CAJ | 학술논문

目的了解我国中年人群超重/肥胖和中心性肥胖现状及心血管病危险因素聚集状况.方法 2009-2010年对全国12个研究人群各抽取35～64岁调查对象1 000人,进行心血管病危险因素调查,实际入选11 623人,最终有效数据10 340人.利用该资料计算我国中年人群超重/肥胖及中心性肥胖患病率,并分析心血管病危险因素聚集状况.肥胖的定义依据“中国成年人超重和肥胖症预防控制指南”的标准.结果我国35～64岁中年人群超重率为38.8％,肥胖率为20.2％,轻度中心性肥胖患病率为32.2％,重度中心性肥胖患病率为19.2％.其中女性患病率高于男性,城市人群高于农村,北方地区高于南方(P＜0.05).肥胖人群中同时具有高血压、血脂异常和糖尿病3种危险因素的比例是正常体重人群的4.5倍,重度中心性肥胖人群是正常体重人群的5.1倍.结论我国中年人群超过一半为体重超重/肥胖者,且肥胖伴随心血管病危险因素的比例很高,亟待采取相应干预策略.
목적 료해아국중년인군초중/비반화중심성비반현상급심혈관병위험인소취집상황.방법 2009-2010년대전국12개연구인군각추취35～64세조사대상1 000인,진행심혈관병위험인소조사,실제입선11 623인,최종유효수거10 340인.이용해자료계산아국중년인군초중/비반급중심성비반환병솔,병분석심혈관병위험인소취집상황.비반적정의의거“중국성년인초중화비반증예방공제지남”적표준.결과 아국35～64세중년인군초중솔위38.8％,비반솔위20.2％,경도중심성비반환병솔위32.2％,중도중심성비반환병솔위19.2％.기중녀성환병솔고우남성,성시인군고우농촌,북방지구고우남방(P＜0.05).비반인군중동시구유고혈압、혈지이상화당뇨병3충위험인소적비례시정상체중인군적4.5배,중도중심성비반인군시정상체중인군적5.1배.결론 아국중년인군초과일반위체중초중/비반자,차비반반수심혈관병위험인소적비례흔고,극대채취상응간예책략.
Objective To analyze the current prevalence rates of overweight,obesity,central obesity and the clustering of major cardiovascular risks among middle-aged population of China.Methods 1 000 participants aged 35-64 years in each of the 12 populations under study,were examined with international standardized criteria in 2009-2010.Out of the 11 623 potential respondents,10 340 of them were eligible for analysis.Currem prevalence rates of overweight,obesity and central obesity,and the clustering of major cardiovascular risks were analyzed.Overweight and obesity were defined under the Chinese BMI criteria.Results The prevalence rates were 38.8％ on overweight,20.2％ on obesity and 51.6％ on central obesity,respectively.Overall,the prevalence was seen higher in females,in northem part of the country and in urban (P＜0.05).Participants with all of three risk factors (hypertension,diabetes and dyslipidemia) appeared 4.5 times in obese persons than in normal persons but 5.1 times in persons with central obesity.Conclusion About half of middle aged Chinese were under abnormal weight,and most participants in our study were accompanied with cardiovascular risk factors related to obesity.It is of urgent need to develop strategies on prevention and intervention against obesity.