温州市区成年居民超重和肥胖流行现况调查

A survey on the prevalence of overweight and obesity among city residents in Wenzhou City

目的了解温州市区成年人超重及肥胖流行现状.方法采用多阶段分层整群抽样方法,抽取温州市区成年居民10449人进行问卷调查、体格检查和实验室检测,并分析成年居民超重和肥胖现况及危险因素.结果温州市区居民超重和肥胖粗患病率分别为32.60%和7.70%,标化患病率分别为27.50%和6.51%.多因素Logistic回归分析显示,高龄（OR=1.01,95%CI：1.01～1.02）和饮酒（OR=1.14,95%CI：1.02～1.27） 是超重和肥胖的危险因素,文化程度高（OR=0.87,95%CI：0.84～0.91） 和参加体育锻炼（OR=0.75,95%CI：0.57～0.98）是超重和肥胖的保护因素.超重和肥胖人群糖尿病、血脂异常、高血压和高尿酸血症患病率均明显高于正常人群（P〈0.01）.结论温州市区成年居民超重和肥胖率较高,应积极开展防控措施,降低居民超重和肥胖的患病率.

Objective To learn the prevalence of overweight and obesity among city residents in Wenzhou city.Methods Byusing multistage stratified cluster sampling method,a total of 10 449 residents aged 18 years and above were selected forquestionnaires interview,physical examination and laboratory testing ,analyzed the prevalence and risk factors of overweightand obesity among city residents.Results The crude prevalence rates of overweight and obesity were 32.60% and7.70%,and the age -adjusted rate were 27.50% and 6.51%.The multivariate logistic regression analysis showed that age(OR =1.01,95%CI:1.01 -1.02)and drinking (OR =1.14,95%CI:1.02 -1.27)were risk factors of overweight andobesity,while high degree of education(OR =0.87,95%CI:0.84 -0.91)and active physical exercise (OR =0.75,95%CI:0.57 -0.98)were protective factors of overweight and obesity.The prevalence rates of hypertension,diabetes,dyslipidemia and hyperuricemia were much higher among adults with overweight and obesity,compared with that of normalweight adults (P <0.01).Conclusion Prevalence of overweight and obesity is high in Wenzhou City.Intervention shouldbe actively carried out for the prevention and control of overweight and obesity.