[2010 - 2012年贵州省5个监测地区成年人超重、肥胖患病率及其与慢性病的关系]

[Prevalence of overweight, obesity and its relation to chronic diseases among adults of 5 monitoring areas in Guizhou Province in 2010-2012].

作者信息

Liu Yiya, Chen Guihua, Li Xin, Zhao Songhua

机构信息

Guizhou Center for Disease Control and Prevention, Guiyang 550001, China.

出版信息

Wei Sheng Yan Jiu. 2017 Jan;46(1):36-45.

PMID:29903149

Abstract

OBJECTIVE

To understand the prevalence of overweight and obesity among adults of 5 monitoring areas in Guizhou Province and to analyze the correlation between overweight, obesity and incidence of related chronic diseases.

METHODS

Multistage stratified cluster random sampling was employed, using data from "the 2010- 2012 National Nutrition and Health Survey". The physical measurement and the TC, TG, HDLC and blood glucose were conducted among 3682 resident population aged 18 years and above who from 5 monitoring areas( Yunyan and Baiyun District, Dejiang, Qianxi andSansui County in Guizhou Province). To analyze the distribution of overweight, obesity and central obesity in the population and its relationship with diabetes, dyslipidemia and hypertension.

RESULTS

The prevalence rates were 27%, 7. 5% and 16. 9% for overweight, obesity and the central obesity in 5 surveillance areas of Guizhou Provinc. The central obesity rate increase with age, which was the highest in the elderly( over 60years)( χ~~2= 32. 03, P < 0. 001), the female were higher than the male( χ~~2= 4. 2, P =0. 04). Under controlling for age, gender, regional factors, compared with the normal weight population, the onset risk of diabetes, hyperlipidemia and hypertension in the overweight populations were 1. 4 times, 1. 4 times and 2 times( 95% CI 1. 0- 2. 0, 1. 2-1. 7, 1. 6- 2. 5, P < 0. 05) respectively. The risk of obesity diabetes, hyperlipidemia and hypertension were 2. 6 times( 95% CI 1. 7- 4. 1, P < 0. 001), 1. 5 times( 95% CI 1. 1-1. 9, P < 0. 001) and 3. 7 times( 95% CI 2. 7- 5. 1, P < 0. 001), respectively. Central obesity may increase the risk of diabetes( OR = 2. 18, 95% CI 1. 58- 3. 01, P < 0. 001)and the risk of hypertension( OR = 2. 2, 95% CI 1. 74- 2. 57, P < 0. 001).

CONCLUSION

Adult overweight and obesity were risk factors of diabetes, dyslipidemia and hypertension risk factors. Central obesity were risk factors of diabetes and hypertension risk factors.

摘要

目的

了解贵州省5个监测地区成年人超重与肥胖的流行情况，并分析超重、肥胖与相关慢性病发病率之间的相关性。

方法

采用多阶段分层整群随机抽样方法，利用“2010 - 2012年全国营养与健康调查”的数据。对来自贵州省5个监测地区（云岩区、白云区、德江县、黔西县和三穗县）的3682名18岁及以上常住人口进行身体测量，并检测总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDLC）和血糖。分析人群中超重、肥胖及中心性肥胖的分布情况及其与糖尿病、血脂异常和高血压的关系。

结果

贵州省5个监测地区超重、肥胖和中心性肥胖的患病率分别为27%、7.5%和16.9%。中心性肥胖率随年龄增长而升高，在老年人（60岁以上）中最高（χ² = 32.03，P < 0.001），女性高于男性（χ² = 4.2，P = 0.04）。在控制年龄、性别、地区因素后，与正常体重人群相比，超重人群患糖尿病、高脂血症和高血压的发病风险分别为1.4倍、1.4倍和2倍（95%可信区间1.0 - 2.0、1.2 - 1.7、1.6 - 2.5，P < 0.05）。肥胖人群患糖尿病、高脂血症和高血压的风险分别为2.6倍（95%可信区间1.7 - 4.1，P < 0.001）、1.5倍（95%可信区间1.1 - 1.9，P < 0.001）和3.7倍（95%可信区间2.7 - 5.1，P < 0.001）。中心性肥胖可能增加患糖尿病的风险（比值比（OR） = 2.18，95%可信区间1.58 - 3.01，P < 0.001）和患高血压的风险（OR = 2.2，95%可信区间1.74 - 2.57，P < 0.001）。