北京市朝阳区职业人群超重及肥胖影响因素研究

Study on the associated factors of overweight and obesity among the occupational populations in Chaoyang District,Beijing

目的了解北京市朝阳区职业人群超重和肥胖的现状及其影响因素,为相关干预措施及政策的制定提供参考依据。方法 2014年采用整群随机抽样法抽取北京市朝阳区13个街道/乡、18～60岁的常住职业人群22 240例为调查对象。采用集中调查和入户调查相结合的方式对居民进行问卷调查和身高、体重数据的采集,使用Logistic回归分析方法分析影响北京市朝阳区职业人群超重和肥胖的因素。结果研究对象超重率为37.7%;肥胖率为18.9%。经单因素和多因素Logistic回归分析结果显示,男性(OR=1.730),年龄为31～40岁、41～50岁、51～60岁组(OR值分别为1.678、2.222和2.191),文化程度为高中/中专、大专及本科、研究生及以上组(OR值分别为0.810、0.651和0.475),未婚(OR=0.747),职业为生产/运输人员、商业/服务人员、机关企事业管理人员、一般办事人员、专业技术人员组(OR值分别为0.746、0.661、0.738、0.828和0.675),吸烟(OR=1.166),饮酒(OR=1.096),锻炼(OR=1.103),喜食肉类(OR=1.090)是超重和肥胖的影响因素(P<0.05)。结论北京市朝阳区职业人群超重和肥胖率高,重点针对男性、低文化程度、已婚人士以及农林牧渔人员开展相应的体重控制与管理指导。

Objective To investigate the status and associated factors of overweight and obesity among the occupational populations in Chaoyang District, Beijing, so as to provide references for relevant intervention measures and policies. Methods Cluster random sampling was adopted to selected 22 240 occupational residents aged 18 - 60 from 12 residential districts/towns in Chaoyang District, Beijing as the participants in 2014. They were surveyed by means of a combination of centralized and household questionnaire surveys, and the of height and weight were collected. The associated factors for the overweight and obesity of the professional population were analyzed. Results The rates of overweight and obesity in the occupational group were 37.7% and 18.9%. Multivariate logistic regression analysis showed that men （ OR = 1. 730） , 31 - 40, 41 -50, 51 - 60 age group （ OR = 1. 678, 2. 222, 2. 191 ） , degree of literacy of secondary school, junior college and undergraduate, graduate student and above （ OR = 0. 810, 0. 651, 0. 475 ） , umnarried （ OR = 0. 747 ） , smoking （ OR = 1. 166） , drinking （ OR = 1. 096）, carnivore （ OR = 1. 090） , exercise （ OR = 1. 103 ） , occupations group of pro- duction/transportation personnel, business/service personnel, government enterprise management personnel, general clerks, professional and technical personnel （ OR = 0. 746, 0. 661, 0. 738, 0. 828, 0. 675 ） were factors for overweight and obesity （ P 〈 0.05 ） . Conclusion The rate of overweight aud obesity is high among professional population in Chaoy- ang District, Beijing. The key groups who should do weight control and management are men, low literacy, married people and engage in the occupations of agricultural and forestry farmers.