湖北省60～69岁老年人超重、肥胖和中心性肥胖流行现状及其影响因素分析

Prevalence and influence factors of overweight, obesity and central obesity among residents aged 60 – 69 years in Hubei province

目的了解湖北省老年人超重、肥胖和中心性肥胖流行现状及其影响因素,为采取相应的干预措施提供参考依据。方法收集湖北省国民体质监测中心2014年国民体质监测数据库中湖北省17个市(州、区)5866名60~69岁老年人体质状况相关数据,应用SPSS21.0统计软件分析湖北省老年人超重、肥胖和中心性肥胖流行现状及其影响因素。结果湖北省5866名60~69岁老年人中,超重2259人,超重率为38.5%;肥胖613人,肥胖率为10.5%;中心性肥胖3618人,中心性肥胖率为61.7%。多因素非条件logistic回归分析结果显示,女性和居住在城镇均为湖北省60~69岁老年人超重、肥胖和中心性肥胖的危险因素;经常参加体育锻炼为湖北省60~69岁老年人超重的保护因素,文化程度初中及以上为湖北省60~69岁老年人肥胖的保护因素,文化程度初中及以上、职业类型为动态职业活动和经常参加体育锻炼为湖北省60~69岁老年人中心性肥胖的保护因素。结论湖北省60~69岁老年人超重、肥胖和中心性肥胖率流行现状不容乐观,性别、文化程度、职业类型、居住地和是否经常参加体育锻炼是湖北省60~69岁老年人超重、肥胖和中心性肥胖的主要影响因素。

Objective To examine the prevalence and influencing factors of overweight, obesity and central obesity among the elderly in Hubei province and to provide references for implementing corresponding intervention measures. Methods From the dataset of National Physique Monitoring carried out in 2014, we extracted the data on demographics, physique and physical exercise of 5 866 residents aged 60-89 years in 17 prefectures or districts of Hubei province;then we analyzed the prevalence and influence factors of overweight, obesity and central obesity among the residents with SPSS 21 statistical software. Results Of all the residents, 2259 (38.5%), 613 (10.5%), and 3618 (61.7%) were identified with overweight, obesity, and central obesity, respectively. The results of unconditional multivariate logistic regression analysis revealed that among the residents, female gender and living in cities and towns were risk factors for overweight, obesity and central obesity;regular physical exercise was a protective factor against overweight;with a junior high school education and higher was a protective factor against obesity;and with a junior high school education and higher, engaged in occupation related physical activity, and regular physical exercise were protective factors against central obesity. Conclusion Overweight, obesity, and central obesity are prevalent and mainly influenced by gender, education, occupation, residential area, and physical exercise among elder residents aged 60-69 years in Hubei province.