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2018年深圳市成人肥胖和向心性肥胖现状及影响因素

赵劭娟,  严新凤,  于传宁,  余晓萱,  陈健东,  曹思静,  罗译,  杨丽珍,  雷林,  彭绩

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文章导航 > 中华疾病控制杂志  > 2022 >  26(3): 347-350
赵劭娟, 严新凤, 于传宁, 余晓萱, 陈健东, 曹思静, 罗译, 杨丽珍, 雷林, 彭绩. 2018年深圳市成人肥胖和向心性肥胖现状及影响因素[J]. 中华疾病控制杂志, 2022, 26(3): 347-350. doi: 10.16462/j.cnki.zhjbkz.2022.03.018
引用本文: 赵劭娟, 严新凤, 于传宁, 余晓萱, 陈健东, 曹思静, 罗译, 杨丽珍, 雷林, 彭绩. 2018年深圳市成人肥胖和向心性肥胖现状及影响因素[J]. 中华疾病控制杂志, 2022, 26(3): 347-350. doi: 10.16462/j.cnki.zhjbkz.2022.03.018
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ZHAO Shao-juan, YAN Xin-feng, YU Chuan-ning, YU Xiao-xuan, CHEN Jian-dong, CAO Si-jing, LUO Yi, YANG Li-zhen, LEI Lin, PENG Ji. Prevalence and influencing factors of obesity and abdominal obesity among adults in Shenzhen in 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(3): 347-350. doi: 10.16462/j.cnki.zhjbkz.2022.03.018
Citation: ZHAO Shao-juan, YAN Xin-feng, YU Chuan-ning, YU Xiao-xuan, CHEN Jian-dong, CAO Si-jing, LUO Yi, YANG Li-zhen, LEI Lin, PENG Ji. Prevalence and influencing factors of obesity and abdominal obesity among adults in Shenzhen in 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(3): 347-350. doi: 10.16462/j.cnki.zhjbkz.2022.03.018
shu

2018年深圳市成人肥胖和向心性肥胖现状及影响因素

doi: 10.16462/j.cnki.zhjbkz.2022.03.018
  • 1.

    518110 深圳，深圳市龙华区慢性病防治中心慢性非传染性疾病防治科

  • 2.

    518020 深圳，深圳市慢性病防治中心肿瘤防控科

详细信息
    通讯作者:

    雷林，E-mail: szleilin@qq.com

  • 中图分类号: R195.4

Prevalence and influencing factors of obesity and abdominal obesity among adults in Shenzhen in 2018

  • 1.

    Department of Chronic and Non-communicable Disease Control and Prevention, Longhua Center for Chronic Disease Control, Shenzhen 518110, China

  • 2.

    Department of Cancer Control and Prevention, Shenzhen Center for Chronic Disease Control, Shenzhen 518020, China

More Information

    摘要
  • 摘要:   目的  了解深圳市成年居民肥胖和向心性肥胖现状及其影响因素。  方法  于2018年在深圳市对常住居民开展慢性病及其危险因素调查，采用多阶段分层随机抽样抽取10 046名常住深圳市成年居民作为调查对象，分析肥胖与向心性肥胖的流行病学特征及影响因素。  结果  调查人群的肥胖率和向心性肥胖率分别为8.65%、38.04%，性别、年龄和吸烟均是影响肥胖率和向心性肥胖的主要因素(均有P＜0.05)，男性、中老年人和吸烟是肥胖和向心性肥胖的危险因素(OR=1.411, 95% CI: 1.115~1.725, P=0.001; OR=1.155, 95% CI: 1.010~1.321, P=0.036)，中强度职业性体力活动是向心性肥胖的保护因素(OR=0.856, 95% CI: 0.775~0.946, P=0.002)。  结论  虽然深圳市成年居民肥胖、向心性肥胖率略有降低，但仍有改善空间，相关部门应针对性的采取干预措施预防肥胖，尤其是向心性肥胖。
    Abstract:   Objective  To examine the prevalence and impact factors of obesity and central obesity among adult residents in Shenzhen City.  Methods  In 2018, a total of 10 046 permanent adult residents in Shenzhen were selected by multi-stage stratified random sampling to investigate chronic diseases and their risk factors. And analyze the epidemiological characteristics and influencing factors of obesity and centripetal obesity were analyzed.  Results  Of all the residents, 8.65% and 38.04% were indentified with obesity and central obesity, respectively. Gender, age and smoking were significantly associated with the prevalence of obesity and central obesity (all P < 0.05). Male gender, middle age and smoking were risk factors for obesity and central obesity (OR=1.411, 95% CI: 1.115-1.725, P=0.001; OR=1.155, 95% CI: 1.010-1.321, P=0.036), while moderate work physical activity was a protective factor against central obesity (OR=0.856, 95% CI: 0.775-0.946, P=0.002).  Conclusion  Although the rate of obesity and central obesity slightly decrease among adult in Shenzhen, targeted preventive measures should be encouraged, especially for central obesity.
    • HTML全文

  • 表  1  肥胖/向心性肥胖影响因素的单因素分析[n (%)]

    Table  1.   Univariate analysis of influencing factors of obesity and centripetal obesity [n (%)]

