论文部分内容阅读
目的了解天津市居民超重和肥胖患病状况,并分析与其他慢性病的关系。方法于2006年采用多阶段整群随机抽样方法分别抽取天津市城区、农村、滨海新区居民1327人、1077人、482人,共计2886人,对调查对象进行体格测量和实验室检查,分析超重、肥胖及中心型肥胖在人群的分布及与其他慢性病的相对危险度。结果天津市居民超重率为30.4%,肥胖率为15.5%,中心型肥胖率为48.6%;超重率、肥胖率及中心型肥胖率均以老年人(60岁～)最高(x~2值分别为38.95,48.23,84.91,均P<0.05)。城市、农村、滨海新区超重率均为男性高于女性(x~2值分别为14.15,5.32,22.54,均P<0.05),而中心型肥胖率相反(x~2值分别为15.52,34.46,29.54,均P<0.05),肥胖率在城市为男性高于女性(x~2=5.41,P<0.05),而在农村及滨海新区为男性低于女性(x~2值分别为15.90,8.49,均P<0.05)。超重可增加患高血压、糖尿病、血脂异常、冠心病的风险(OR值分别为2.54,1.17,1.32,1.49),中心型肥胖会增加患高血压、糖尿病、血脂异常、冠心病的风险(OR值分别为4.63,1.94,1.62,2.61)。结论天津市居民超重、肥胖及中心型肥胖率均较高,且是主要慢性病的危险因素。
Objective To understand the prevalence of overweight and obesity in Tianjin residents and to analyze the relationship with other chronic diseases. Methods In 2006, 1327, 1077 and 482 inhabitants of Tianjin city, rural area and Binhai New Area were sampled by multistage cluster random sampling method respectively, a total of 2,886 people. Physical survey and laboratory tests were conducted on the surveyed subjects. The results of overweight, The distribution of obesity and central obesity in the population and the relative risk of other chronic diseases. Results The residents overweight rate was 30.4%, the obesity rate was 15.5% and the central obesity rate was 48.6%. The overweight rate, obesity rate and central obesity rate were the highest in the elderly (60 ~ 38.95,48.23,84.91, all P <0.05). The overweight rates in urban, rural and Binhai New Area were higher than those in female (x ~ 2 = 14.15,5.32,22.54, all P <0.05), while the central obesity rate was opposite (x ~ 2 = 15.52,34.46, 29.54, P <0.05). The prevalence of obesity in urban areas was higher for males than for females (x ~ 2 = 5.41, P <0.05), while for rural and Binhai New Areas, males were lower than females (x ~ 2 = 15.90, , All P <0.05). Overweight can increase the risk of hypertension, diabetes, dyslipidemia and coronary heart disease (OR = 2.54,1.17,1.32,1.49 respectively). Central obesity may increase the risk of hypertension, diabetes, dyslipidemia and coronary heart disease (OR The values were 4.63, 1.94, 1.62, 2.61 respectively). Conclusion Tianjin residents are overweight, obese and central obesity rates are high, and are the major risk factors for chronic diseases.