武汉市老年人超重肥胖流行特征与常见慢性疾病的关系

Prevalence of overweight and obesity among elderly people and the association between them and chronic disease in Wuhan

目的了解武汉市65岁及以上老年人超重肥胖流行特征及与常见慢性疾病的关系。方法采用2012年武汉市65岁及以上老年人免费体检数据,对372 990名老年人调查问卷、体格检查、实验室检测和腹部B超结果进行分析。结果老年人总体超重率29.03%,肥胖率8.36%;城市老年人超重率和肥胖率分别为33.37%和9.98%,高于农村的24.82%和6.78%;女性超重率和肥胖率分别为29.35%和9.87%,高于男性的28.66%和6.62%;随着年龄增长,超重和肥胖率均呈下降趋势。多因素Logistic回归分析结果显示在调整区域、性别、年龄等因素的情况下,体质指数增高是高血压、糖尿病、血脂异常、脂肪肝、冠心病、脑卒中患病的危险因素,是慢性阻塞性肺部疾病的保护因素。结论武汉市65岁及以上老年人超重和肥胖发生率高,超重与肥胖是高血压、糖尿病等心脑血管疾病和代谢性疾病的的重要危险因素。

Objective To describe the prevalence of overweight and obesity and investigate the relationship be- tween body mass index and chronic diseases among elderly people in Wuhan. Methods Data was collected from health status census on all eider people aged over 65 in Wuhan. A total of 372 990 elders aged over 65 were included in the stud- y, their investigation questionnaires, physical examination, laboratory tests and abdominal B-ultrasound examination re- suits. Results The prevalence of overweight and obesity among elderly people were 29.03% and 8.36% , respectively. And the prevalence in urban area （33.37% , 9. 98% ） were higher than rural area （24. 82% , 6. 78% ） , also the rate in women （29.35% , 9.87% ） were higher than men （28.66% , 6. 62% ） and it decreased with age. After adjusting the are- a, gender and age, high body mass index was a risk factor of hypertension, diabetes, dyslipidemia, fatty liver, coronary heart disease and stroke also is an advantage of chronic obstructive pulmonary disease. Conclusions The prevalence of o- verweight and obesity among elderly people in Wuhan is high, overweight and obesity are major risk factors of cardiovascu- lar diseases and metabolic diseases such as hypertension and diabetes.