CAJ | 학술논문

目的：了解广西正常体重人群中心型肥胖流行状况及分布特点。方法利用中国慢性病及其危险因素监测项目问卷调查及身体测量获得的数据，分析广西6个监测点18岁以上体重正常人群2244人中心型肥胖的流行情况，以及体重正常人群中心型肥胖与心血管疾病危险因素聚集的关系。结果体重正常成人中，按照腰围、腰围身高比划分的中心型肥胖率分别为7.3％和16.6％，均为女性高于男性（P值均＜0.01）并随着年龄的增加而上升；按照腰围划分，城市地区中心型肥胖率（10.5%）高于农村（6.1%），而按照腰围身高比划分则两者差别不大，城市、农村地区分别为17.9%和16.1%。在调整了年龄、性别、受教育程度、城乡等因素后，正常体重人群中心型肥胖者心脑血管疾病危险因素聚集的比例是非中心型肥胖者的2.272倍。结论体重正常人群中约有17%为中心型肥胖，并伴有心脑血管疾病危险因素聚集的风险升高。建议在开展肥胖干预时，不仅要强调维持健康体重和腰围，更要结合腰围身高比指标，倡导通过控制饮食和增加身体活动来控制肥胖。
목적：료해엄서정상체중인군중심형비반류행상황급분포특점。방법이용중국만성병급기위험인소감측항목문권조사급신체측량획득적수거，분석엄서6개감측점18세이상체중정상인군2244인중심형비반적류행정황，이급체중정상인군중심형비반여심혈관질병위험인소취집적관계。결과체중정상성인중，안조요위、요위신고비화분적중심형비반솔분별위7.3％화16.6％，균위녀성고우남성（P치균＜0.01）병수착년령적증가이상승；안조요위화분，성시지구중심형비반솔（10.5%）고우농촌（6.1%），이안조요위신고비화분칙량자차별불대，성시、농촌지구분별위17.9%화16.1%。재조정료년령、성별、수교육정도、성향등인소후，정상체중인군중심형비반자심뇌혈관질병위험인소취집적비례시비중심형비반자적2.272배。결론체중정상인군중약유17%위중심형비반，병반유심뇌혈관질병위험인소취집적풍험승고。건의재개전비반간예시，불부요강조유지건강체중화요위，경요결합요위신고비지표，창도통과공제음식화증가신체활동래공제비반。
Objective To understand the prevalence of central obesity among normal body weight adults in Guangxi. Methods The prevalence of central obesity was assessed based on the data obtained from the Chinese Chronic Disease Surveillance project, in which a questionnaire survey was conducted and the waist circumference (WC) and waist-to-height ratio(WHtR) were measured among 2 244 adults over 18 years old with normal body weight. The correlation of central obesity with clustering of cardiovascular risk factors was analyzed as well. Result The prevalence of central obesity among normal body weight adults assessed by WC and WHtR were 7.3% and 16.6% respectively. The prevalence of central obesity in female was higher than that of male(p<0.01), and it increased with the age. If based on WC the prevalence central obesity in rural area (10.5%) was higher than that in urban area (6.1%), while there was no significant difference between rural (17.9%) and urban (16.1%) by WHtR. After adjustment of age, gender, education level and geographic location, the risk of suffering cardiovascular diseases in adults with central obesity was 2.272 times higher than the individuals without obesity. Conclusions Central obesity is associated with a higher risk of heart disease. About 17% of normal body weights adults in Guangxi are central obesity and are in high risk of cardiovascular diseases. Therefore, it is important to keep healthy weight based on WC and WHtR and to control obesity by controlling diet and increasing physical activity.