›› 2010, Vol. 5 ›› Issue (09): 700-705.

• 论著 • 上一篇    下一篇

长沙地区50岁以上常住居民超重及肥胖的流行病学调查

曾凤,刘运海,杨期东,周琳,王玮,刘元,孙新刚,田田,靳欣,李灵娟   

  1. 湖南省长沙市中南大学湘雅医院神经内科 湖南省脑血管病研究中心
  • 收稿日期:2010-02-02 修回日期:2010-01-02 出版日期:2010-09-20 发布日期:2010-09-20
  • 通讯作者: 刘运海

Epidemiological Investigation of Overweight and Obesity Inhabitants Aged over 50 in Changsha

ZENG Feng, LIU Yun-Hai, YANG Qi-Dong, et al.   

  • Received:2010-02-02 Revised:2010-01-02 Online:2010-09-20 Published:2010-09-20
  • Contact: LIU Yun-Hai

摘要: 目的 调查长沙市50岁以上人群超重和肥胖的流行特征,为制定相应的干预措施提供科学依据。方法 采用分层整群随机抽样的方法,以长沙市天心区20个社区作为调查点,对50~90岁常住居民超重和肥胖的相关因素进行调查,并调查不同体质量人群中的高血压分布。结果 该地区人群超重及肥胖患病率分别为38.9%和6.1%,女性超重和肥胖患病率为33.1%和5.3%,男性为46.8%和7.1%,男性明显高于女性(P均<0.01)。60~69岁人群超重的发生率较50~59岁和70~90岁人群高(P =0.032,0.005)。经多元逐步回归分析发现,年龄、性别、劳动强度、吸烟、饮酒与体质指数(body mass index, BMI)有相关性,高血压的患病率与BMI呈正比。结论 长沙市50岁以上人群超重和肥胖患病率较高,尤其是男性;影响BMI的主要因素有年龄、性别、劳动强度、吸烟和饮酒等;随着BMI增加,高血压患病率增加。

关键词: 超重; 肥胖; 患病率; 高血压; 流行病学

Abstract: Objective To study the general characteristics of the over 50-year old populations withoverweight and obesity in Changsha; to further provide the basis in exploring interventionmeasures accordingly.Methods Using stratified cluster random sampling, 20 communities were selected from TianxinDistrict of Changsha as the investigation subjects. In each sample, the correlation study ofoverweight and obesity were conducted among the over 50-year old permanent residents, and thehypertensive distribution in different body weight groups of the population was investigated atthe same time.Results The prevalence rate of overweight was 38.9%, and with male being 46.8%, female being33.1%, and that of obesity was 6.1%, with male being 7.1%, female being 5.3%, respectively. Theprevalence rate between men and women in terms of overweight and obesity demonstrated astatistical significance. The prevalence rate of overweight in 60-69 years old group was higherthan that in 50-59 and 70-90 years old groups(P =0.032, 0.005). As multiple linear regressionshowed that age, gender, labor intensity, smoking, drinking were significantly associated withbody mass index(BMI), which was positively correlated with hypertension.Conclusion The prevalence of overweight and obesity in Changsha showed higher among theelder populations. especially in male. Age, sex, labor, smoking and drinking are predominantinfluences in BMI which implies that a comprehensive intervention should be taken to decreaseoverweight and obesity in populations, it plays an important role in the incidence of hypertensionreduction.

Key words: Overweight; Obesity; Prevalence; Hypertension; Epidemiology