山西省城乡居民超重和肥胖流行病学调查

Epidemiological survey of overweight and obesity among inhabitants in Shanxi province

目的了解山西省城乡居民超重和肥胖的患病情况及危险因素,为制定相应的干预措施提供科学依据。方法以整群随机抽样方法,抽取山西省太原、大同、晋中、运城等9个地、市的41个街道居委会和村镇作为调查点,对每个调查点的15岁以上长住居民进行超重和肥胖患病情况及相关因素调查。结果共调查10 792人,其中男性4 721人,女性6 071人。超重患病率男性为25.7%,女性为27.8%,总患病率为26.8%。肥胖患病率男性为3.5%,女性为4.9%,总患病率为4.3%。男女之间超重和肥胖患病率差异均有统计学意义(χ2=5.99和χ2=12.24,P<0.05)。经多元逐步回归分析发现,年龄、饮食习惯、职业、性别、饮酒、吸烟等与体质指数(BMI)有相关性,其中吸烟为负相关。结论山西省居民超重和肥胖患病率较高,应采取综合性预防措施,以降低超重和肥胖的患病率,提高人民生活质量。

Objective To comprehend the morbility,rate and the risk factors of overweight and obesity in Shanxi province and provide the evidence to explore the intervention measures for overweight and obesity in the community.Methods According to the cluster random sampling investigation principle,to extract 41 residents＇communities and villages of nine areas of Shanxi province as the investigated spots,which were Taiyuan,Datong,Jinzhong,Yuncheng etc.In every spot,to carry out the relation study of overweight and obesity among the residents above 15 years old and long-time inhabirants.Results There were 10 792 people in this investigation,including 4 721 male,6 071 female.The overweight morbidity rate was 26.8%.The male was 25.7%,the female was 27.8%.The obesity morbidity rate was 4.3%.The male was 3.5%.The female was 4.9%.The morbidity rate between men and women had statistics significance（χ^2=5.99 and χ^2=12.24,r=1,P〈0.05）.It was discovered that age,diet custom,occupation,sex,drinking wine,smoking and so on had relation with BMI.The smoking assumed negative association by multiple linear regression.Conclusion The overweight and obesity in Shanxi province had a high morbidity,rate.This result implied that a comprehensive intervention should be taken in the prevention of overweight and obesity.