萧山区人群肥胖流行状况及与糖尿病相关关系分析

Overweight prevalence condition and its relationship with diabetes in Xiaoshan District of Hangzhou

目的:了解萧山区居民的肥胖流行状况及肥胖与糖尿病的关系。方法:通过自行设计问卷,采用多阶段随机整群抽样方法于2013年12月-2014年1月对萧山区6个乡镇12个村4 473名18岁以上常住居民进行问卷调查和体格检查。结果:调查人群超重肥胖患病率为49.32%(标化患病率为45.84%)。腰围身高比≥0.5的中心性肥胖患病率为49.94%。超重及中心性肥胖患病率随年龄的增大而增加,男性超重率大于女性,女性中心性肥胖患病率大于男性,差异均有统计学意义(P<0.05)。体重正常人群中,中心性肥胖患病率为20.51%,年龄和中心性肥胖是体重正常人群糖尿病风险的两个危险因素。结论:萧山区居民肥胖流行程度高,对肥胖的干预中,不能放松对正常体重人群中中心性肥胖者的干预。

Objective To know about the epidemiological characteristics of overweight in Xiaoshan district and its relationship with diabetes. Methods A questionnaire survey and physical examination were conducted among 4473 residents which were selected with stratified cluster random sampling. Results The crude prevalence rate and standardized prevalence rate of overweight were 49.32 % and 45.84% respectively; the central obesity rate was 49.94%. With the age increasing,both the prevalence rates were obviously up. The central obesity rate was 20.51% in normal weight population. Age and central obesity were two risk factors for diabetes in normal weight population. Conclusions The prevalence of overweight is high in Xiaoshan. We should take measures to control overweight and enhance the intervention of central obesity in normal weight population.