2013年我国18岁及以上高血压患者体重测量及自评情况

Measurement and self-evaluation of body weight among adults with hypertension in China,2013

目的了解2013年中国18岁及以上高血压患者体重测量行为及自我评价情况。方法2013年中国慢性病及其危险因素监测采用多阶段分层整群随机抽样方法,在302个监测点共计调查18岁及以上居民179570人,选取63492例高血压患者作为研究对象,通过问卷调查获取人口学特征、体重测量行为和体重自评等信息,实际测量个体的体重、身高和腰围等指标。复杂加权后分析成人高血压患者体重测量行为和体重自我评价情况。结果我国成人高血压患者中1周内、1月内和1年内测量过体重的比例分别为14.8%、20.1%和30.0%。17.7%的成人高血压患者从未测量过体重。成人高血压患者自评体重状况为偏瘦、正常、超重和肥胖的比例分别为9.4%、62.9%、23.6%和4.1%;以实测体质指数分组为标准,体重自评准确率为39.4%(38.2%~40.6%),其中实测低体重组、正常体重组、超重组和肥胖组分别为49.8%(40.4%~59.3%)、76.2%(74.7%~77.8%)、24.9%(23.1%~26.6%)和10.9%(9.5%~12.3%)。结论我国成人高血压患者对自身体重关注不够,体重测量行为的频率和体重自评准确性均有待提高。

Objective To understand the measurement and self-evaluation of body weight among hypertensive patients aged≥18 years in China.Methods Data were obtained from the 2013 Chinese Chronic Diseases and Risk Factors Surveillance and 179 570 adults were selected through multistage stratified cluster sampling in 302 surveillance sites.Demographic characteristics,measurement and self-evaluation of body weight were collected via in-person interview.Weight,height,and waist circumstance were measured indi,vidually through physical examination.The measurement and self-evaluation of body weight were analyzed after complex sample weighting to represent the overall hypertensive patients aged≥18 years.Results The proportion of adults with hypertension who had measured their body weight within 1 week,1 month and 1 year were 14.8%,20.1%,and 30.0%,respectively.17.7% of adults with hypertension had never measured their body weight.Among adults with hypertension,the proportion of self-reported underweight,normal weight,overweight,and obesity were 9.4%,62.9%,23.6%,and 4.1%,respectively.The accuracy rate of self-evaluation of weight status was 39.4%(38.2%-40.6%),and that in the underweight,normal weight,overweight,and obese group classified according to the actual measured BMI were 49.8%(40.4%-59.3%),76.2%(74.7%-77.8%),24.9%(23.1%-26.6%)and 10.9%(9.5%-12.3%),respectively.Conclusion Chinese adults with hypertension paid insufficient attention to their own weight.The frequency of body weight measurement and the accuracy of self-evaluation of their weight status are needed to be improved.