广州市花都区不同经济社区人群超重/肥胖和血脂异常情况调查

Survey of overweight/obesity and abnormal lipidsdyslipidemia in residens from different economic communities in Huadu,Guangzhou

目的：了解广州市花都区不同经济社区人群超重/肥胖和血脂异常情况，为疾病防治提供科学依据。方法2012年6-7月对广州市花都区3个经济状况不同的社区1623名居民进行问卷调查加体检，了解不同经济社区人群超重/肥胖和血脂异常情况。结果3个社区超重/肥胖患病率为29.4%，血脂异常患病率为45.4%；3个区居民血脂异常患病率比较，差异无统计学意义（P＞0.05），但3个区居民超重/肥胖患病率比较，差异具有统计学意义（P＜0.05）,其中经济基础较薄弱的花东区较经济基础较好的城中村田美区患病率低（P＜0.017）。3个社区男性超重/肥胖患病率比较，差异无统计学意义（P＞0.05），但3个区女性超重/肥胖患病率比较，差异具有统计学意义（P＜0.05），其中花东区女性居民超重/肥胖患病率较田美区女性居民超重/肥胖患病率低（P＜0.017）。不同年龄段3个社区居民超重/肥胖和血脂异常患病率组内比较，差异具有统计学意义（均P＜0.05），45-65岁居民其患病率具有相对较高的趋势。结论本地区人群超重/肥胖和血脂异常患病率较高，其中超重/肥胖患病率经济基础较好的城中村较经济基础较薄弱农村高，3个社区居民超重/肥胖和血脂异常患病率45-65岁居民患病率趋向增高。

Objective To investigate the prevalence of dyslipidemia and overweight/obesity of residents from different economic communities.Method One thousand six hundred and twenty-three residents from three communities with different economic condition in Huadu District,Guangzhou from June to July 2012 participated in the survey by questionnaire and health examination.Results The total prevalence rate in overweight/obesity was 29.4%and that of dyslipidemia 45.4%. The difference of prevalence rate of dyslipidemia among the three economic communities was not statistically significant（P〉0.05）. But the prevalence of overweight/obesity was statistically significantly different among them（P〈0.05）. The prevalence rate of overweight/obesity in Huadong town with a relatively poorer economy was lower than that of Tianmei town with a relatively better economy（P〈0.05）. The prevalence rate of overweight/obesity of male among the three communities had no significant differences（P〉0.05）,whereas the differences in the females were statistically significant（P〈0.05）,and the prevalence rate of Huadong town was lower than that of Tianmei townXinhua town. The differences in the prevalence of overweight/obesity at different ages from all economic communities showed statistical significance（all P〈0.05）.The residents aged 45-65 accounted for a large proportion of overweight/obesity.Conclusions Residents in the area have a high prevalence of overweight/obesity and dyslipidemia. The prevalence rates of overweight/obesity from the villages with better economic conditions are higher than that from the villages with poorer economic conditions. Residents aged 45-65 from all the three communities have a relatively high occurrence of overweight/obesity and dyslipidemia.