北京社区中老年人超重和肥胖与慢性疾病的关系调查

The relationship between body mass index and chronic diseases in middle and elder population in communities of Beijing

目的:探讨北京社区老年人超重和肥胖的发生率及其与慢性疾病的关系。方法:随机抽取134个社区中老年人群,详细调查病史和全面体检,计算体质指数。结果:各种慢性病的患病率为:高血压44.9%,冠心病40.3%,糖尿病40.3%,高脂血症48.9%,脑血管疾病8.5%,慢性支气管炎15.8%,肾功能不全2.9%,胆结石4.3%,脂肪肝45.7%,痔疮3.9%,白内障40.8%,前列腺肥大48.6%,高尿酸血症16.7%。超重和肥胖率分别为50.0%和12.7%,仅有35.6%的人体重正常。超重和肥胖者的高血压、冠心病、糖尿病、高脂血症、高尿酸血症和脂肪肝的发病率明显高于正常体重者。经多因素回归分析,体重指数与高血压、冠心病和脂肪肝呈显著正相关。结论:北京社区中老年人超重和肥胖情况严重,并且与多种慢性疾病的发病有明显关系。

Objective：To study the epidemiological features ot prevalence and distribution of body mass index. and the relationship between the chronic diseases and body mass index in middle and elder people in Beijing. Method：To analyze the data of 1863 physical examination cases aged 40-93 years old from 134 communities in Beijing. Result：The proportion of people with overweight and obesity was 50% and 12. 7% respectively. Only 35. 6% of people had normnal body weight. In overweight and obesity group, the prevalence rates of hypertension, coronary heart disease（CHD） ,diabetes mellitus（DM） ,hyperlipidemia , hyperuricemia and steatohepatis are singnificantly higher than that normal BMI group. Logist regression analysis showed that BMI correlated with coronary heart disease, hypertension and steatohepatis positively. Conclusion：The prevalence rate of the overweight and obesity is much higher in Bejing. The BMI of obese middle and elder people correlated with coronary heart disease, hypertension and steatohepatis. The over weight and obesity are major risk factors for several chronic diseases.