江苏省35～75岁居民肥胖和中心性肥胖现况调查

Cross-sectional study on obesity and central obesity among 35-75 year-old people in Jiangsu Province

目的了解江苏省35~75岁居民超重、肥胖和中心性肥胖现状及影响因素。方法于2015—2017年在江苏省6个心血管病高危人群早期筛查与综合干预项目县(市、区)选择83530名35~75岁常住居民,进行问卷调查和体格检查,内容包括基本情况、生活行为方式、疾病史、身高、体重和腰围等;采用二水平Logistic回归模型分析超重、肥胖和中心性肥胖的影响因素。结果有效调查83393人,有效率为99.84%。江苏省35~75岁人群超重率为43.35%,标化率为35.90%;肥胖率为20.02%,标化率为19.48%;中心性肥胖率为59.93%,标化率为57.03%。二水平Logistic回归分析结果显示,女性(OR=0.822,95%CI:0.786~0.859;OR=0.900,95%CI:0.851~0.952;OR=1.130,95%CI:1.083~1.179)、年龄45~75岁(OR:1.120~1.731,95%CI:1.102~1.881)、高中及以上学历(OR:0.767~0.902,95%CI:0.721~0.943)、城市居民(OR:1.530~2.077,95%CI:1.284~3.007)、吸烟(OR:0.724~0.855,95%CI:0.678~0.898)、饮酒(OR:1.125~1.179,95%CI:1.076~1.235)、高血压(OR:1.884~3.461,95%CI:1.821~3.613)、糖尿病(OR:1.363~1.758,95%CI:1.305~1.851)、血脂异常(OR:1.478~1.870,95%CI:1.429~1.851)均与超重、肥胖和中心性肥胖存在统计关联。结论江苏省35~75岁居民超重、肥胖、中心性肥胖的标化率分别为35.90%,19.48%和57.03%,性别、年龄、学历、居住地、吸烟、饮酒、高血压、糖尿病和血脂异常均与超重、肥胖和中心性肥胖有关。

Objective To investigate the prevalence and related factors of obesity and central obesity among 35-75 year-old population in Jiangsu Province.Methods During 2015-2017,83 530 eligible subjects aged 35-75 years from six study sites of Jiangsu Province were interviewed and examined.The data of demography,lifestyles,disease history,height,weight and waistline were collected.Logistic regression analysis was conducted for the influencing factors for obesity and central obesity.Results A total of 83 393 residents completed the study,with a response rate of 99.84%.The prevalence of overweight,obesity and central obesity was 43.35%(standardized rate:35.90%),20.02%(19.48%)and 59.93%(57.03%).The results of multivariate logistic regression analysis showed that females(OR=0.822,95%CI:0.786-0.859;OR=0.900,95%CI:0.851-0.952;OR=1.130,95%CI:1.083-1.179),45-75 years old(OR:1.120-1.731,95%CI:1.102-1.881),graduating from high school or above(OR:0.767-0.902,95%CI:0.721-0.943),living in urban areas(OR:1.530-2.077,95%CI:1.284-3.007),smoking(OR:0.724-0.855,95%CI:0.678-0.898),drinking(OR:1.125-1.179,95%CI:1.076-1.235),hypertension(OR:1.884-3.461,95%CI:1.821-3.613),diabetes(OR:1.363-1.758,95%CI:1.305-1.851),dyslipidemia(OR:1.478-1.870,95%CI:1.429-1.851)were associated with overweight,obesity and central obesity.Conclusion The standardized prevalence rates of overweight,obesity and central obesity among 35-75 year-old population in Jiangsu Province are 35.90%,19.48%and 57.03%,respectively.Gender,age,education,residence,smoking,drinking,hypertension,diabetes and dyslipidemia are related factors.