Wang Zengwu, Hao Guang, Wang Xin, Chen Zuo, Zhang Linfeng, Guo Min, Tian Ye, Shao Lan, Zhu Manlu
State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China. Email:
State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Disease, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Apr;35(4):354-8.
To analyze the current prevalence rates of overweight, obesity, central obesity and the clustering of major cardiovascular risks among middle-aged population of China.
1 000 participants aged 35-64 years in each of the 12 populations under study, were examined with international standardized criteria in 2009-2010. Out of the 11 623 potential respondents, 10 340 of them were eligible for analysis. Current prevalence rates of overweight, obesity and central obesity, and the clustering of major cardiovascular risks were analyzed. Overweight and obesity were defined under the Chinese BMI criteria.
The prevalence rates were 38.8% on overweight, 20.2% on obesity and 51.6% on central obesity, respectively. Overall, the prevalence was seen higher in females, in northern part of the country and in urban (P < 0.05). Participants with all of three risk factors (hypertension, diabetes and dyslipidemia) appeared 4.5 times in obese persons than in normal persons but 5.1 times in persons with central obesity.
About half of middle aged Chinese were under abnormal weight, and most participants in our study were accompanied with cardiovascular risk factors related to obesity. It is of urgent need to develop strategies on prevention and intervention against obesity.
分析中国中年人群中超重、肥胖、中心性肥胖的当前患病率以及主要心血管危险因素的聚集情况。
在2009 - 2010年,对12个研究人群中年龄在35 - 64岁的1000名参与者采用国际标准化标准进行检查。在11623名潜在受访者中,10340名符合分析条件。分析超重、肥胖和中心性肥胖的当前患病率以及主要心血管危险因素的聚集情况。超重和肥胖根据中国BMI标准定义。
超重患病率为38.8%,肥胖患病率为20.2%,中心性肥胖患病率为51.6%。总体而言,女性、北方地区和城市地区的患病率较高(P < 0.05)。同时患有高血压、糖尿病和血脂异常这三种危险因素的参与者在肥胖者中出现的几率是正常人的4.5倍,但在中心性肥胖者中是正常人的5.1倍。
约一半的中国中年人存在体重异常,且本研究中的大多数参与者伴有与肥胖相关的心血管危险因素。迫切需要制定针对肥胖的预防和干预策略。