CAJ | 학술논문

目的了解徐州市成人超重和肥胖的流行特征和影响因素,为制定卫生政策和干预措施提供科学依据.方法首先采用分层多阶段随机整群抽样方法抽取研究对象,然后通过入户面对面询问调查的方法对研究对象的一般情况,如年龄、性别、民族、婚姻状况、教育、职业、经济水平和家族史、吸烟、饮酒、体力活动等情况进行调查.结果本次共调查18岁及以上居民39445人,超重和肥胖率分别为34.60％和9.40％,标准化率分别为32.97％和8.67％,男性超重率和肥胖率分别为36.73％和8.62％,女性超重率和肥胖率分别为32.61％和10.13％.超重率、肥胖率均随着年龄的增高而升高,超重率55岁(18岁～组16.31％;25岁～组27.38％;35岁～组37.28％;45岁～组41.55％;55岁～组40.71％;65岁～组37.64％;75岁～组32.08％)以后有所下降,肥胖率75岁(18岁～组2.49％; 25岁～组6.41％;35岁～组9.64％;45岁～组11.24％;55岁～组12.07％;65岁～组12.45％;75岁～组8.88％)以后有所下降,差异均有统计学意义(不同年龄超重率x2=1 097.602,P＜0.01;不同年龄肥胖率x2=447.864,P＜0.01).不同职业(x2=191.28,120.38)、不同文化程度(x2=178.41,243.59)、不同婚姻状况(x2=431.67,118.43),超重率和肥胖率差异均有统计学意义(P均＜0.01).多因素Logistic回归分析显示,女性、每天吃蔬菜量大和吸烟是超重或肥胖的保护性因素,中老年人、饮酒和饭量大是超重或肥胖的危险性因素.结论徐州的超重与肥胖患病形势严峻,已经成为一个重要的公共卫生问题,必须采取有效的措施,针对中老年人、男性、饭量大及饮酒等高危人群进行综合防治,倡导平衡膳食,加大蔬菜的摄人量以预防超重和肥胖的发生.
목적 료해서주시성인초중화비반적류행특정화영향인소,위제정위생정책화간예조시제공과학의거.방법 수선채용분층다계단수궤정군추양방법추취연구대상,연후통과입호면대면순문조사적방법대연구대상적일반정황,여년령、성별、민족、혼인상황、교육、직업、경제수평화가족사、흡연、음주、체력활동등정황진행조사.결과 본차공조사18세급이상거민39445인,초중화비반솔분별위34.60％화9.40％,표준화솔분별위32.97％화8.67％,남성초중솔화비반솔분별위36.73％화8.62％,녀성초중솔화비반솔분별위32.61％화10.13％.초중솔、비반솔균수착년령적증고이승고,초중솔55세(18세～조16.31％;25세～조27.38％;35세～조37.28％;45세～조41.55％;55세～조40.71％;65세～조37.64％;75세～조32.08％)이후유소하강,비반솔75세(18세～조2.49％; 25세～조6.41％;35세～조9.64％;45세～조11.24％;55세～조12.07％;65세～조12.45％;75세～조8.88％)이후유소하강,차이균유통계학의의(불동년령초중솔x2=1 097.602,P＜0.01;불동년령비반솔x2=447.864,P＜0.01).불동직업(x2=191.28,120.38)、불동문화정도(x2=178.41,243.59)、불동혼인상황(x2=431.67,118.43),초중솔화비반솔차이균유통계학의의(P균＜0.01).다인소Logistic회귀분석현시,녀성、매천흘소채량대화흡연시초중혹비반적보호성인소,중노년인、음주화반량대시초중혹비반적위험성인소.결론 서주적초중여비반환병형세엄준,이경성위일개중요적공공위생문제,필수채취유효적조시,침대중노년인、남성、반량대급음주등고위인군진행종합방치,창도평형선식,가대소채적섭인량이예방초중화비반적발생.
Objective To understand the prevalence and influencing factors of overweight and obesity in adult residents in Xuzhou City of Jiangsu Province,so as to provide scientific basis for health policies and intervention strategies.Methods A total of 39 445 participants were recruited by multi-stage random cluster sampling method,and health data were obtained through questionnaires and physical examinations.Results The prevalence of overweight and obesity was 34.60％ and 9.40％,respectively; and the standardized prevalence was 32.97％ and 8.67％.The prevalence of overweight or obesity in males was 36.73％ and 8.62％,in females 32.61％ and 10.13％.The prevalence of overweight or obesity was increased with age,although the prevalence of overweight was decreased after 55 years of age (18-:16.31％; 25-:27.38％; 35-:37.28％; 45-:41.55％; 55-:40.71％; 65-:37.64％; 75-:32.08％) and the prevalence of obesity was decreased after 75 years of age (18-:2.49％; 25-:6.41％; 35-:9.64％; 45-:11.24％; 55-:12.07％; 65-:12.45％; 75-:8.88％).There were significant difference of the prevalence of overweight/obesity by educational level (x2=178.41,P＜0.01; x2=243.59,P＜0.01),profession (x2=191.28,P＜0.01; x2=120.38,P＜0.01) and marital status (x2=431.67,P＜0.01; x2=118.43,P＜0.01).In Logistic regression,female,vegetable over-intake every day and current cigarette smoking were protective factors of overweight/obesity,while middle and old-age,alcohol drinking and big appetite were risk factors of overweight/obesity.Conclusions A higher morbidity rate of overweight/obesity was found in Xuzhou City,and comprehensive interventions should be taken for high risk populations.