五指山市居民肥胖与主要慢性病的关联性
|
摘要
目的探讨五指山市居民肥胖与主要慢性病的关联度,为慢性病防控提供科学依据。方法采用多阶段抽样方法抽取18岁以上常驻居民2 425例进行问卷调查、体格测量、血糖和血脂检测,分析肥胖和主要慢性病的相关性。结果黎族地区居民的主要超重、肥胖和中心型肥胖率分别为24.4%、5.7%和9.1%。超重和肥胖在年龄、民族、文化程度和婚姻等因素间差异均有统计学意义(P<0.05),中心性肥胖在性别、年龄、民族和婚姻等因素间差异均有统计学意义(P<0.01)。多因素非条件Logistic回归分析显示超重患高血压、糖尿病和血脂异常的风险是体重正常者的1.7倍(OR=1.7,95%CI=1.3～2.1)、1.4倍(OR=1.4,95%CI=0.9～2.1)和2.1倍(OR=2.1,95%CI=1.7～2.6),肥胖患高血压、糖尿病和血脂异常的风险是体重正常者的2.9倍(OR=2.9,95%CI=1.9～4.5)、2.1倍(OR=2.1,95%CI=1.1～4.0)和4.8倍(OR=4.8,95%CI=3.2～7.3);中心性肥胖患高血压、糖尿病和血脂异常的风险是体重正常者的1.6倍(OR=1.6,95%,CI=1.1～2.3)、1.6倍(OR=1.6,95%CI=0.9～2.9)和1.5倍(OR=1.5,95%CI=0.9～1.7)。3种慢性病在BMI肥胖的人群归因危险度(PAR)是72.04%～81.88%,在中心性肥胖的PAR是88.92%～91.52%。结论超重比重在增长,应加大力度进行全民宣传、肥胖高危筛查及健康干预。
Objective To explore the correlation between obesity and main chronic diseases ofresidents in Wuzhishan City, Hainan Province, so as to provide the evidence for improving the prevention and control of chronic diseases.Methods The multistage sampling method was used to sample 2 425 inhabitants of 18 years old in Wuzhishan City, Hainan Province, the questionnaire survey, physical examination, and blood sample detection were conducted, and the data were collected and analyzed for the correlation between obesity and main chronic diseases. Results The prevalence rates of overweight, obesity and central obesity were 24.4%, 5.7%, and 9.1%, respectively. There were statistically significant differences between/among the age, nationality, education levels and marriage in overweight and obesity(P<0.05). There were statistically significant differences between/among the gender, age, nationality, education levels, and marriage in central obesity(P<0.01). The results of the multivariate unconditional logistic analysis showed that the risks of hypertension, diabetes and dyslipidemia of the overweight people were 1.7 times(OR=1.7, 95%CI=13-2.1), 1.4 times(OR=1.4, 95%CI=0.9-2.1) and 2.1 times(OR=2.1, 95%CI=1.7-2.6) higher than those of the normal weight body people, respectively; the risks of hypertension,diabetes and dyslipidemia of the obesity people were 2.9 times(OR=2.9, 95%CI=1.9-4.5), 2.1 times(OR=2.1, 95%CI=1.1-4.0), and 4.8 times(OR=4.8, 95%CI=3.2-7.3) higher than those of the normal weight body people, respectively; the risks of hypertension, diabetes and dyslipidemia of the central obesity people were 1.6 times(OR=1.6, 95%CI=1.1-2.3), 1.6 times(OR=1.6, 95%CI=0.9-2.9) and 1.5 times(OR=1.5, 95 CI=0.9-1.7) higher than those of the normal weight body people, respectively.The population attributable risk(PAR) of three chronic diseases(hypertension, diabetes and dyslipidemia) in the BMI obesity people was 72.04%-81.88%, and in the central obesity people was 88.92%-91.52%. Conclusions The proportion of overweight of residents is increasing in Wuzhishan City. Therefore, it is necessary to promote the public health education, highrisk screening for obesity, and health interventions.
Objective To explore the correlation between obesity and main chronic diseases ofresidents in Wuzhishan City, Hainan Province, so as to provide the evidence for improving the prevention and control of chronic diseases.Methods The multistage sampling method was used to sample 2 425 inhabitants of 18 years old in Wuzhishan City, Hainan Province, the questionnaire survey, physical examination, and blood sample detection were conducted, and the data were collected and analyzed for the correlation between obesity and main chronic diseases. Results The prevalence rates of overweight, obesity and central obesity were 24.4%, 5.7%, and 9.1%, respectively. There were statistically significant differences between/among the age, nationality, education levels and marriage in overweight and obesity(P<0.05). There were statistically significant differences between/among the gender, age, nationality, education levels, and marriage in central obesity(P<0.01). The results of the multivariate unconditional logistic analysis showed that the risks of hypertension, diabetes and dyslipidemia of the overweight people were 1.7 times(OR=1.7, 95%CI=13-2.1), 1.4 times(OR=1.4, 95%CI=0.9-2.1) and 2.1 times(OR=2.1, 95%CI=1.7-2.6) higher than those of the normal weight body people, respectively; the risks of hypertension,diabetes and dyslipidemia of the obesity people were 2.9 times(OR=2.9, 95%CI=1.9-4.5), 2.1 times(OR=2.1, 95%CI=1.1-4.0), and 4.8 times(OR=4.8, 95%CI=3.2-7.3) higher than those of the normal weight body people, respectively; the risks of hypertension, diabetes and dyslipidemia of the central obesity people were 1.6 times(OR=1.6, 95%CI=1.1-2.3), 1.6 times(OR=1.6, 95%CI=0.9-2.9) and 1.5 times(OR=1.5, 95 CI=0.9-1.7) higher than those of the normal weight body people, respectively.The population attributable risk(PAR) of three chronic diseases(hypertension, diabetes and dyslipidemia) in the BMI obesity people was 72.04%-81.88%, and in the central obesity people was 88.92%-91.52%. Conclusions The proportion of overweight of residents is increasing in Wuzhishan City. Therefore, it is necessary to promote the public health education, highrisk screening for obesity, and health interventions.
