CAJ | 학술논문

目的了解我国成人肥胖的发病率,并探讨肥胖相关可控危险因素.方法以1998年中国心血管流行病学多中心协作研究和2000年中国心血管健康多中心合作研究的27 020名35 ～ 74岁成人的调查作为基线,进行平均7.9年的前瞻性随访,收集肥胖及其相关危险因素指标;以BMI (kg/m2) 24.0～27.9作为超重,≥28.0作为肥胖,分别计算超重和肥胖的发病率;采用多因素logistic回归分析,调整性别、年龄、南北方、城乡等基线相关因素后,计算各危险因素对于肥胖发病的相对危险度.结果我国35 ～ 74岁成人肥胖年发病率为6.97‰,女性(7.74‰)高于男性(6.10‰),北方(9.29‰)高于南方(5.10‰),农村(7.28‰)高于城市(6.52‰),超重年发病率为24.83‰.多因素调整后,与高中(12年教育)以下学历人群相比,高中及以上学历人群肥胖发病风险降低18％;中等收入人群肥胖发病相对风险是低收入人群的1.28倍;与从事中-重度体力工作人员相比,从事轻度体力工作和非在岗(家务劳动和退休)人员发病风险分别增加32％和63％;常饮牛奶和食用中等量水果,分别可以降低38％和19％的肥胖发病,而食用较多红肉可增加肥胖发病风险,常饮花茶者肥胖发病相对风险是不饮茶者的1.34倍.结论我国35～ 74岁成人肥胖发病率达6.97‰.为了预防与控制肥胖流行,应提倡健康的生活方式,适当增加体力活动,鼓励喝牛奶,适量食用水果,减少红肉的摄入和花茶的饮用,尤其是在低学历和中等收入人群中.
목적 료해아국성인비반적발병솔,병탐토비반상관가공위험인소.방법 이1998년중국심혈관류행병학다중심협작연구화2000년중국심혈관건강다중심합작연구적27 020명35 ～ 74세성인적조사작위기선,진행평균7.9년적전첨성수방,수집비반급기상관위험인소지표;이BMI (kg/m2) 24.0～27.9작위초중,≥28.0작위비반,분별계산초중화비반적발병솔;채용다인소logistic회귀분석,조정성별、년령、남북방、성향등기선상관인소후,계산각위험인소대우비반발병적상대위험도.결과 아국35 ～ 74세성인비반년발병솔위6.97‰,녀성(7.74‰)고우남성(6.10‰),북방(9.29‰)고우남방(5.10‰),농촌(7.28‰)고우성시(6.52‰),초중년발병솔위24.83‰.다인소조정후,여고중(12년교육)이하학력인군상비,고중급이상학력인군비반발병풍험강저18％;중등수입인군비반발병상대풍험시저수입인군적1.28배;여종사중-중도체력공작인원상비,종사경도체력공작화비재강(가무노동화퇴휴)인원발병풍험분별증가32％화63％;상음우내화식용중등량수과,분별가이강저38％화19％적비반발병,이식용교다홍육가증가비반발병풍험,상음화다자비반발병상대풍험시불음다자적1.34배.결론 아국35～ 74세성인비반발병솔체6.97‰.위료예방여공제비반류행,응제창건강적생활방식,괄당증가체력활동,고려갈우내,괄량식용수과,감소홍육적섭입화화다적음용,우기시재저학력화중등수입인군중.
Objective To examine the incidence of obesity and its modifiable risk factors in Chinese adults aged 35-74 years.Methods A total of 27 020 participants aged 35 to 74 years from two prospective cohort studies in China were followed up in the years of 2007 and 2008.Obesity and overweight were defined as body mass index ≥28.0,and 24.0-27.9 kg/m2,respectively.Relative risks of obesity for risk factors were computed by using logistic regression.Results The annual incidence rates of obesity and overweight were 6.97‰ and 24.83‰ in Chinese adults aged 35-74 years,respectively.Women had a higher incidence of obesity than men (7.74‰ vs.6.10‰).Participants in northern China had a higher incidence than those in southern (9.2％ vs.5.10‰) part of the country.Adults in rural had a higher incidence than those in urban (7.28‰ vs.6.52‰).After adjusting for the baseline variables,such as gender,age,geographic region,degree of urbanization,the relative risk for obesity was 0.82 (95％CI:0.68-0.99) for participants with ≥12 years' education,compared with those ＜ 12 years.Participants with middle income,less physical activity at work/housework or being retirees,consuming more red meat and scented tea etc,had higher risk of incidence of obesity.Participants who consumed milk and moderate amount of fruits,would show a lower risk of obesity.Conclusion The incidence of obesity was 6.97‰ in Chinese middle and older adults.Our results underscored that the promotion of healthy lifestyle which include issues as increasing physical activity,consuming moderate amount of fruits and milk but less red meat,drinking less scented tea etc,could play key roles in obesity prevention and control among the Chinese adults,especially among people with low education level or with middle income.