, P < 0.001). We observed the highest increase in the prevalence of overweight and obesity among rural residents and residents aged from18 to 44. The mean BMI was estimated to increase 0.176(t=3.00, 95%CI: 0.055-0.298, P=0.006) per year. We found no difference in overweight and obesity (χ²=0.196, P=0.459) between 2013 and 2015. Conclusions We note increases in overweight or obesity and a decrease in underweight among adults in Shaanxi Province. Those living in rural areas and aged from 18 to 44 led the highest increase in overweight and obesity.
- Cross-sectional survey /
- BMI /
- Trends

HTML全文

图 1 2007-2015年陕西省男性和女性居民BMI分位数比较

Figure 1. Comparison of BMI percentile between sex among adults in Shaanxi province from 2007 to 2015

下载: 全尺寸图片幻灯片

图 2 2007-2015年陕西省城乡居民BMI分类比较

Figure 2. Comparison of BMI percentile between urban and rural areas among adults in Shaanxi province from 2007 to 2015

下载: 全尺寸图片幻灯片

表 1 2007-2015年陕西省调查对象基本情况[n(%)]^a

Table 1. The characteristics of participants in Shaanxi province from 2007 to 2015[n(%)]^a

	2007	2010	2013	2015	χ²值	P值
调查人数	1 534(100.00)	2 997(100.00)	9 987(100.00)	6 176(100.00)
年龄(岁)					287.59	＜0.001
18~	770(50.20)	1 133(37.80)	3 695(37.00)	1 825(29.55)
45~	513(33.44)	1 181(39.41)	3 908(39.13)	2 529(40.95)
≥60	251(16.36)	683(22.79)	2 384(23.87)	1 822(29.5)
性别					19.66	0.002
男	748(48.76)	1 370(45.71)	4 530(45.36)	3 003(48.62)
女	786(51.24)	1 627(54.29)	5 457(54.64)	3 173(51.38)
城乡					1 359.99	＜0.001
城市	310(20.21)	600(20.02)	5 275(52.82)	2 644(42.81)
农村	1 224(79.79)	2 397(79.98)	4 712(47.18)	3 532(57.19)
教育程度(年)					88.61	＜0.001
≤6	555(36.18)	1 200(40.04)	4 095(41.00)	2 892(46.83)
>6	979(63.82)	1 797(59.96)	5 892(59.00)	3 284(53.17)
婚姻状况					-11.71	＜0.001
未婚	304(19.82)	442(14.75)	1 393(13.95)	546(8.84)
已婚	1 230(80.18)	2 549(85.05)^a	8 594(86.05)	5 630(91.16)
注：^a表示部分数据有缺失。

下载: 导出CSV

表 2 2007-2015年陕西省居民低体重、正常体重、超重和肥胖率[n(%)]

Table 2. The prevalence of underweight, normal weight, overweight and obesity among adults in Shaanxi province from 2007 to 2015[n(%)]