引文
[1]中国疾病预防控制中心.中国慢性病及其危险因素监测报告(2013年)[R].北京:军事医学出版社,2016.
[2]中国成人血脂异常防治指南编写组.中国成人血脂异常防治指南[R].北京:人民卫生出版社,2007.
[3]中国肥胖问题工作组.中国成人超重与肥胖症预防与控制指南(节录)[J].营养学报,2004,26(1):1-4.
[4]BRUZZI P,GREENS B,BYARD P,et al.Estimating the population attributable risk for multiple risk factors using case-control data[J].American Journal of Epidemiology,1985,122(5):904-914.
[5]符艳,王小焕,王红美,等.海南省DSP点居民代谢综合征及危险因素研究[J].中国热带医学,2015,15(1):34-36,40.
[6]刘璞瑜,符艳,王红美,等.海南省居民主要慢性病及其危险因素分析[J].中国热带医学,2017,17(7):675-678.
[7]符芳敏,王会宽,马涛,等.琼海市居民主要慢性病及代谢综合征调查[J].中国热带医学,2018,18(1):37-40.
[8]鹿子龙,马吉祥,郭晓雷,等.2007年山东省居民中心性肥胖流行病学调查分析[J].中华疾病控制杂志,2010,14(12):1182-1184.
[9]中国肥胖问题工作组数据汇总分析协作组.我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J].中华流行病学杂志,2002,23(1):10-15.
[10]符艳,刘璞瑜,王小焕,等.海南省居民糖尿病流行现状及其影响因素分析[J].中国健康教育,2017,33(11):967-971.
[11]苏健,向全永,吕淑荣,等.江苏省成人肥胖测量指标与血脂异常患病关系[J].卫生研究,2015,44(5):827-831.
[12]张铸业,李凌,刘丹,等.贵州省成人体质指数年龄地区与血脂异常相关性研究[J].微量元素与健康研究,2014,31(6):38-40.
[13]李立明.流行病学[M].4版.北京:人民卫生出版社,2001.
[14]符艳,刘璞瑜,王小煥,等.海南省成人居民代谢综合征流行病学分析[J].中国健康教育,2018,34(5):424-427.
[2]中国成人血脂异常防治指南编写组.中国成人血脂异常防治指南[R].北京:人民卫生出版社,2007.
[3]中国肥胖问题工作组.中国成人超重与肥胖症预防与控制指南(节录)[J].营养学报,2004,26(1):1-4.
[4]BRUZZI P,GREENS B,BYARD P,et al.Estimating the population attributable risk for multiple risk factors using case-control data[J].American Journal of Epidemiology,1985,122(5):904-914.
[5]符艳,王小焕,王红美,等.海南省DSP点居民代谢综合征及危险因素研究[J].中国热带医学,2015,15(1):34-36,40.
[6]刘璞瑜,符艳,王红美,等.海南省居民主要慢性病及其危险因素分析[J].中国热带医学,2017,17(7):675-678.
[7]符芳敏,王会宽,马涛,等.琼海市居民主要慢性病及代谢综合征调查[J].中国热带医学,2018,18(1):37-40.
[8]鹿子龙,马吉祥,郭晓雷,等.2007年山东省居民中心性肥胖流行病学调查分析[J].中华疾病控制杂志,2010,14(12):1182-1184.
[9]中国肥胖问题工作组数据汇总分析协作组.我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J].中华流行病学杂志,2002,23(1):10-15.
[10]符艳,刘璞瑜,王小焕,等.海南省居民糖尿病流行现状及其影响因素分析[J].中国健康教育,2017,33(11):967-971.
[11]苏健,向全永,吕淑荣,等.江苏省成人肥胖测量指标与血脂异常患病关系[J].卫生研究,2015,44(5):827-831.
[12]张铸业,李凌,刘丹,等.贵州省成人体质指数年龄地区与血脂异常相关性研究[J].微量元素与健康研究,2014,31(6):38-40.
[13]李立明.流行病学[M].4版.北京:人民卫生出版社,2001.
[14]符艳,刘璞瑜,王小煥,等.海南省成人居民代谢综合征流行病学分析[J].中国健康教育,2018,34(5):424-427.