2010年新疆哈萨克族、维吾尔族农村居民超重和肥胖情况调查

Epidemiological study on overweight and obesity among rural adult residents in Hazakh and Uygur population in Xinjiang province, 2010

目的 了解2010年新疆哈萨克族和维吾尔族农村居民超重、肥胖及腹型肥胖流行现状和分布特点.方法 2009至2010年采用分层整群随机抽样的方法,抽取伊犁新源县和喀什伽师县≥18岁的哈萨克族和维吾尔族常住居民8611名进行问卷调查和体格检查,分析并比较两民族人群超重、肥胖及腹型肥胖患病率.结果 哈萨克族超重率[男、女性分别为29.5％ （612/2078）、26.4％ （789/2991）]高于维吾尔族[男、女性分别为25.5％ （440/1728）、21.9％ （397/1814）],差异有统计学意义（男性比较：Х^2=7.50,女性比较：Х^2=12.27,P值均＜0.01）,同民族内比较均表现为男性高于女性（哈萨克族比较：Х^2=5.79,维吾尔族比较：Х^2=6.28,P均＜0.05）；哈萨克族肥胖患病率[男、女性分别为18.2％（379/2078）、18.1％ （540/2991）]高于维吾尔族[男、女性分别为9.4％（163/1728）、13.2％（240/1814）]（男性比较：Х^2=59.90,女性比较：Х^2=19.32,P值均＜0.01）,同民族比较哈萨克族男女性差异无统计学意义,维吾尔族女性患病率高于男性（Х^2 =12.66,P＜0.01）；哈萨克族腹型肥胖患病率[男、女性分别为57.0％（1185/2078）、60.2％（1801/2991）]高于维吾尔族[男、女性分别为46.9％（811/1728）、59.5％ （1080/1814）]（男性比较：Х^2=38.54,P＜0.01;女性比较：Х^2=0.22,P ＞0.05）,同民族比较均表现为女性高于男性（哈萨克族比较：Х^2=5.15,P＜0.05;维吾尔族比较：Х^2 =56.50,P＜0.01）.结论 新疆哈萨克族和维吾尔族农村居民腹型肥胖患病率高于全国水平,哈萨克族超重、肥胖患病率高于维吾尔族.

Objective To investigate the prevalence and distribution features of overweight,obesity and abdominal obesity among rural adult residents in Hazakh and Uygur population in Xinjiang province,2010.Methods Questionnaire-based survey and physical examination were conducted towards the 8611subjects selected from Hazakh and Uygur residents aged over 18 years old in Yili Xinyuan County and Kashi Jiashi County in Xinjiang province by stratified cluster random sampling method ; and thereby the results were analyzed and compared between the two ethnic populations.Results The prevalence of overweight in Hazakh（male：29.5% （612/2078） and female：26.4% （789/2991）） was higher than that in Uygur（male：25.5% （440/1728） and female：21.9% （397/1814））.The difference showed statistical significance （male：Х^2 =7.50,female：Х^2 =12.27,P 〈 0.01）.The prevalence was higher in males than in females among the same ethic population （Hazakh：Х^2 =5.79,Uygur：Х^2 =6.28,P 〈 0.05）.The prevalence of obesity in Hazakh （male：18.2% （379/2078） and female：18.1% （540/2991）） was higher than that in Uygur（male：9.4% （163/1728） and female：13.2% （240/1814））.The difference showed statistical significance （male：Х^2 =59.90,female：Х^2 =19.32,P 〈0.01）.The female prevalence was higher than male in Uygur （Х^2 =12.66,P 〈 0.01） ; however,there was no statistically significant difference in the prevalence stratified by gender in Hazakh.The prevalence of abdominal obesity in Hazakh （male：57.0%（1185/2078） and female：60.2 % （1801/2991）） was higher than that in Uygur （male：46.9% （811/1728）and female：59.5% （1080/1814））.The difference showed statistical significance （male：Х^2 =38.54,P 〈0.01; female：Х^2 =0.216,P 〉 0.05）.And the female prevalence was both higher than male in the two ethic populations （Hazakh：Х^2 =5.15,P〈0.05; Uygur：Х^2 =56.50,P〈0.01）.Conclusion The prevalence abdominal obesity among rural adult residents in Hazakh and Uygur population was much higher than the average level nationwide in China.Hazakh had a higher prevalence of overwight and obesity than Uygur.