	2007	2010	2013	2015	χ²值	P值
全部
低体重	5.65(0.87~10.43)	4.90(2.16~7.63)	4.95(1.50~8.39)	4.84(3.37~6.31)	6.64^a	＜0.001
正常体重	63.61(48.03~79.19)	57.99(41.61~74.37)	48.54(43.34~53.73)	48.33(43.15~53.51)	15.72^a	＜0.001
超重	25.80(11.12~40.47)	28.32(15.53~41.10)	34.24(29.41~39.08)	33.26(29.97~36.56)	-7.72^a	＜0.001
肥胖	4.94(2.35~7.52)	8.79(2.98~14.60)	12.27(9.29~15.26)	13.57(9.45~17.69)	-11.13^a	＜0.001
年龄(岁)					0.01^b	0.92
18~
低体重	6.36(0.00~14.09)	5.41(2.28~8.54)	6.59(1.87~11.31)	6.03(3.47~8.59)	3.78^a	＜0.001
正常体重	68.61(56.04~81.18)	61.18(48.62~73.74)	51.71(45.09~58.33)	50.07(44.75~55.38)	10.94^a	＜0.001
超重	21.53(10.45~32.61)	25.95(15.49~36.41)	31.2(25.15~37.25)	31.14(26.36~35.92)	-4.83^a	＜0.001
肥胖	3.50(0.37~6.63)	7.46(3.61~11.31)	10.50(7.61~13.38)	12.77(8.12~17.41)	-8.52^a	＜0.001
45~
低体重	3.29(0.00~6.83)	2.50(0.00~5.33)	1.56(0.68~2.44)	1.46(0.83~2.08)	3.65^a	＜0.001
正常体重	58.91(42.88~74.95)	54.92(34.32~75.51)	40.36(34.81~45.91)	44.12(38~50.24)	8.56^a	＜0.001
超重	32.17(15.74~48.6)	32.34(15.4~49.28)	41.70(38.60~44.8)	39.66(35.89~43.43)	-3.78^a	＜0.001
肥胖	5.62(3.94~7.3)	10.25(5.01~15.48)	16.38(12.25~20.51)	14.76(11.58~17.94)	-5.85^a	＜0.001
≥60
低体重	8.33(6.90~9.76)	7.66(2.97~12.35)	3.84(2.15~5.53)	6.08(3.20~8.95)	4.04^a	＜0.001
正常体重	57.94(35.54~80.33)	56.42(40.98~71.85)	49.07(44.49~53.64)	48.92(41.17~56.66)	6.10^a	＜0.001
超重	25.79(4.77~46.82)	26.74(16.88~36.6)	34.36(30.44~38.27)	30.48(25.42~35.54)	-3.98^a	＜0.001
肥胖	7.94(5.05~10.82)	9.18(0.00~19.71)	12.74(9.76~15.71)	14.53(8.63~20.42)	-3.97^a	＜0.001
性别					0.02^b	0.34
男性
低体重	4.52(0.00~9.77)	5.13(1.40~8.86)	4.07(1.16~6.98)	4.51(2.16~6.87)	4.03^a	＜0.001
正常体重	64.76(50.93~78.59)	59.22(42.09~76.36)	46.54(41.33~51.75)	45.84(42.03~49.65)	11.35^a	＜0.001
超重	26.20(13.11~39.28)	28.19(13.72~42.66)	37.28(32.44~42.11)	35.90(34.10~37.70)	-5.58^a	＜0.001
肥胖	4.52(1.33~7.72)	7.46(1.54~13.37)	12.12(9.30~14.93)	13.75(9.88~17.62)	-7.90^a	＜0.001
女性
低体重	6.73(2.15~11.32)	4.67(2.67~6.67)	5.88(1.71~10.06)	5.18(3.36~7.01)	5.31^a	＜0.001
正常体重	62.52(44.9~80.13)	56.81(41.32~72.3)	50.68(44.41~56.94)	50.93(43.71~58.14)	10.94^a	＜0.001
超重	25.41(9.14~41.68)	28.44(17.3~39.58)	30.99(25.30~36.69)	30.50(24.96~36.05)	-5.35^a	＜0.001
肥胖	5.34(2.71~7.97)	10.08(4.57~15.6)	12.45(8.90~15.99)	13.39(8.38~18.39)	-7.92^a	＜0.001
注：^a表示χ²值，为比较BMI分类在各个年份间的差异；^b表示β值，为异质性检验，是年龄和性别对BMI的回归系数。

下载: 导出CSV

表 3 2010-2015年国家级监测点居民低体重、正常体重、超重和肥胖率(敏感性分析)

Table 3. The prevalence of underweight, normal weight, overweight and obesity among adults from national surveillance point from 2010 to 2015 (sensitivity analysis)

