[生活方式因素对35至74岁中国成年人中心性肥胖发生率的影响]

[The effects of lifestyle factors on the incidence of central obesity in Chinese adults aged 35-74 years].

作者信息

Li Jianxin, Li Ying, Chen Jichun, Cao Jie, Huang Jianfeng, Zhao Liancheng, Liu Xiaoqing, Yu Ling, Deng Ying, Chen Naying, Yang Jun, Yang Xiaoping, Gu Dongfeng

机构信息

Department of Evidence Based Medicine, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.

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出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2014 Jul;48(7):581-6.

PMID:25312565

Abstract

OBJECTIVE

To understand the incidence of central obesity and its characteristics, and explore the effects of lifestyle factors on incidence of central obesity in Chinese adults aged 35-74 years.

METHODS

A total of 27 020 Chinese adults aged 35 to 74 years were enrolled in a prospective follow-up study (the study cohort was built from 1998 to 2000, respectively) during 2007 and 2008. Central obesity was defined as waist circumference ≥ 90 cm in men, ≥ 85 cm and ≥ 80 cm in women, respectively. Multivariate logistic regression was used to estimate relative risks (RR) of central obesity for lifestyle factors after adjusting factors including genders, age, southern and geographic region, urbanization, lifestyles, and so on.

RESULTS

Among Chinese adults aged 35-74 years, the standardized annual incidence of central obesity (waist ≥ 90 cm) was 2.19% for men and this rate decreased gradually with age among people younger than 65 years old. The incidence of central obesity was 2.64% (waist ≥ 85 cm) and 4.06% (waist ≥ 80 cm) for women, respectively, and this rate increased obviously among people aged 55 to 74 years. Participants with ≥ 12 years' education (RR = 0.84, 95%CI:0.74-0.96) had a lower risk of central obesity(waist ≥ 90 cm for men, waist ≥ 85 cm for women). And this risk increased as the monthly household per capita income increased. Compared with the reference group, people involved in housework or retirees (RR = 1.17; 95% CI: 1.01-1.36), drinking alcohol (RR = 1.15, 95% CI: 1.01-1.32) or scented tea (RR = 1.49, 95%CI:1.28-1.72) had a higher risk of developing central obesity, while drinking milk (RR = 0.85, 95% CI: 0.74-0.97) or black tea (RR = 0.74, 95% CI: 0.58-0.95), had a lower risk of developing central obesity.

CONCLUSION

A healthy lifestyle plays a key role in the prevention and control of central obesity in Chinese adults, and a healthy way of lifestyle should be promoted in the whole society to decelerate the epidemic of the central obesity.

摘要

目的

了解中国35 - 74岁成年人中心型肥胖的发病率及其特征，并探讨生活方式因素对中心型肥胖发病率的影响。

方法

2007年至2008年期间，共有27020名35至74岁的中国成年人参加了一项前瞻性随访研究（研究队列分别于1998年至2000年建立）。中心型肥胖的定义为男性腰围≥90厘米，女性腰围≥85厘米和≥80厘米。在调整性别、年龄、南方和地理区域、城市化、生活方式等因素后，采用多因素logistic回归估计生活方式因素导致中心型肥胖的相对风险（RR）。

结果

在35 - 74岁的中国成年人中，男性中心型肥胖（腰围≥90厘米）的标准化年发病率为2.19%，在65岁以下人群中，该发病率随年龄逐渐降低。女性中心型肥胖（腰围≥85厘米）和（腰围≥80厘米）的发病率分别为2.64%和4.06%，在55至74岁人群中发病率明显上升。接受≥12年教育的参与者（RR = 0.84，95%CI：0.74 - 0.96）患中心型肥胖（男性腰围≥90厘米，女性腰围≥85厘米）的风险较低。并且随着家庭月人均收入的增加，这种风险也会增加。与参照组相比，从事家务或退休人员（RR = 1.17；95%CI：1.01 - 1.36）、饮酒（RR = 1.15，95%CI：1.01 - 1.32）或饮用花茶（RR = 1.49，95%CI：1.28 - 1.72）患中心型肥胖的风险较高，而饮用牛奶（RR = 0.85，95%CI：0.74 - 0.97）或红茶（RR = 0.74，95%CI：0.58 - 0.95）患中心型肥胖的风险较低。