中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2013年
1期
4-8
,共5页
刘岚%袁宝石%高良%谷洁%吴军帅
劉嵐%袁寶石%高良%穀潔%吳軍帥
류람%원보석%고량%곡길%오군수
超重%肥胖症%血脂异常%危险因素
超重%肥胖癥%血脂異常%危險因素
초중%비반증%혈지이상%위험인소
Overweight%Obesity%Dyslipidemias%Risk factors
目的 了解北京市航天系统职工的超重及肥胖情况,探讨其影响因素及与血脂异常的相关性,为企业健康管理提供科学的参考依据.方法 选取2012年参加航天中心医院健康体检的职工980名,填写个人生活方式问卷,测量身高、体重、血压、血脂等指标,采用单因素及多因素logistic回归方法,分析超重肥胖的影响因素及与血脂异常的相关性.结果 共回收有效问卷776份,北京市航天系统职工超重和肥胖的发生率分别为34.4％和10.1％,根据2002年全国及2006年北京地区人群标化,超重率分别是36.9％和36.3％,肥胖率分别是12.3％和11.8％.单因素分析结果显示年龄(OR=2.050、1.666、2.164,95％ CI:1.490 ～2.820、1.048 ～2.648、1.164 ～4.020)、性别(OR=0.296,95％ CI:0.211 ～0.416)、婚姻状况(OR=2.178,95％ CI:1.591 ～2.980)、吸烟(OR=2.571、1.889,95％ CI:1.061 ～6.229、1.341 ～2.660)和饮酒(OR=1.547、1.796,95％ CI:0.570 ～4.195、1.319 ～2.447)等是北京市航天职工超重肥胖的影响因素；多因素分析显示年龄增长(OR=1.562、1.775、2.206,95％ CI:1.029 ～2.372、0.943 ～3.341、0.977 ～4.978)、已婚(OR=1.591,95％ CI:1.045 ～2.421)是超重肥胖发生的危险因素,女性(OR =0.311,95％ CI:0.206～0.469)、不喜食肉类(OR=0.663,95％ CI:0.437 ～1.007)及不常吃油炸食品(OR=0.604,95％ CI:0.420 ～0.870)是超重肥胖的保护因素.超重肥胖与血脂异常的相关性研究显示,与正常体重者相比,超重肥胖者患高胆固醇血症、高三酰甘油血症、低高密度脂蛋白胆固醇血症、高低密度脂蛋白胆固醇血症等疾病的风险均增高.结论 北京市航天职工超重肥胖率较高,患血脂异常的风险高于一般人群,应重点在男性及已婚职工中开展控制体重工作,在职工中培养健康的饮食习惯是预防超重和肥胖发生的重要因素.
目的 瞭解北京市航天繫統職工的超重及肥胖情況,探討其影響因素及與血脂異常的相關性,為企業健康管理提供科學的參攷依據.方法 選取2012年參加航天中心醫院健康體檢的職工980名,填寫箇人生活方式問捲,測量身高、體重、血壓、血脂等指標,採用單因素及多因素logistic迴歸方法,分析超重肥胖的影響因素及與血脂異常的相關性.結果 共迴收有效問捲776份,北京市航天繫統職工超重和肥胖的髮生率分彆為34.4％和10.1％,根據2002年全國及2006年北京地區人群標化,超重率分彆是36.9％和36.3％,肥胖率分彆是12.3％和11.8％.單因素分析結果顯示年齡(OR=2.050、1.666、2.164,95％ CI:1.490 ～2.820、1.048 ～2.648、1.164 ～4.020)、性彆(OR=0.296,95％ CI:0.211 ～0.416)、婚姻狀況(OR=2.178,95％ CI:1.591 ～2.980)、吸煙(OR=2.571、1.889,95％ CI:1.061 ～6.229、1.341 ～2.660)和飲酒(OR=1.547、1.796,95％ CI:0.570 ～4.195、1.319 ～2.447)等是北京市航天職工超重肥胖的影響因素；多因素分析顯示年齡增長(OR=1.562、1.775、2.206,95％ CI:1.029 ～2.372、0.943 ～3.341、0.977 ～4.978)、已婚(OR=1.591,95％ CI:1.045 ～2.421)是超重肥胖髮生的危險因素,女性(OR =0.311,95％ CI:0.206～0.469)、不喜食肉類(OR=0.663,95％ CI:0.437 ～1.007)及不常喫油炸食品(OR=0.604,95％ CI:0.420 ～0.870)是超重肥胖的保護因素.超重肥胖與血脂異常的相關性研究顯示,與正常體重者相比,超重肥胖者患高膽固醇血癥、高三酰甘油血癥、低高密度脂蛋白膽固醇血癥、高低密度脂蛋白膽固醇血癥等疾病的風險均增高.結論 北京市航天職工超重肥胖率較高,患血脂異常的風險高于一般人群,應重點在男性及已婚職工中開展控製體重工作,在職工中培養健康的飲食習慣是預防超重和肥胖髮生的重要因素.