		2010	2013	2015	χ²值	P值
全部	低体重	4.90(2.16~7.63)	5.29(0.00~10.66)	4.84(3.37~6.31)	4.57	＜0.001
	正常体重	57.99(41.61~74.37)	47.58(43.74~51.41)	48.33(43.15~53.51)	9.73	＜0.001
	超重	28.32(15.53~41.1)	34.70(30.31~39.09)	33.26(29.97~36.56)	-5.73	＜0.001
	肥胖	8.79(2.98~14.60)	12.44(8.96~15.92)	13.57(9.45~17.69)	-5.77	＜0.001
18~岁	低体重	5.41(2.28~8.54)	7.10(0.00~14.35)	6.03(3.47~8.59)	2.33	0.010
	正常体重	61.18(48.62~73.74)	49.45(43.59~55.31)	50.07(44.75~55.38)	6.82	＜0.001
	超重	25.95(15.49~36.41)	32.76(27.10~38.42)	31.14(26.36~35.92)	-3.73	＜0.001
	肥胖	7.46(3.61~11.31)	10.69(7.99~13.39)	12.77(8.12~17.41)	-3.56	＜0.001
45~岁	低体重	2.50(0.00~5.33)	1.36(0.23~2.49)	1.46(0.83~2.08)	2.70	0.003
	正常体重	54.92(34.32~75.51)	41.12(33.72~48.52)	44.12(38.00~50.24)	5.94	＜0.001
	超重	32.34(15.40~49.28)	40.55(37.16~43.95)	39.66(35.89~43.43)	-3.81	＜0.001
	肥胖	10.25(5.01~15.48)	16.97(10.96~22.98)	14.76(11.58~17.94)	-3.03	＜0.001
60~岁	低体重	7.66(2.97~12.35)	3.89(1.01~6.77)	6.08(3.20~8.95)	3.07	＜0.001
	正常体重	56.42(40.98~71.85)	49.99(43.4~56.57)	48.92(41.17~56.66)	3.52	＜0.001
	超重	26.74(16.88~36.60)	33.55(27.38~39.71)	30.48(25.42~35.54)	-1.91	0.028
	肥胖	9.18(0.00~19.71)	12.58(7.94~17.22)	14.53(8.63~20.42)	-3.24	＜0.001
男性	低体重	5.13(1.40~8.86)	4.39(0.24~8.54)	4.51(2.16~6.87)	3.86	＜0.001
	正常体重	59.22(42.09~76.36)	44.24(39.76~48.72)	45.84(42.03~49.65)	7.46	＜0.001
	超重	28.19(13.72~42.66)	38.83(33.98~43.67)	35.90(34.10~37.7)	-4.72	＜0.001
	肥胖	7.46(1.54~13.37)	12.55(9.88~15.21)	13.75(9.88~17.62)	-4.28	＜0.001
女性	低体重	4.67(2.67~6.67)	6.28(0.00~13.20)	5.18(3.36~7.01)	2.64	0.004
	正常体重	56.81(41.32~72.30)	51.28(46.32~56.24)	50.93(43.71~58.14)	6.41	＜0.001
	超重	28.44(17.30~39.58)	30.12(25.04~35.20)	30.50(24.96~36.05)	-3.42	＜0.001
	肥胖	10.08(4.57~15.60)	12.32(7.24~17.39)	13.39(8.38~18.39)	-4.04	＜0.001

下载: 导出CSV

参考文献(18)

