2012-2015 年中国 44.1 万成年人的横断面研究：超重和肥胖的流行率。

Prevalence of overweight and obesity in China: Results from a cross-sectional study of 441 thousand adults, 2012-2015.

机构信息

Division of Prevention and Community Health, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, No. 15 (Lin), Fengcunxili,Mentougou District, Beijing 102308, China.

Department of Cardiology, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, No. 167, Beilishilu, Xicheng District, Beijing, China.

出版信息

Obes Res Clin Pract. 2020 Mar-Apr;14(2):119-126. doi: 10.1016/j.orcp.2020.02.005. Epub 2020 Mar 2.

DOI:10.1016/j.orcp.2020.02.005

PMID:32139330

Abstract

OBJECTIVES

Obesity has become a global health public problem. The study aims to examine the latest prevalence of overweight and obesity in China.

METHODS

Data came from the China Hypertension Survey (CHS), a nationally representative cross-sectional study among residents aged ≥18 years from October 2012 to December 2015. Overweight and obesity were defined as 25≤BMI<30kg/m and BMI≥30kg/m according to the WHO classifications, respectively.

RESULTS

The data of 441 306 participants were analyzed. The prevalence of overweight and obesity was 28.1% and 5.2% respectively. The prevalence of overweight and obesity varied considerably across provinces. The prevalence of overweight was the highest in Beijing, which was 2.8 fold of the lowest in Guangxi (40.9% vs. 14.6%). The prevalence of obesity was the highest in Tianjin, which was 9.4 fold of the lowest in Hainan (12.2% vs. 1.3%). There was a striking north-south gradient with the prevalence higher in Northeast and Northwest China and lower in Southeast China. Multivariate logistic regression analysis indicated that sex, age, education, smoking, marital status and family history of cardiovascular disease were significantly associated with overweight and obesity.

CONCLUSIONS

Overweight and obesity are highly prevalent among Chinese adults, and their prevalence varies greatly among different population subgroups and provinces. National and provincial obesity control and prevention strategies should be public health priorities in China.

摘要

目的

肥胖已成为全球性公共健康问题。本研究旨在探讨中国超重和肥胖的最新流行情况。

方法

数据来自中国高血压调查（CHS），这是一项 2012 年 10 月至 2015 年 12 月期间针对≥18 岁居民的全国代表性横断面研究。超重和肥胖分别根据世界卫生组织的分类定义为 25≤BMI<30kg/m 和 BMI≥30kg/m。

结果

分析了 441306 名参与者的数据。超重和肥胖的患病率分别为 28.1%和 5.2%。各省之间超重和肥胖的患病率差异很大。北京的超重患病率最高，是广西最低的 2.8 倍（40.9% vs. 14.6%）。天津的肥胖患病率最高，是海南最低的 9.4 倍（12.2% vs. 1.3%）。存在明显的南北梯度，东北地区和西北地区的患病率较高，而东南地区的患病率较低。多变量 logistic 回归分析表明，性别、年龄、教育程度、吸烟、婚姻状况和心血管疾病家族史与超重和肥胖显著相关。