中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
9期
977-980
,共4页
李剑虹%王丽敏%黄正京%张梅%李镒冲%王文绢%陈波%王临虹
李劍虹%王麗敏%黃正京%張梅%李鎰遲%王文絹%陳波%王臨虹
리검홍%왕려민%황정경%장매%리일충%왕문견%진파%왕림홍
体重指数%超重%肥胖%心血管危险因素
體重指數%超重%肥胖%心血管危險因素
체중지수%초중%비반%심혈관위험인소
Body mass index%Overweight%Obesity%Cardiovascular risk factors
目的 探讨中国成年人BMI与主要心血管危险因素及其聚集的关系.方法 2010年在全国31个省(区、市)的162个监测点,采用多阶段分层整群随机抽样方法,调查了98 271名＞18岁居民.采用面对面询问调查、身体测量和实验室检测方法收集吸烟、饮酒、膳食、身体活动等慢性病主要危险因素及高血压、糖尿病、血脂异常等主要慢性病患病情况.将24 kg/m2≤BMI＜28 kg/m2和≥28 kg/m2定义为超重和肥胖,在对样本经过复杂加权后,分析不同BMI组别人群心血管危险因素及其聚集情况.结果 我国成年人超重率和肥胖率分别为30.6％ (95％CI:29.5％～31.7％)和12.0％(95％CI:11.0％～12.9％),男性超重率高于女性,差异有统计学意义(x2=16.09,P＜0.001),45 ～ 65岁组人群超重率和肥胖率最高(x2值分别为485.17和112.23,P＜0.001).心血管危险因素(SBP、DBP、TG、TC、HDL-C、LDL-C、FPG和空腹胰岛素水平)均随着BMI的增加而增加,超重和肥胖组均高于正常组,差异有统计学意义(超重组:F值分别为4 056.19、6 860.70、3 898.91、1 624.73、2 337.21、2 558.01、1 049.01和1 665.52,P＜0.001;肥胖组:F值分别为5 628.68、9 949.81、5 508.77、1 656.34、2 452.05、2 365.92、1 441.72和6 081.27,P＜0.001).高血压、血脂异常、糖尿病、胰岛素抵抗和心血管危险因素聚集的患病率均随着BMI的增加而增加,超重和肥胖组均高于正常组,差异有统计学意义(超重组:x2值分别为704.70、521.86、431.35、449.13和686.83,P＜0.001;肥胖组:x2值分别为113.45、645.03、1 063.30、1 547.86和1 909.66,P＜0.001).多因素分析显示,调整年龄和性别后,超重和肥胖组高血压、血脂异常、糖尿病、胰岛素抵抗和心血管危险因素聚集的发病风险分别为正常组的2.5和5.5、2.2和3.4、1.8和2.9、2.9和8.2、3.3和8.9倍.结论 我国成年人随着BMI的增加,患心血管疾病的危险增大,应将控制BMI作为慢病防控的优先指标.
目的 探討中國成年人BMI與主要心血管危險因素及其聚集的關繫.方法 2010年在全國31箇省(區、市)的162箇鑑測點,採用多階段分層整群隨機抽樣方法,調查瞭98 271名＞18歲居民.採用麵對麵詢問調查、身體測量和實驗室檢測方法收集吸煙、飲酒、膳食、身體活動等慢性病主要危險因素及高血壓、糖尿病、血脂異常等主要慢性病患病情況.將24 kg/m2≤BMI＜28 kg/m2和≥28 kg/m2定義為超重和肥胖,在對樣本經過複雜加權後,分析不同BMI組彆人群心血管危險因素及其聚集情況.結果 我國成年人超重率和肥胖率分彆為30.6％ (95％CI:29.5％～31.7％)和12.0％(95％CI:11.0％～12.9％),男性超重率高于女性,差異有統計學意義(x2=16.09,P＜0.001),45 ～ 65歲組人群超重率和肥胖率最高(x2值分彆為485.17和112.23,P＜0.001).心血管危險因素(SBP、DBP、TG、TC、HDL-C、LDL-C、FPG和空腹胰島素水平)均隨著BMI的增加而增加,超重和肥胖組均高于正常組,差異有統計學意義(超重組:F值分彆為4 056.19、6 860.70、3 898.91、1 624.73、2 337.21、2 558.01、1 049.01和1 665.52,P＜0.001;肥胖組:F值分彆為5 628.68、9 949.81、5 508.77、1 656.34、2 452.05、2 365.92、1 441.72和6 081.27,P＜0.001).高血壓、血脂異常、糖尿病、胰島素牴抗和心血管危險因素聚集的患病率均隨著BMI的增加而增加,超重和肥胖組均高于正常組,差異有統計學意義(超重組:x2值分彆為704.70、521.86、431.35、449.13和686.83,P＜0.001;肥胖組:x2值分彆為113.45、645.03、1 063.30、1 547.86和1 909.66,P＜0.001).多因素分析顯示,調整年齡和性彆後,超重和肥胖組高血壓、血脂異常、糖尿病、胰島素牴抗和心血管危險因素聚集的髮病風險分彆為正常組的2.5和5.5、2.2和3.4、1.8和2.9、2.9和8.2、3.3和8.9倍.結論 我國成年人隨著BMI的增加,患心血管疾病的危險增大,應將控製BMI作為慢病防控的優先指標.
