安徽省部分地区农村老年人肥胖现状及影响因素

Study on elderly obesity and related factors in parts of rural areas in Anhui Province

目的了解安徽省农村老年人肥胖现状及影响因素,并探讨其与慢性病的关系,为提高安徽省农村老年人健康生活质量提供依据。方法采用分层随机整群抽样的方法,对751名60岁以上老年人进行问卷调查和身高、体重等指标的测量。结果在有效的743份问卷中,BMI法测量有52名肥胖者,占总人数的7.0%,其中女性多于男性(P<0.05);WHR法测量有551名腹型肥胖者,占总人数的74.2%,女性高于男性(P<0.05),70～75岁达到高峰;单因素χ2检验分析显示,性别、经济来源、家人外出务工情况、吸烟、甜食为肥胖的主要影响因素;同时,肥胖者高血压、胆囊炎/胆结石的患病率明显高于正常体重者(P<0.05)。结论安徽省部分地区农村老年肥胖尤其是腹型肥胖现状十分严峻,实施防治肥胖的干预措施是必要的。

Objective To investigate the status of obesity and its influencing factors of the elderly in rural areas of Anhui Province, and to explore the relationship between chronic diseases and obesity, so as to provide the basis for enhance the quality of the health of the elderly in rural areas in Anhui Province. Methods Cluster random sampling method was conducted to conduct a questionnaire survey and mea- sure the height, weight, and other indicators in 751 elderly people （age ≥60）. Results There were 52 （7.0%） obesity in the 743 valid questionnaires by BMI measurement, which was more frequently in women than in men, while there were 551 （74.2 % ） abdominal obesity by WHR, which was more frequently in women than in men and 70 -- 75-year-old reached a peak. According to the analysis, sex, source of income, family situation of migrant workers, smoking, sweet were main risk factors of obesity. Hypertension, cholecystitis/gallstone disease in obesity was significantly higher than that of normal weight. Conclusions Obesity, in particular abdominal obesity is very serious in parts of rural elderly in Anhui. The implementation of obesity prevention and treatment interventions are necessary.