论文部分内容阅读
目的了解北京市朝阳区成年居民超重、肥胖流行情况及其与主要慢性病的关系。方法采用多阶段随机抽样的方法,抽取朝阳区13个街乡18岁以上常住居民共39 000人进行问卷调查和身体测量。用χ2检验比较不同特征居民间超重率及肥胖率的差异,采用单因素方差分析比较不同BMI人群的主要慢性病指标的差异,用多因素Logistic回归分析超重肥胖与慢性病的关系。结果朝阳区成人超重率为38.97%,肥胖率为19.66%;城市居民超重率(χ2=114.74,P<0.05)、肥胖率(χ2=373.83,P<0.05)低于农村居民;男性超重率(χ2=101.55,P<0.05)、肥胖率(χ2=22.37,P<0.05)高于女性,超重组患高血压、糖尿病及血脂异常的风险是正常组的1.50~1.84倍,肥胖组患病风险是正常组的2.06~3.20倍。超重、肥胖组患1种、2种、3种疾病的聚集率均高于体重正常组,差异有统计学意义(P<0.001)。结论朝阳区居民超重肥胖流行状况严重。随着BMI水平的升高,成人患高血压等慢性病的风险升高,应积极开展超重肥胖防控工作。
Objective To understand the prevalence of overweight and obesity among adult residents in Chaoyang District of Beijing and their relationship with major chronic diseases. Methods A multi-stage random sampling method was used to collect 39 000 permanent residents over 13 years of age in 13 towns in Chaoyang District for questionnaire survey and body measurement. The χ2 test was used to compare the residents with different characteristics of overweight and obesity rates. The differences of major chronic diseases among different BMI groups were compared using one-way ANOVA. The relationship between overweight and obesity and chronic diseases was analyzed by multivariate logistic regression analysis. Results The overweight rate was 38.97% and the obesity rate was 19.66% in adults in Chaoyang District. The overweight rate of urban residents was significantly lower than that of rural residents (χ2 = 114.74, P <0.05), while the obesity rate (χ2 = 373.83, P <0.05) (χ2 = 101.55, P <0.05). The obesity rate (χ2 = 22.37, P <0.05) was higher in women than in women. The risk of hypertension, diabetes and dyslipidemia in overweight group was 1.50-1.84 times that of the normal group Is 2.06 ~ 3.20 times of the normal group. The overweight and obesity group had 1, 2 and 3 diseases with higher aggregation rate than the normal weight group, the difference was statistically significant (P <0.001). Conclusion The prevalence of overweight and obesity among residents in Chaoyang District is serious. With the increase of BMI level, adult patients suffering from chronic diseases such as hypertension have a higher risk, and should actively carry out prevention and control of overweight and obesity.