CAJ | 학술논문

目的探讨陕西省汉中农村地区男性居民的吸烟行为与不同百分位点上BMI和腰围(WC)的关系.方法利用2010年汉中农村居民健康调查的数据进行分析,将BMI(WC)和吸烟状况(程度)分别以因变量和白变量纳入分位数回归模型,并控制相关混杂因素.结果调查汉中市农村地区男性居民1039人；超重和肥胖率分别为28.0％和5.9％,中心性肥胖率为35.0％,现在吸烟率为63 6％；分位数回归结果表明,当BMI处于第80百分位点(BMl=24.4)及以上时,已戒烟者、不吸烟者与现在吸烟者的BMI差异无统计学意义；当BMI处于第90百分位点(BMI=24.9)及以上时,随着BMI的增加,与轻度吸烟者相比,重度吸烟者BMI增加的幅度随之增加；当WC处于第95白分位点时(WC=96.7 cm),现在吸烟者的WC显著高于已戒烟者；WC第85百分位点(WC=89.9 cm)及以上时,随着WC增加,中度和重度吸烟者的WC幅度随之增加.结论吸烟状况和吸烟程度对不同百分位点上的BMI和WC的影响不一致,在较高百分位点上,随着吸烟程度的加深,BMI和WC增加的更明显,应大力倡导肥胖者戒烟.
목적 탐토합서성한중농촌지구남성거민적흡연행위여불동백분위점상BMI화요위(WC)적관계.방법 이용2010년한중농촌거민건강조사적수거진행분석,장BMI(WC)화흡연상황(정도)분별이인변량화백변량납입분위수회귀모형,병공제상관혼잡인소.결과 조사한중시농촌지구남성거민1039인；초중화비반솔분별위28.0％화5.9％,중심성비반솔위35.0％,현재흡연솔위63 6％；분위수회귀결과표명,당BMI처우제80백분위점(BMl=24.4)급이상시,이계연자、불흡연자여현재흡연자적BMI차이무통계학의의；당BMI처우제90백분위점(BMI=24.9)급이상시,수착BMI적증가,여경도흡연자상비,중도흡연자BMI증가적폭도수지증가；당WC처우제95백분위점시(WC=96.7 cm),현재흡연자적WC현저고우이계연자；WC제85백분위점(WC=89.9 cm)급이상시,수착WC증가,중도화중도흡연자적WC폭도수지증가.결론 흡연상황화흡연정도대불동백분위점상적BMI화WC적영향불일치,재교고백분위점상,수착흡연정도적가심,BMI화WC증가적경명현,응대력창도비반자계연.
Objectivc To examine the relationship between cigarette smoking and body mass index(BMI) as well as waist circumfcrcnce (WC) of men from 9 rural districts ofHanzhong,Shaanxi province.Methods Cross-sectional data was analyzed from Hanzhong Health Survey on rural residents in 2010.Quantile regression mode was used to compare the results using the BMI (WC) and smoking slatus (degree) as the dependent variables and independent variable and confounding factors were also controlled.Results 1039 rmale residents of rural areas of Hanzhong city were investigated.The prevalence rates on overweight and obesity among the males were 28.0％ and 5.9％,with central obesity as 35.0％ and the rate of currcnt cigarette smoking was 63.6％ in the areas.Results from the quantile regression showed that the relationship between smoking status and BMI beyond 80 percentile in men (BMI=24.4) which was not significantly different BMI among the heavy smokers,was much higher than those mild smokers beyond 90 percentile (BMI=24.9).WC of the current smokers was significantly higher than those ex-smokers beyond the 95 percentile (WC=96.7 cm).WCs of the moderate and heavy smokers had an increase along with the increase of WCs beyond the 85 percentiles (WC=89.9 cm).Conclusion The effect of smoking status and BMI (WC) were inconsistent,however,with BMI and WC increased among the subjects whose BMI or WC were at the high extreme end of the distribution.Thus,we should advise the obese subjects to quit smoking.