National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Nutrients. 2024 Aug 9;16(16):2623. doi: 10.3390/nu16162623.
The purpose of this study was to describe the prevalence of central obesity and its influencing factors among Chinese adults aged 18 or older. The data were from China Nutrition and Health Surveillance (2015-2017), which used a stratified, multistage, random sampling method. A total of 145,298 adults aged 18 years or older from 31 provinces were included in this study. The Criteria of Weight for Adults promulgated by China in 2013 were used to determine central obesity. Out of all the adults investigated, 48,342 were identified with central obesity, with a prevalence rate of 33.3%. A logistic analysis suggested that the following factors were associated with central obesity: female sex [odds ratio (OR) = 1.329, 95%CI = 1.2771.384]; increasing age [OR (95%CI): 1.146 (1.0611.238), 1.254 (1.1671.348), 1.774 (1.6511.907), 2.041 (1.8942.198), 2.434 (2.2392.647)]; being married [OR = 1.184, 95%CI = 1.0771.302]; being divorced or widowed [OR = 1.132, 95%CI = 1.0061.273]; an urban setting [OR = 1.096, 95%CI = 1.0611.132]; BMI [OR (95%CI): 0.159 (0.0950.266), 12.645 (11.38814.042), 180.989 (153.025214.064)]; drinking [OR = 1.069, 95%CI = 1.0311.109]; and screen time > 5 h [OR = 1.088, 95%CI = 1.0361.141] were risk factors for central obesity; while education above primary school [OR (95%CI): 0.905 (0.8750.936), 0.857 (0.8020.915)] and sufficient physical activity [OR = 0.819, 95%CI = 0.782~0.858] were protective factors for central obesity. This study revealed that the prevalence of central obesity, which differed by gender and age, is still high. Large differences between different groups and geographic regions exist persistently. Effective, sustainable, and culturally targeted interventions are needed.
本研究旨在描述中国 18 岁及以上成年人中心性肥胖的流行状况及其影响因素。数据来自中国营养与健康监测（2015-2017 年），采用分层、多阶段、随机抽样方法。本研究共纳入 31 个省 145298 名 18 岁及以上成年人。采用中国 2013 年发布的《成年人超重与肥胖症预防控制指南》来判断中心性肥胖。调查的成年人中，有 48342 人患有中心性肥胖，患病率为 33.3%。logistic 分析表明，以下因素与中心性肥胖有关：女性（比值比[OR] = 1.329，95%置信区间[CI] = 1.2771.384）；年龄增长（OR（95%CI）：1.146（1.0611.238）、1.254（1.1671.348）、1.774（1.6511.907）、2.041（1.8942.198）、2.434（2.2392.647））；已婚（OR = 1.184，95%CI = 1.0771.302）；离婚或丧偶（OR = 1.132，95%CI = 1.0061.273）；城市居住（OR = 1.096，95%CI = 1.0611.132）；BMI（OR（95%CI）：0.159（0.0950.266）、12.645（11.38814.042）、180.989（153.025214.064））；饮酒（OR = 1.069，95%CI = 1.0311.109）；屏幕时间>5 小时（OR = 1.088，95%CI = 1.0361.141）是中心性肥胖的危险因素；而高于小学的教育程度（OR（95%CI）：0.905（0.8750.936）、0.857（0.8020.915））和充足的体力活动（OR = 0.819，95%CI = 0.782~0.858）是中心性肥胖的保护因素。本研究表明，中国 18 岁及以上成年人中心性肥胖的患病率仍然较高，且存在性别和年龄差异。不同人群和地理区域之间存在显著差异。需要采取有效、可持续和有针对性的干预措施。