목적 탐토중국성년인BMI여주요심혈관위험인소급기취집적관계.방법 2010년재전국31개성(구、시)적162개감측점,채용다계단분층정군수궤추양방법,조사료98 271명＞18세거민.채용면대면순문조사、신체측량화실험실검측방법수집흡연、음주、선식、신체활동등만성병주요위험인소급고혈압、당뇨병、혈지이상등주요만성병환병정황.장24 kg/m2≤BMI＜28 kg/m2화≥28 kg/m2정의위초중화비반,재대양본경과복잡가권후,분석불동BMI조별인군심혈관위험인소급기취집정황.결과 아국성년인초중솔화비반솔분별위30.6％ (95％CI:29.5％～31.7％)화12.0％(95％CI:11.0％～12.9％),남성초중솔고우녀성,차이유통계학의의(x2=16.09,P＜0.001),45 ～ 65세조인군초중솔화비반솔최고(x2치분별위485.17화112.23,P＜0.001).심혈관위험인소(SBP、DBP、TG、TC、HDL-C、LDL-C、FPG화공복이도소수평)균수착BMI적증가이증가,초중화비반조균고우정상조,차이유통계학의의(초중조:F치분별위4 056.19、6 860.70、3 898.91、1 624.73、2 337.21、2 558.01、1 049.01화1 665.52,P＜0.001;비반조:F치분별위5 628.68、9 949.81、5 508.77、1 656.34、2 452.05、2 365.92、1 441.72화6 081.27,P＜0.001).고혈압、혈지이상、당뇨병、이도소저항화심혈관위험인소취집적환병솔균수착BMI적증가이증가,초중화비반조균고우정상조,차이유통계학의의(초중조:x2치분별위704.70、521.86、431.35、449.13화686.83,P＜0.001;비반조:x2치분별위113.45、645.03、1 063.30、1 547.86화1 909.66,P＜0.001).다인소분석현시,조정년령화성별후,초중화비반조고혈압、혈지이상、당뇨병、이도소저항화심혈관위험인소취집적발병풍험분별위정상조적2.5화5.5、2.2화3.4、1.8화2.9、2.9화8.2、3.3화8.9배.결론 아국성년인수착BMI적증가,환심혈관질병적위험증대,응장공제BMI작위만병방공적우선지표.
Objective To study the relationship between body mass index (BMI) and cardiovascular risk factors among Chinese adult population.Methods 98 271 subjects aged 18 years or over were recruited from 162 surveillance points around 31 provinces in China' s mainland in 2010,under a complex multistage stratified sampling method.The survey included face-to-face interview,physical measurement and laboratory testing,to collect information related to the prevalence of risk factors as smoking,drinking,diet and physical activities as well as the prevalence of main chronic disease as hypertension,diabetes and dyslipidemia.24 kg/m2≤BMI＜28 kg/m2 was defined as overweight and BMI≥28 kg/m2 was defined as obese.After a complex weighting on the sample,level and proportion of cardiovascular risk factors in groups of different BMI were analyzed.Results The overall prevalence rates of overweight and obesity were 30.6％ (95％CI:29.5％-31.7％) and 12.0％(95％CI:11.0％-12.9％) and were significantly higher in men for overweight (x2=16.09,P＜0.001) and those aged 45-65 years old for both overweight and obesity (x2 values were 485.17 and 112.23 both P＜0.001),respectively.The levels of systolic blood pressure (SBP),diastolic blood pressure (DBP),triglyceride (TG),total cholesterol (TC),high density lipoprotein-cholesterol (HDL-C),low density lipoprotein-cholesterol (LDL-C),fasting plasma glucose (FPG) and fasting blood insulin (FBI) showed a significantly increase on BMI and were seen higher in overweight (F values were 4 056.19,6 860.70,3 898.91,1 624.73,2 337.21,2 558.01,1 049.01 and 1 665.52,with both Ps＜0.001) respectively and obese participants (F values were 5 628.68,9 949.81,5 508.77,1 656.34,2 452.05,2 365.92,1 441.72 and 6 081.27,respectively; all Ps＜0.001).The prevalence rates of hypertension,dyslipidemia,diabetes,insulin resistance and clustering of cardiovascular disease showed a significantly increase on BMI and were higher in overweight (x2 values were 704.70,521.86,431.35,449.13 and 686.83,both Ps ＜ 0.001),and obese participants (x2 values were 113.45,645.03,1 063.30,1 547.86 and 1 909.66,both Ps＜0.001),respectively.After adjustment for age and gender,participants with 24 kg/m2≤BMI＜28 kg/m2 and BMI≥28 kg/m2 increased the risks of hypertension,dyslipidemia,diabetes,insulin resistance and clustering of cardiovascular disease by 2.5/5.5,2.2/3.4,1.8/2.9,2.9/8.2 and 3.3/8.9 times than participants with BMI＜28 kg/m2,respectively.Conclusion The risk of cardiovascular disease parallelly increased with BMI among Chinese adults.Rational control on BMI should be viewed as priority on chronic disease prevention and control.
