基于“泰州健康人群跟踪调查队列”的生活满意度与肥胖的关联研究

Taizhou Longitudinal Study based association study between life satisfaction and obesity

目的本研究以"泰州健康人群跟踪调查队列"(TZL)为研究对象,首次分别从男性和女性群体中探索生活满意度与肥胖之间的关联。方法采用频率和百分比对生活满意度进行描述,使用χ2检验对不同组生活满意度进行趋势检验,运用Logistic回归探索男女群体中肥胖与生活满意度之间的关联。结果从体质量指数(BMI)角度来衡量肥胖时,对于男性群体,3个模型中除了偏瘦组不显著外,其他两组生活满意度均显著高于正常组(P<0.05);而女性群体偏瘦组生活满意度显著低于正常组(P<0.05);超体质量组生活满意度显著高于正常组(P<0.05),但在模型2和3中,加入年龄和家庭年总收入调整变量后,差异无统计学意义(P>0.05)。从腰围角度来衡量肥胖时,在男性群体中,3个模型中肥胖组的生活满意度显著高于正常组(P<0.05);女性群体中,3个模型中肥胖组与正常组的生活满意度差异均无统计学意义(P>0.05)。从腰臀比角度来衡量肥胖时,在男性群体中,肥胖组的生活满意度均显著高于正常组(P<0.05);而在女性群体中,3个模型中肥胖组与正常组的生活满意度差异均无统计学意义(P>0.05)。结论在中国大型泰州人群健康跟踪队列中,男性群体中生活满意度与肥胖正向关联,符合"Jolly fat"假设;而女性群体中未发现生活满意度与肥胖程度具有显著关联。

Objective To explore the association between life satisfaction（LS）and obesity in both Chinese male and female population based on ＂Taizhou Longitudinal Study＂（TZL）.Methods Life satisfaction was described by frequency and percentage,tested by trend Chi-square tests and used logistic regression to explore the association between LS and obesity in both male and female population.Results If we used body mass index（BMI）to measure obesity,for the male population,except underweight group the LS of the other two groups were significantly higher than normal group in model 1-3（P〈0.05）.For the female population,the slightly thin group′s LS was significantly less than normal group（P〈0.05）;the overweight group′s LS was significantly more than normal group（P〈0.05）,while the difference was not significant after adding age and annual family income for adjustment in model2-3（P〈0.05）.If we used waist circumference（WC）to measure obesity,for the male population,obesity groups′LS was significantly higher than normal group in model 1-3（P〈0.05）;however,for the female population,there was no significant difference between obesity and normal group（P〈0.05）.If we used waist-hip ratio（WHR）to measure obesity,for the male population,obesity group′s LS was significantly higher than normal group in model 1-3（P〈0.05）;for the female population,there was no significant difference between obesity and normal group in model 1-3（P〉0.05）.Conclusion In Chinese TZL,LS is positively associated with obesity for the male population,which accords with Jolly fat′s hypothesis;while there is no significant association between LS and obesity for the female population.