Ko Tin-choi Gary, Chan Juliana, Chan Amy, Wong Patrick, Hui Stanley, Chow Ferrie, Tong Spencer, Chan Cecilia
Department of Medicine, Alice HML Nethersole Hospital, Hong Kong SAR, China.
Chin Med J (Engl). 2007 Jul 5;120(13):1151-4.
Obesity is now an epidemic in most parts of the world. In this cross sectional study, we report the most recent data on obesity in Hong Kong Chinese working population and compare the changes over 10 years.
Between July 2000 and March 2002, 5882 adult subjects from the working class in Hong Kong were recruited (2716 men (46.2%) and 3166 women (53.8%)). They were randomly selected using computer generated codes according to the distribution of occupational groups. Results of this study were compared with the data collected from a prevalence survey for cardiovascular risk factors in a Hong Kong Chinese working population conducted in 1990 (1513 subjects, 910 men (60.1%) and 603 women (39.9%)).
Standardized percentages of overweight, obesity, and central obesity, in Hong Kong Chinese working population were 59.7%, 35.0%, 26.7% in men and 32.0%, 21.7%, 26.7% in women. Compared to the data collected in 1990, the percentage of obesity increased by 5% in men and reduced by 6% in women. The percentage of central obesity doubled in men (from 12.2% to 26.7%) but remained stable in women.
There is a doubling of the percentage of central obesity in Hong Kong Chinese working men over previous decade. Education and proper lifestyle modification program to tackle this social health issue are urgently indicated.
肥胖如今在世界大部分地区都呈流行态势。在这项横断面研究中，我们报告了香港华人工薪族肥胖的最新数据，并比较了10年间的变化情况。
在2000年7月至2002年3月期间，招募了5882名来自香港工人阶级的成年受试者（2716名男性（46.2%）和3166名女性（53.8%））。他们是根据职业群体分布，使用计算机生成的编码随机选取的。本研究结果与1990年在香港华人工薪族中进行的心血管危险因素患病率调查所收集的数据（1513名受试者，910名男性（60.1%）和603名女性（39.9%））进行了比较。
香港华人工薪族中超重、肥胖和中心性肥胖的标准化百分比，男性分别为59.7%、35.0%、26.7%，女性分别为32.0%、21.7%、26.7%。与1990年收集的数据相比，男性肥胖百分比增加了5%，女性减少了6%。男性中心性肥胖百分比翻倍（从12.2%增至26.7%），而女性则保持稳定。
在过去十年中，香港华人工薪族男性的中心性肥胖百分比翻倍。迫切需要开展教育和适当的生活方式改变计划来解决这一社会健康问题。
