Kong De-Xian, Su Xiao-Feng, Zhao Jing-Wei, Chen Lian, Meng Ling-Bing, Zhang Zhen-Xi, Yang Sen, Zhang Lei, Liu Ya-Bin
Department of Endocrinology and Metabolism, The Fourth Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Department of Microbiology and Center of Infectious Diseases, Peking University Health Science Center, Beijing, China.
J Int Med Res. 2020 Aug;48(8):300060520945885. doi: 10.1177/0300060520945885.
The prevalence of overweight/obesity in China has increased dramatically in recent years; being overweight/obese can increase the risk of type 2 diabetes and cardiovascular disease. The purpose of this study was to determine the population in China at high risk of being overweight or obese, to explore the relationships between various relevant factors and overweight/obesity, and to identify preventive efforts for high-risk populations.
We administered a questionnaire survey among a group of 536 social workers in Shijiazhuang City in 2017. We used the Pearson chi-square test, Spearman's rho test, multivariate linear regression, univariate and multivariate logistic regression, and receiver operating characteristic curve analysis to investigate factors that influence overweight/obesity.
The prevalence of overweight/obesity was 13.7% among the study participants. Urban residence, eating speed, number of daily meals, overeating, and a high-fat diet were associated with overweight/obesity. In multivariate linear regression analysis, overweight/obesity was correlated with sex, urban residence, eating speed, number of daily meals, and a high-fat diet.
Among all influencing factors, dietary factors, place of residence, and sex were most closely related to being overweight/obese. Furthermore, living in an urban area and male sex were independent risk factors for being overweight/obese.
近年来，中国超重/肥胖的患病率急剧上升；超重/肥胖会增加患2型糖尿病和心血管疾病的风险。本研究的目的是确定中国超重或肥胖的高危人群，探讨各种相关因素与超重/肥胖之间的关系，并确定针对高危人群的预防措施。
2017年，我们对石家庄市的536名社会工作者进行了问卷调查。我们使用Pearson卡方检验、Spearman秩相关检验、多元线性回归、单变量和多变量逻辑回归以及受试者工作特征曲线分析来研究影响超重/肥胖的因素。
研究参与者中超重/肥胖的患病率为13.7%。城市居住、进食速度、每日进餐次数、暴饮暴食和高脂肪饮食与超重/肥胖有关。在多元线性回归分析中，超重/肥胖与性别、城市居住、进食速度、每日进餐次数和高脂肪饮食相关。
在所有影响因素中，饮食因素、居住地点和性别与超重/肥胖关系最为密切。此外，居住在城市地区和男性是超重/肥胖的独立危险因素。