목적 료해북경시항천계통직공적초중급비반정황,탐토기영향인소급여혈지이상적상관성,위기업건강관리제공과학적삼고의거.방법 선취2012년삼가항천중심의원건강체검적직공980명,전사개인생활방식문권,측량신고、체중、혈압、혈지등지표,채용단인소급다인소logistic회귀방법,분석초중비반적영향인소급여혈지이상적상관성.결과 공회수유효문권776빈,북경시항천계통직공초중화비반적발생솔분별위34.4％화10.1％,근거2002년전국급2006년북경지구인군표화,초중솔분별시36.9％화36.3％,비반솔분별시12.3％화11.8％.단인소분석결과현시년령(OR=2.050、1.666、2.164,95％ CI:1.490 ～2.820、1.048 ～2.648、1.164 ～4.020)、성별(OR=0.296,95％ CI:0.211 ～0.416)、혼인상황(OR=2.178,95％ CI:1.591 ～2.980)、흡연(OR=2.571、1.889,95％ CI:1.061 ～6.229、1.341 ～2.660)화음주(OR=1.547、1.796,95％ CI:0.570 ～4.195、1.319 ～2.447)등시북경시항천직공초중비반적영향인소；다인소분석현시년령증장(OR=1.562、1.775、2.206,95％ CI:1.029 ～2.372、0.943 ～3.341、0.977 ～4.978)、이혼(OR=1.591,95％ CI:1.045 ～2.421)시초중비반발생적위험인소,녀성(OR =0.311,95％ CI:0.206～0.469)、불희식육류(OR=0.663,95％ CI:0.437 ～1.007)급불상흘유작식품(OR=0.604,95％ CI:0.420 ～0.870)시초중비반적보호인소.초중비반여혈지이상적상관성연구현시,여정상체중자상비,초중비반자환고담고순혈증、고삼선감유혈증、저고밀도지단백담고순혈증、고저밀도지단백담고순혈증등질병적풍험균증고.결론 북경시항천직공초중비반솔교고,환혈지이상적풍험고우일반인군,응중점재남성급이혼직공중개전공제체중공작,재직공중배양건강적음식습관시예방초중화비반발생적중요인소.
Objective To investigate the prevalence and risk factors of overweight/obesity and their relationship with dyslipidemia among aerospace professional staff,to provide evidence for more effective health management.Methods Nine hundred eighty aerospace professional staff who took health checkup at our center in 2012 were required to complete a self-report life style questionnaire.Height,body weight and blood lipid profiles of the participants were then measured.Logistic regression was used for data analysis.Results A total of 776 valid questionnaires were finally received.The prevalence of overweight or obesity of the participants were 34.4％ and 10.1％,respectively.Standardized overweight rate was 36.9％ or 36.3％,and standardized obesity rate was 12.3％ or 11.8％,according to Chinese adults' level in 2002 or Beijingers' figure in 2006.Univariate logistic regression showed that age (odds ratio (OR) 2.050,1.666 and 2.164; 95％ confidence interval (CI) 1.490 to 2.820,1.048 to 2.648 and 1.164 to 4.020),gender (OR =0.296,95 ％ CI 0.211 to 0.416),marital status (OR =2.178,95 ％ CI 1.591 to 2.980),cigarette smoking (OR =2.571 and 1.889; 95％ CI 1.061 to 6.229 and 1.341 to 2.660) and alcohol consumption (OR =1.547 and 1.796; 95％ CI0.570 to 4.195 and 1.319 to 2.447) were risk factors of overweight and obesity.In multivariate logistic regression,age (OR =1.562,1.775 and 2.206; 95％ CI 1.029 to 2.372,0.943 to 3.341 and 0.977 to 4.978),female (OR =0.311,95％ CI0.206 to 0.469),marital status (OR =1.591,95％ CI 1.045 to 2.421),meat intake (OR=0.663,95％ CI0.437 to 1.007) and fried food (OR =0.604,95％ CI 0.420 to 0.870) were risk factors of overweight/obesity.The risk of developing hypercholesterolemia,hypertriglyceridemia,low high-density lipoprotein hypercholesterolemia,high lowdensity lipoprotein hypercholesterolemia and hypercholesterolemia were significantly increased in overweight/obese adults.Conclusion Higher prevalence of overweight/obese may alarm the need for aerospace professional staff to initiate body weight control and risk factor prevention,especially for male and married adults.
