山西省老年人群超重和肥胖的流行病学调查

EPIDEMIOLOGICAL INVESTIGATION ON THE OVERWEIGHT AND OBESITY AMONG OLD PEOPLE IN SHANXI

[目的]了解山西省老年人群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]以整群随机抽样调查为原则,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55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3702人,其中男性1782人,女性1920人。超重患病率男性为28.6%,女性为34.5%,总患病率为31.7%;肥胖患病率男性为3.0%,女性为6.8%,总患病率为5.0%。男女之间超重和肥胖患病率差异均有统计学意义(χ2=15.214和χ2=27.378,v=1,P﹤0.01)。经多元逐步回归分析发现年龄、饮食习惯、性别、吸烟等与体质指数(bodymassindex,BMI)有相关性,其中年龄、吸烟为负相关。[结论]山西省老年人群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,提高老年人群的生活质量。

[ Objective] To study the general situation of the disease and risk factors of overweight and obesity in Shanxi Province among the eider population, accordingly further provide the basis to explore intervention measnres. [ Methods] Applying cluster random sampling, 41 residents＇ communities were selected from nine residential areas of Shanxi Province as the investigative spots. In each spot, the correlation study of overweight and obesity were conducted among the long term residents above 55 years old. [ Results] The investigation covered altogether 3, 702 people, with 1, 782 of male, 1, 920 of frmale. The overweight morbility rate is 31.7%, and with male being 28.6%, female being 34.5%. The obesity morbility rate is 5;0%, with male being 3.0%, female being 6.8%. The morbility rate between men and women in terms of overweight and obesity saw statistical significance （x^2 = 15.214 and X^2 = 27.378, v=l, P〈 0.01）. As muhiple linear regression showed that age, dieting habit, gender, smoking and so on had significant relation with BMI, while sex and smoking, assumes negative association, [Conclusion] The overweight and obesity in Shanxi Province saw a high morbility rate among the elder population, implying that a comprehensive intervention should be taken in prevention of overweight and obesity.