2010年广西成人中心型肥胖流行现状及腰围分布特征分析

Prevalence of central obesity and distribution of waistline among adults in Guangxi,2010

目的了解广西不同地区、不同人群成人中心型肥胖的流行现状和腰围的分布,为开展有针对性的肥胖预防控制工作提供依据。方法利用2010年中国慢性病及其危险因素监测身体测量获得的数据,分析广西18岁及以上成人中心型肥胖的流行现状,描述城乡、不同性别及年龄人群的分布及差异。结果广西成人中心型肥胖率为21.8%,男性、女性中心型肥胖率的差异无统计学意义(P>0.05);随着年龄的增长,中心型肥胖率呈现先升高、后下降的趋势。城市地区居民中心型肥胖率(44.1%)明显高于农村居民(15.7%),差异有统计学意义(P<0.01)。城市男性中心型肥胖率(50.9%)明显高于女性(37.0%),农村女性中心型肥胖率(19.1%)明显高于男性(12.7%),差异有统计学意义(P<0.01)。成人平均腰围为(76.0±9.1)cm,男性平均腰围(77.4±9.4)cm明显大于女性(74.4±8.5)cm,差异有统计学意义(P<0.01)。随着年龄的增长,腰围逐渐升高,到60岁以后逐渐降低。城市地区人群平均腰围(81.2±10.9)cm明显大于农村地区(74.5±8.0)cm,差异有统计学意义(P<0.01)。结论广西中心型肥胖在人群中广泛流行并呈现加速上升的趋势,特别是城市人群,必须采取有效的措施遏制肥胖的持续流行和加速上升的趋势。

Objective To understand the prevalence of central obesity and distribution of waistline among adults Guangxi in 2010.Methods Data from National Chronic and Risk Factor Surveillance 2010 were analyzed for observing the prevalence of central obesity and distribution of waist circumference （WC） in different age group adults and areas in Guangxi.Results The prevalence of central obesity among adults in Guangxi was 21.8%.Moreover,there was no significant difference of central obesity prevalence between males and females （P 〉 0.05）.Along with age increasing,the percentages of central obesity increased,and then decreased.The percentage of central obesity in urban residents was 44.1% which was significantly higher than that in rural （15.7%,P 〈0.01）.The percentage of central obesity in urban male residents was 50.9% which was significantly higher than that in female （37.0%）,but the percentage in rural females （19.1%） was significantly higher than that in male （12.7%,P 〈0.01）.The average WC in adults was （76.0 ±9.1） cm,the average waistline in males was （77.4 ± 9.4） cm which was significantly higher than that in female （74.4± 8.5） cm （P 〈 0.01）.WC increased with age,but decreased in adults with ≥60 years old.The mean WC in urban residents was （81.2 ± 10.9） cm which was significantly higher than that in rural residents （74.5 ± 8.0） cm （P 〈 0.01）.Conclusion The prevalence trend of central obesity in Guangxi adults is accelerated,especially in urban residents.The effective measures must be taken out to stop the increasing and accelerated trend.