[1]	Lloyd-Jones D, Adams RJ, Brown TM, et al. Heart disease and stroke statistics-2010 update: a report from the American heart association[J]. Circulation, 2010, 121: e46-e215. DOI: 10.1161/CIR.0000000000000350.
[2]	苏健, 吕淑荣, 杨婕, 等. 江苏省成人脂质蓄积指数与高血压和糖尿病患病风险关系的研究[J]. 中华疾病控制杂志, 2018, 22(3): 217-221, 271. DOI: 10.16462/j.cnki.zhjbkz.2018.03.002. Su J, Lv SR, Yang J, et al. Relationship between lipid accumulation product and the risk of hypertension and diabetes in adults of Jiangsu Province[J]. Chin J Dis Control Prev, 2018, 22(3): 217-221, 271. DOI:10. 16462/j.cnki. zhjbkz. 2018. 03. 002.
[3]	Du T, Sun X, Yin P, et al. Secular trends in the prevalence of low risk factor burden for cardiovascular disease according to obesity status among Chinese adults, 1993-2009[J]. BMC Public Health, 2014, 14(1): 961. DOI: 10.1186/1471-2458-14-961.
[4]	Tian Y, Jiang C, Wang M, et al. BMI, leisure-time physical activity, and physical fitness in adults in China: results from a series of national surveys, 2000-14[J]. Lancet Diabetes Endocrinol, 2016, 4(6): 487-497. DOI: 10.1016/S2213-8587(16)00081-4.
[5]	Xi B, Liang Y, He T, et al. Secular trends in the prevalence of general and abdominal obesity among Chinese adults, 1993-2009[J]. Obes Rev, 2012, 13(3): 287-296. DOI: 10.1111/j.1467-789X.2011.00944.x.
[6]	中国疾病预防控制中心慢病中心. 2007年中国慢性病及其危险因素监测报告[M]. 人民卫生出版社, 2010. National Center for Chronic and Non-communicable Disease Control and Prevention. Chinese Center for Disease Control and Prevention. Report on chronic disease risk factor surveillance in China 2007[M]. People's Medical Publishing House, 2010.
[7]	中国疾病预防控制中心. 中国慢性病及其危险因素监测报告, 2010[M]. 军事医学科学出版社, 2012. National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention. Report on chronic disease risk factor surveillance in China, 2010[M]. Military Medical Science Publishing House, 2012.
[8]	王丽敏, 张梅, 李镒冲, 等. 2013年中国慢性病及其危险因素监测总体方案[J]. 中华预防医学杂志, 2018, 52(2): 191-193. DOI: 10.3760/cma.j.issn.0253-9624.2018.02.015. Wang LM, Zhang M, Li YC, et al. Scheme of the Chinese chronic non-communicable disease and risk factor surveillance[J]. Chin J Prev Med, 2018, 52(2): 191-193. DOI: 10.3760/cma.j.issn.0253-9624.2018.02.015.
[9]	中国疾病预防控制中心. 中国成人慢性病与营养监测(2015)工作手册[M]. 2015. Chinese Center for Disease Control and Prevention. Manual of chronic diseases and nutritional surveillance among adults in China, 2015[M]. 2015.
[10]	胡楠, 姜勇, 李镒冲, 等. 2010年中国慢病监测数据加权方法[J]. 中国卫生统计, 2012, 29(3): 424-426. DOI: 10.3969/j.issn.1002-3674.2012.03.045. Hu N, Jiang Y, Li YC, et al. Weighted method of chronic disease surveillance data in China in 2010[J]. Chinese Journal of Health Statistics, 2012, 29(3): 424-426. DOI: 10.3969/j.issn.1002-3674.2012.03.045.
[11]	侯晓艳, 魏永越, 陈峰. 多阶段抽样调查资料的加权估计法[J]. 中华流行病学杂志, 2009, 30(6): 633-636. DOI: 10.3760/cma.j.issn.0254-6450.2009.06.024. Hou XY, Wei YY, Chen F. Weighted estimation methods for multistage sampling survey data[J]. Chin J Epidemiol, 2009, 30(6): 633-636. DOI: 10.3760/cma.j.issn.0254-6450.2009.06.024.
[12]	刘亮. 山西省成年人体重超重和肥胖变化趋势的研究[D]. 中北大学, 2015. Liu L. Study on the trend of overweight and obesity in adults in Shanxi Province[D]. North Central University, 2015.
[13]	Ouyang YF, Wang HJ, Chang SU, et al. Changes of BMI distribution in Chinese adults from 1989 to 2011[J]. Acta Nutrimenta Sinica, 2014, 36(6): 529-534. DOI: 10.13325/j.cnki.acta.nutr.sin.2014.06.002.
[14]	Flegal KM, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010[J]. JAMA, 2012, 307(5): 483-90. DOI: 10.1001/jama.2012.39.
[15]	Su C, Jia XF, Wang ZH, et al. Longitudinal association of leisure time physical activity and sedentary behaviors with body weight among Chinese adults from China health and nutrition survey 2004-2011[J]. European Journal of Clinical Nutrition, 2017, 71(3): 383. DOI: 10.1038/ejcn.2016.262.
[16]	Ng SW, Howard AG, Wang HJ, et al. The physical activity transition among adults in China: 1991-2011[J]. Obesity Reviews, 2013, 15(S1): 27-36. DOI: 10.1111/obr.12127.
[17]	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. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201301007 Hu XJ, Lin SG, Zhong WL, et al. Influential factors research on overweight and obesity at 5 DSP points in Fujian Province[J]. Chin J Dis Control Prev, 2013, 17(1): 20-23. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ201301007
[18]	宋孟娜, 程潇, 孔静霞, 等. 我国中老年人超重、肥胖变化情况及影响因素分析[J]. 中华疾病控制杂志, 2018, 22(8): 48-52. DOI: 10.16462/j.cnki.zhjbkz.2018.08.010. Song MN, Cheng X, Kong JX, et al. Prevalence and influencing factors of overweight and obesity among middle-aged and elderly people in China[J]. Chin J Dis Control Prev, 2018, 22(8): 48-52. DOI: 10.16462/j.cnki.zhjbkz.2018.08.010.