    人口学特征 肥胖组(n=917) 非肥胖组(n=9 126) χ2值 P值 向心性肥胖组(n=3 936) 非肥胖组(n=6 107) χ2值 P值
    性别 55.12 ＜0.001 1 252.22 ＜0.001
      男 503(11.57) 3 843(88.43) 2 561(58.93) 1 785(41.07)
      女 414(7.27) 5 283(92.73) 1 375(24.14) 4 322(75.86)
    年龄组(岁) 51.51 ＜0.001 439.53 ＜0.001
      18~ < 30 59(5.30) 1 055(94.70) 247(22.17) 867(77.83)
      30~ < 40 266(7.74) 3 173(92.26) 1 081(31.43) 2 358(68.57)
      40~ < 50 264(10.04) 2 365(89.96) 1 085(41.27) 1 544(58.73)
      50~ < 60 182(12.22) 1 307(87.78) 752(50.50) 737(49.50)
      60~ < 70 117(10.78) 968(89.22) 569(52.44) 516(47.56)
      ≥70 29(10.10) 258(89.9) 172(59.93) 115(40.07)
    文化程度 135.76 ＜0.001 91.07 ＜0.001
      文盲 35(15.02) 198(84.98) 129(55.36) 104(44.64)
      小学 152(13.62) 964(86.38) 531(47.58) 585(52.42)
      初中 252(9.35) 2 442(90.65) 1 067(39.61) 1 627(60.39)
      高中/中专 261(9.01) 2 637(90.99) 1 117(38.54) 1 781(61.46)
      大专或以上 217(7.00) 2 885(93) 1 062(34.24) 2 040(65.76)
    婚姻状况 18.30 0.001 94.81 ＜0.001
      未婚 33(4.86) 646(95.14) 150(22.09) 529(77.91)
      已婚 835(9.35) 8 097(90.65) 3 604(40.35) 5 328(59.65)
      离婚 20(10.81) 165(89.19) 57(30.81) 128(69.19)
      丧偶 23(12.17) 166(87.83) 76(40.21) 113(59.79)
      其他 5(10.64) 42(89.36) 15(31.91) 32(68.09)
    吸烟情况 62.36 ＜0.001 528.67 ＜0.001
      现在吸 239(13.55) 1 525(86.45) 1 038(58.84) 726(41.16)
      已戒烟 63(12.50) 441(87.50) 313(62.10) 191(37.90)
      不吸烟 615(7.91) 7 160(92.09) 2 555(32.86) 5 220(67.14)
    饮酒 4.20 0.040 183.95 ＜0.001
      否 666(8.80) 6 907(91.20) 2 660(35.12) 4 913(64.88)
      是 251(10.16) 2 219(89.84) 1 246(50.45) 1 224(49.55)
    职业性体力活动 13.92 0.001 83.23 ＜0.001
      无 304(9.73) 2 819(90.27) 1 367(43.77) 1 756(56.23)
      中强度 484(8.33) 5 323(91.67) 2 039(35.11) 3 768(64.89)
      高强度 129(11.59) 9 84(88.41) 500(44.92) 613(55.08)
    总静态时间 1.59 0.450 8.25 0.016
      较少 300(9.63) 2 814(90.37) 1 223(39.27) 1 891(60.73)
      一般 290(8.74) 3 028(91.26) 1 342(40.45) 1 976(59.55)
      较多 327(9.06) 3 284(90.94) 1 341(37.14) 2 270(62.86)
    下载: 导出CSV

    表  2  全身性肥胖和向心性肥胖影响因素的多因素分析

    Table  2.   Multivariate analysis of influencing factors of systemic obesity and centripetal obesity

    变量 全身性肥胖组 向心性肥胖组
    β值 sx值 Wald值 OR(95% CI)值 P值 β值 sx值 Wald值 OR(95% CI)值 P值
    性别
      男 1.000 1.000
      女 -0.469 0.093 25.253 0.625(0.521~0.751) ＜0.001 -1.588 0.059 726.288 0.204(0.182~0.229) ＜0.001
    年龄(岁) ＜0.001
      18~ < 30 1.000 1.000
      30~ < 40 0.287 0.161 3.170 0.075(1.332~0.971) 0.075 0.331 0.095 12.224 1.393(1.157~1.677) ＜0.001
      40~ < 50 0.484 0.164 8.715 1.623(1.177~2.238) 0.003 0.768 0.098 61.372 2.156(1.779~2.613) ＜0.001
      50~ < 60 0.622 0.174 12.847 1.863(1.326~2.618) ＜0.001 1.204 0.107 126.476 3.333(2.702~4.111) ＜0.001
      60~ < 70 0.419 0.188 4.972 1.520(1.052~2.196) 0.026 1.296 0.115 126.837 3.654(2.917~4.579) ＜0.001
      ≥70 0.222 0.261 0.724 1.249(0.748~2.084) 0.395 1.448 0.165 76.920 4.253(3.077~5.877) ＜0.001
    吸烟情况
      不吸烟 1.000 1.000
      已戒烟 0.205 0.154 1.759 0.185(1.227~0.907) 0.098 0.107 0.826 0.364(1.103~0.893)
      现在吸烟 0.344 0.102 11.307 1.411(1.155~1.725) 0.001 0.144 0.069 4.407 1.155(1.010~1.321) 0.036
    职业性体力活动
      无 1.000 1.000
      中强度 -0.105 0.079 1.755 0.900(0.771~1.052) 0.185 -0.155 0.051 9.245 0.856(0.775~0.946) 0.002
      高强度 0.099 0.115 0.745 1.104(0.882~1.382) 0.388 -0.082 0.078 1.100 0.921(0.791~1.074) 0.294
    下载: 导出CSV
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  • 收稿日期:  2021-04-12
  • 修回日期:  2021-07-09
  • 网络出版日期:  2022-03-17
  • 刊出日期:  2022-03-10

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