2003-2013年重庆主城某社区居民超重和肥胖的流行趋势

Changes in prevalence of overweight and obesity in a community in Chongqing from 2003-2013

目的调查比较重庆主城某社区居民2003、2013年超重、肥胖及中心性肥胖情况,分析其流行趋势。方法分别于2003、2013年对该社区人群进行现况调查,内容包括填写调查问卷、人体学测量、血糖及血脂检测等。结果 2003、2013年分别调查3 073、5 938人。年龄标化后,男性超重率由2003年的44.3%上升至2013年的45.5%,而女性超重率由28.3%下降至26.6%,差异均无统计学意义(P=0.407、0.260);男性肥胖率由10.0%上升至10.3%,差异无统计学意义(P=0.667),而女性肥胖率由8.3%下降至6.3%,差异有统计学意义(P=0.016);男性中心性肥胖率由50.9%上升至53.9%,而女性由39.6%下降至35.7%,差异均有统计学意义(P=0.042、0.017)。结论该社区人群超重率、肥胖率及中心性肥胖率均较高,男性中心性肥胖率增加明显。

Objective To investigate and compare the prevalence of overweight,obesity and central obesity in 2003 and 2013 in a community in Chongqing,and to analyse their prevalence trends. Methods Surveys were conducted in 2003 and 2013 in the community population, and the investigation included questionnaires, anthroporaetric measurements, blood glucose and lipid determination. Results The number of participants in 2003 and 2013 were 3 073 and 5 938,respectively. The age standardized prevalence of overweight increased from 44, 3% in 2003 to 45.5% in 2013 in males and declined from 28.3% to 26.6% in females,but there was no statistically significant difference（P= 0. 407,0. 260）. The age standardized prevalence of obesity was steady in males （10.0 vs. 10.3 %, P〉0.05）, but declined significantly in females （8.3 % vs. 6.3 %, P〈0. 05）. For central obesity, the age standardized prevalence in 2003 and 2013 was 50.9% ,53.9% in males and 39.6% ,35.7% in females,which increased significantly among males and decreased significantly among females （P=0. 042,0. 017）. Conclusion The prevalence of overweight,general obesity and central obesity is relatively high in the community,and males have a more significant increase in the prevalence of central obesity.