CAJ | 학술논문

目的：本研究以“泰州健康人群跟踪调查队列”(TZL)为研究对象,首次分别从男性和女性群体中探索生活满意度与肥胖之间的关联。方法采用频率和百分比对生活满意度进行描述,使用χ2检验对不同组生活满意度进行趋势检验,运用Logistic 回归探索男女群体中肥胖与生活满意度之间的关联。结果从体质量指数(BMI)角度来衡量肥胖时,对于男性群体,3个模型中除了偏瘦组不显著外,其他两组生活满意度均显著高于正常组(P <0.05)；而女性群体偏瘦组生活满意度显著低于正常组(P <0.05)；超体质量组生活满意度显著高于正常组(P <0.05),但在模型2和3中,加入年龄和家庭年总收入调整变量后,差异无统计学意义(P >0.05)。从腰围角度来衡量肥胖时,在男性群体中,3个模型中肥胖组的生活满意度显著高于正常组(P <0.05)；女性群体中,3个模型中肥胖组与正常组的生活满意度差异均无统计学意义(P >0.05)。从腰臀比角度来衡量肥胖时,在男性群体中,肥胖组的生活满意度均显著高于正常组(P <0.05)；而在女性群体中,3个模型中肥胖组与正常组的生活满意度差异均无统计学意义(P >0.05)。结论在中国大型泰州人群健康跟踪队列中,男性群体中生活满意度与肥胖正向关联,符合“Jolly fat”假设；而女性群体中未发现生活满意度与肥胖程度具有显著关联。
목적：본연구이“태주건강인군근종조사대렬”(TZL)위연구대상,수차분별종남성화녀성군체중탐색생활만의도여비반지간적관련。방법채용빈솔화백분비대생활만의도진행묘술,사용χ2검험대불동조생활만의도진행추세검험,운용Logistic 회귀탐색남녀군체중비반여생활만의도지간적관련。결과종체질량지수(BMI)각도래형량비반시,대우남성군체,3개모형중제료편수조불현저외,기타량조생활만의도균현저고우정상조(P <0.05)；이녀성군체편수조생활만의도현저저우정상조(P <0.05)；초체질량조생활만의도현저고우정상조(P <0.05),단재모형2화3중,가입년령화가정년총수입조정변량후,차이무통계학의의(P >0.05)。종요위각도래형량비반시,재남성군체중,3개모형중비반조적생활만의도현저고우정상조(P <0.05)；녀성군체중,3개모형중비반조여정상조적생활만의도차이균무통계학의의(P >0.05)。종요둔비각도래형량비반시,재남성군체중,비반조적생활만의도균현저고우정상조(P <0.05)；이재녀성군체중,3개모형중비반조여정상조적생활만의도차이균무통계학의의(P >0.05)。결론재중국대형태주인군건강근종대렬중,남성군체중생활만의도여비반정향관련,부합“Jolly fat”가설；이녀성군체중미발현생활만의도여비반정도구유현저관련。
Objective To explore the association between life satisfaction(LS)and obesity in both Chinese male and female population based on"Taizhou Longitudinal Study"(TZL).Methods Life satisfaction was described by frequency and percentage, tested by trend Chi-square tests and used logistic regression to explore the association between LS and obesity in both male and fe-male population.Results If we used body mass index(BMI)to measure obesity,for the male population,except underweight group the LS of the other two groups were significantly higher than normal group in model 1-3(P <0.05).For the female population,the slightly thin group′s LS was significantly less than normal group(P <0.05);the overweight group′s LS was significantly more than normal group(P <0.05),while the difference was not significant after adding age and annual family income for adjustment in model 2-3(P >0.05).If we used waist circumference(WC)to measure obesity,for the male population,obesity groups′LS was signifi-cantly higher than normal group in model 1 -3(P <0.05 );however,for the female population,there was no significant difference between obesity and normal group(P >0.05).If we used waist-hip ratio(WHR)to measure obesity,for the male population,obesity group′s LS was significantly higher than normal group in model 1-3(P <0.05);for the female population,there was no significant difference between obesity and normal group in model 1 - 3 (P > 0.05 ).Conclusion In Chinese TZL,LS is positively associated with obesity for the male population,which accords with Jolly fat′s hypothesis;while there is no significant association between LS and obesity for the female population.