Zhang Xiaofan, Wang Huijun, Su Chang, Ouyang Yifei, Guan Fangxu, Wei Yanli, Zhang Jiguo, Du Wenwen, Jia Xiaofang, Huang Feifei, Li Li, Bai Jing, Wang Zhihong, Zhang Bing, Liu Aidong
NHC Key Laboratory of Public Nutrition and Health, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Wei Sheng Yan Jiu. 2024 Nov;53(6):874-879. doi: 10.19813/j.cnki.weishengyanjiu.2024.06.004.
To describe the prevalence of overweight, obesity, and central obesity among adult residents aged 18 years and above in 10 provinces(autonomous regions) of China in 2023, and to analyze the trends in 2000-2023.
Adults aged 18 and over with complete height, weight and waist circumference measurements who participated in the 2000-2018 China Health and Nutrition Survey and the 2022-2023 China Development and Nutrition Health Impact Cohort Survey from the same 10 provinces(autonomous regions) were selected as the study subjects. Overweight, obesity, pre-central obesity, and central obesity were defined according to the Chinese Adult Weight criteria(WS/T 428-2013).
The average BMI(kg/m~2) of adult men and women in 10 provinces(autonomous regions) in 2023 was 24.8 and 24.6, respectively. Urban men(25.2) was higher than rural men(24.7), while urban women(24.3) was lower than rural women(24.7). The waist circumference of adult men and women was 89.0 cm and 83.9 cm, respectively. The waist circumference of urban men(90.7 cm) was higher than rural men(88.3 cm), and urban women(83.1 cm) was lower than rural women(84.3 cm). In 2023, the overweight rate, obesity rate, pre-central obesity prevalence rate and central obesity rate of adults in 10 provinces were 38.5%, 17.1%, 19.5% and 46.9%. Compared with 2000, they increased by 12.8%, 10.2%, 4.7% and 23.7%. Among them, the obesity rate had increased the fastest, increasing by 1.5 times, and the obesity rate of adults aged 18-44 had increased by nearly three times. The urban-rural gaps between overweight, obesity and central obesity were narrowing.
The overweight, obesity, and central obesity rates of adults in 10 provinces(autonomous regions) of China are still on the rise, and the BMI and waist circumference of urban men and rural women are increasing more rapidly.
描述2023年中国10个省（自治区）18岁及以上成年居民超重、肥胖和中心性肥胖的患病率，并分析2000 - 2023年的变化趋势。
选取来自相同10个省（自治区），参与2000 - 2018年中国健康与营养调查以及2022 - 2023年中国发展与营养健康影响队列调查，且身高、体重和腰围测量数据完整的18岁及以上成年人作为研究对象。超重、肥胖、腹型肥胖前期和中心性肥胖根据《中国成人超重和肥胖症预防控制指南（2013年版）》（WS/T 428 - 2013）进行定义。
2023年10个省（自治区）成年男性和女性的平均BMI（kg/m²）分别为24.8和24.6。城市男性（25.2）高于农村男性（24.7），而城市女性（24.3）低于农村女性（24.7）。成年男性和女性的腰围分别为89.0厘米和83.9厘米。城市男性腰围（90.7厘米）高于农村男性（88.3厘米），城市女性（83.1厘米）低于农村女性（84.3厘米）。2023年，10个省成年人的超重率、肥胖率、腹型肥胖前期患病率和中心性肥胖率分别为38.5%、17.1%、19.5%和46.9%。与2000年相比，分别上升了12.8%、10.2%、4.7%和23.7%。其中，肥胖率上升最快，增长了1.5倍，18 - 44岁成年人的肥胖率增长了近3倍。超重、肥胖和中心性肥胖的城乡差距正在缩小。
中国10个省（自治区）成年人的超重、肥胖和中心性肥胖率仍在上升，城市男性和农村女性的BMI和腰围增长更快。
