山东沿海地区2010与2015年≥18岁居民体质量超标准和肥胖患病情况比较

COMPARISON OF THE PREVALENCE OF OVERWEIGHT AND OBESITY IN RESIDENTS AGED ≥18 YEARS IN COASTAL REGIONS OF SHANDONG,CHINA BETWEEN 2010 AND 2015

目的比较山东沿海地区2010与2015年≥18岁居民体质量超标准(超标)和肥胖患病情况。方法采用随机、分层、整群抽样的方法,按照WHO对肥胖和超标的诊断标准,调查山东沿海5地区(青岛、威海、日照、烟台、东营市)≥18岁居民3 958人超标及肥胖的患病情况。结果 2015年山东沿海地区居民总的超标患病率为39.72%,其中男、女性超标的患病率分别为43.85%、38.27%,男、女性超标患病率比较差异有显著性(χ2=12.07,P<0.05);男性2015年超标患病率较2010年明显升高(χ2=20.36,P<0.05);女性2015年超标患病率与2010年相比无明显差异(P>0.05)。2015年山东沿海地区居民总的肥胖患病率为9.70%,其中男、女性肥胖的患病率分别为9.43%、9.87%,男、女性肥胖患病率比较,差异无显著性(P>0.05);男性2015年肥胖患病率较2010年明显升高(χ2=12.98,P<0.05);女性2015年肥胖患病率与2010年相比无明显差异(P>0.05)。结论山东沿海地区≥18岁居民2015年超标和肥胖的患病率均较2010年升高,男性升高明显,应开展及强化肥胖的教育及控制。

Objective To compare the prevalence of overweight and obesity in residents aged≥18years in the coastal regions of Shandong Province,China between 2010 and 2015. Methods Random,stratified,and cluster sampling was performed to investigate the prevalence of overweight and obesity in 3 958 residents aged≥18years in 5coastal regions of Shandong Province（Qingdao,Weihai,Rizhao,Yantai,and Dongying）according to the WHO diagnostic criteria for obesity and overweight. Results In 2015,the overall prevalence rate of overweight was 39.72%in the coastal regions of Shandong,and the prevalence rate of overweight was 43.85%in male residents and 38.27%in female residents;there was a significant difference in the prevalence rate of overweight between male and female residents（χ2=12.07,P〈0.05）.There was a significant increase in the prevalence rate of overweight in male residents from 2010 to 2015（χ2=20.36,P〈0.05）,while there was no significant change in the prevalence of overweight in female residents from 2010 to 2015（P〉0.05）.In 2015,the overall prevalence rate of obesity was 9.70%in the coastal regions of Shandong,and the prevalence rate of obesity was 9.43%in male residents and 9.87%in female residents;there was no significant difference in the prevalence rate of obesity between male and female residents（P〈0.05）.There was a significant increase in the prevalence rate of obesity in male residents from 2010 to 2015（χ^2=12.98,P〈0.05）,while there was no significant change in the prevalence of obesity in female residents from 2010 to 2015（P〉0.05）. Conclusion There are certain increases in the prevalence rates of overweight and obesity among residents aged≥18years,particularly male residents,in the coastal regions of Shandong Province from 2010 to 2015.It is urgent to carry out and strengthen obesity education and control.