CAJ | 학술논문

目的描述中国慢性病前瞻性研究(CKB)项目10个地区人群超重/肥胖现状的地区差异.方法 CKB项目于2004-2008年在城市和农村各5个地区募集30 ～79岁队列成员并完成基线调查,剔除BMI异常个体后,分析10个地区中512 489名队列成员基线调查时的BMI和WC及其对应的超重/肥胖和中心性肥胖分组情况的地区差异.结果 10个地区女性的超重/肥胖(45.3％)和中心性肥胖(44.6％)水平均高于男性(41.7％和38.3％).青岛项目点人群的超重/肥胖率(男性为66.9％,女性为67.5％)和中心性肥胖率(男性为63.3％,女性为64.9％)均为最高.超重/肥胖的地区差异在男性中更为明显;除河南以外的农村项目点超重/肥胖率相对较低.在BMI＜24.0 kg/m2的非超重/肥胖人群中,部分个体达到中心性肥胖标准(男性为9.8％,女性为15.3％);该比例在青岛项目点更高(男性为22.2％,女性为23.2％).结论 CKB项目10个地区研究人群的超重/肥胖情况存在明显的地区差异.
목적 묘술중국만성병전첨성연구(CKB)항목10개지구인군초중/비반현상적지구차이.방법 CKB항목우2004-2008년재성시화농촌각5개지구모집30 ～79세대렬성원병완성기선조사,척제BMI이상개체후,분석10개지구중512 489명대렬성원기선조사시적BMI화WC급기대응적초중/비반화중심성비반분조정황적지구차이.결과 10개지구녀성적초중/비반(45.3％)화중심성비반(44.6％)수평균고우남성(41.7％화38.3％).청도항목점인군적초중/비반솔(남성위66.9％,녀성위67.5％)화중심성비반솔(남성위63.3％,녀성위64.9％)균위최고.초중/비반적지구차이재남성중경위명현;제하남이외적농촌항목점초중/비반솔상대교저.재BMI＜24.0 kg/m2적비초중/비반인군중,부분개체체도중심성비반표준(남성위9.8％,녀성위15.3％);해비례재청도항목점경고(남성위22.2％,녀성위23.2％).결론 CKB항목10개지구연구인군적초중/비반정황존재명현적지구차이.
Objective To describe gender and regional differences in the prevalence of overweight/obesity in adults found by China Kadoorie Biobank (CKB) study, involving 512 489 adults, in 10 areas in China.Methods The baseline survey of CKB was conducted in 5 urban areas and 5 rural areas in China during 2004-2008.After excluding those with extreme value of BMI (＜ 15.0 kg/m2 or ＞50 kg/m2) , 512 489 subjects were included in the analysis.Overweight/obesity was classified according to BMI and WC, and diagnosed according to the guideline for prevention and control of overweight/obesity in Chinese adults.The gender and regional specific distributions of overweight/obesity were compared after adjusting for age.Results The overall prevalence of overweight/obesity was higher in females (45.3％) than in males (41.7％) , and the prevalence of central obesity was also higher in females (44.6％) than in males (38.3％).Both the prevalence of overweight/obesity (66.9％ in males and 67.5％ in females) and the central obesity (63.3％ in males and 64.9％ in females) were highest in Qingdao.The area specific difference in the prevalence was more obvious in males than in females.Rural areas all had the low prevalence except Henan.Moreover, central obesity was diagnosed in some subjects (15.3％ in females, 9.8％ in males) with normal/low BMI (＜24.0 kg/m2).This phenomenon was more obvious in Qingdao (22.2％ in males and 23.2％ in females).Conclusion The prevalence of overweight/obesity in adults varied greatly across different areas in China.