肥胖与糖尿病、高血压关系的流行病学研究

An epidemiological study on the relations between diabetes ,hypertension and obesity

目的 :了解肥胖在自然人群中的流行特点及其与糖尿病和高血压发生的关系。方法 :对江苏常州市城乡社区 3 2 2 2名对象进行流行病学研究。结果 :该市 2 0岁以上居民超重和肥胖的患病率分别为 2 7.93%、 3.40 % ,标化率为 2 4.2 6 %、 2 .72 %。肥胖和超重的患病率与年龄呈正相关。女性肥胖的患病率显著高于男性 ;城镇人群的患病率高于乡村。女性肥胖与糖尿病发病的关系较男性更为密切 ,无论男性和女性 ,高血压的患病率均随 BMI的升高而显著增高。结论 :肥胖己成为常州城乡人群的一个重要公共卫生问题 ,预防肥胖的发生应成为糖尿病和心血管疾病综合防治的重要措施。

In order to understand the epidemic characteristics of obesity among the general crowd and the relations between diabetes, hypertension and obesity. We carry out an epidemiological study of 3 222 persons in the communities both in urban and rural of Changzhou in Jiangsu . It shows that the prevalence rates of overweight and obesity are respectively 27.93% and 3.40% among residents in the age above 20. And their standardized rates are 24.26% and 2.72%. The prevalence rates of obesity and overweight are in positive correlation to their ages. The prevalence rate of obesity for female is much more than that for males .The prevalence rate of the people who live in the urban area is much more than that of the people who live in the rural area .The female group, obesity is in closer relationship with diabetes the males. Whether the male or female, the prevalence rate of the hypertension is markedly increasing as the BMI rises. This research points out that the obesity ia becoming an important problem of public nealth in the crowd of the developed district in the south part of Jiangsu province. Preventing obesity should become a significant measure of comprehensive prevention and treatment for the patients with diabetes and vascular disease.