上海某社区老年居民超重和肥胖现状分析
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摘要
目的:了解上海市奉贤区钱桥社区老年居民的超重和肥胖现况。方法:对5 020名参与2017年体检的上海奉贤区钱桥社区60岁以上居民进行调查,其中男性2 188人,平均年龄(70.56±6.79)岁;女性2 832人,平均年龄(70.20±7.36)岁。调查内容包括问卷调查,身高和体重测量,以及血液检测(空腹血糖、三酰甘油,总胆固醇)。结果:上海奉贤区钱桥社区60岁以上居民平均体重指数为(24.70±3.42)kg/m2;超重和肥胖的检出率分别为41.1%和15.8%,高于2010年全国老年人调查结果。性别间的超重和肥胖检出率差异无统计学意义(P> 0.05);超重和肥胖检出率均随年龄的增长而下降,差异有统计学意义(P <0.05);高血压、糖尿病、血脂异常者的超重和肥胖检出率均高于正常人群(P <0.05)。结论:上海市奉贤区钱桥社区60岁以上居民的超重和肥胖的患病率较高,慢性病患者中超重和肥胖者的比例也较高。应加强社区宣教,提高居民健康意识,遏制超重和肥胖患病率的上升。
Objective: To understand the overweight and obesity status of elderly residents in Qianqiao Community of Fengxian District, Shanghai. Methods: A survey was conducted among 5 020 residents over 60 years old who participated in the physical examination in 2017 in Qianqiao Community of Fengxian District of Shanghai, among them, there were 2 188 males, with an average age of(70.56±6.79) years, and 2 832 females, with an average age of(70.20±7.36) years. The survey contents included questionnaires, height and weight measurements and blood tests(fasting blood sugar, triglyceride, total cholesterol). Results: The average body mass index of residents over 60 years old in Qianqiao Community of Fengxian District was(24.70±3.42) kg/m~2; the detection rates of overweight and obesity were 41.1% and 15.8%, respectively, which were higher than the results of the national survey in the elderly in 2010. There was no significant difference in the prevalence of overweight and obesity between sexes(P>0.05); the detection rates of overweight and obesity decreased with age, and the difference was statistically significant(P<0.05); the overweight and obesity detection rates of the people with hypertension, diabetes, and dyslipidemia were higher than those of the normal population(P<0.05). Conclusion: The prevalence of overweight and obesity among residents over 60 years old in Qianqiao Community of Fengxian District, Shanghai is higher, and the proportion of the incidence of chronic diseases in overweight and obese people is also higher. Community education should be strengthened to improve residents' health awareness and control the increase in the prevalence of overweight and obesity.
Objective: To understand the overweight and obesity status of elderly residents in Qianqiao Community of Fengxian District, Shanghai. Methods: A survey was conducted among 5 020 residents over 60 years old who participated in the physical examination in 2017 in Qianqiao Community of Fengxian District of Shanghai, among them, there were 2 188 males, with an average age of(70.56±6.79) years, and 2 832 females, with an average age of(70.20±7.36) years. The survey contents included questionnaires, height and weight measurements and blood tests(fasting blood sugar, triglyceride, total cholesterol). Results: The average body mass index of residents over 60 years old in Qianqiao Community of Fengxian District was(24.70±3.42) kg/m~2; the detection rates of overweight and obesity were 41.1% and 15.8%, respectively, which were higher than the results of the national survey in the elderly in 2010. There was no significant difference in the prevalence of overweight and obesity between sexes(P>0.05); the detection rates of overweight and obesity decreased with age, and the difference was statistically significant(P<0.05); the overweight and obesity detection rates of the people with hypertension, diabetes, and dyslipidemia were higher than those of the normal population(P<0.05). Conclusion: The prevalence of overweight and obesity among residents over 60 years old in Qianqiao Community of Fengxian District, Shanghai is higher, and the proportion of the incidence of chronic diseases in overweight and obese people is also higher. Community education should be strengthened to improve residents' health awareness and control the increase in the prevalence of overweight and obesity.
引文
[1]中华人民共和国民政部.2015年社会服务发展统计公报[DB/OL].(2016-07-11).http://www.mca.gov.cn/article/sj/tjgb/201607/20160715001136.shtml.
[2]上海市民政局.上海市百岁老人有关数据信息[DB/OL].(2017-10-25).http://www.shmzj.gov.cn/gb/shmzj/node4/node179/n2666/n2672/u1ai45046.html.
[3]中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006:2.
[4]中国高血压基层管理指南修订委员会.中国高血压基层管理指南(2014年修订版)[J].中华高血压杂志,2015,23(1):24-43.
[5]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(10):893-942.
[6]中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419.
[7]张梅,姜勇,李镒冲,等.2010年我国≥60岁老年人超重/肥胖流行特征[J].中华流行病学杂志,2014,35(4):365-369.
[8]陈建峰.上海市某社区老年人超重/肥胖与慢性病关系的调查[J].中国社区医师医学专业,2011,24(13):72-73.
[9]周小琦,李芳,郭燕,等.武汉市城乡≥65岁老年人群超重、肥胖和中心性肥胖流行情况[J].中国慢性病预防与控制,2016,24(11):808-809.
[10]刘竟芳,庄永发,朱志明,等.长沙市区老年居民超重和肥胖及其并发症[J].中国老年学杂志,2004,24(1):28-29.
[11]顾伟根.老年人超重或肥胖对心血管疾病危险因素的影响[J].中国疗养医学,2010,19(5):395-397.
[2]上海市民政局.上海市百岁老人有关数据信息[DB/OL].(2017-10-25).http://www.shmzj.gov.cn/gb/shmzj/node4/node179/n2666/n2672/u1ai45046.html.
[3]中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006:2.
[4]中国高血压基层管理指南修订委员会.中国高血压基层管理指南(2014年修订版)[J].中华高血压杂志,2015,23(1):24-43.
[5]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(10):893-942.
[6]中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419.
[7]张梅,姜勇,李镒冲,等.2010年我国≥60岁老年人超重/肥胖流行特征[J].中华流行病学杂志,2014,35(4):365-369.
[8]陈建峰.上海市某社区老年人超重/肥胖与慢性病关系的调查[J].中国社区医师医学专业,2011,24(13):72-73.
[9]周小琦,李芳,郭燕,等.武汉市城乡≥65岁老年人群超重、肥胖和中心性肥胖流行情况[J].中国慢性病预防与控制,2016,24(11):808-809.
[10]刘竟芳,庄永发,朱志明,等.长沙市区老年居民超重和肥胖及其并发症[J].中国老年学杂志,2004,24(1):28-29.
[11]顾伟根.老年人超重或肥胖对心血管疾病危险因素的影响[J].中国疗养医学,2010,19(5):395-397.