汪凯悦,徐淑静,时立新,张巧,彭年春
WANG Kaiyue,XU Shujing,SHI Lixin,ZHANG Qiao,PENG Nianchun

• 1:贵州医科大学附院内分泌代谢病科

摘要(Abstract)：

目的:调查贵阳市某城区中老年人群超重及肥胖流行状况。方法:采用随机整群抽样的方法选择在贵阳市云岩区居住5年以上40~80岁的普通汉族居民共10 017人为研究对象,进行问卷调查、体格检查,计算体质量指数(BMI),比较不同年龄段男性女性超重、肥胖、中心性肥胖比例,观察不同运动量、睡眠状况及文化程度对象的肥胖率。结果:不同年龄段男性超重率、肥胖率及中心性肥胖率比较,差异无统计学意义(P>0.05);随着年龄的增长,女性超重率、肥胖率及中心性肥胖率逐渐增高,差异有统计学意义(P<0.01);在40~69岁年龄段,男性的超重率高于同年龄段女性(P<0.05),40~49岁年龄段男性肥胖率高于同年龄段女性(P<0.01),50岁以上年龄段女性中心性肥胖率高于同年龄段男性(P<0.01);有规律中等强度运动人群、受教育程度较高的人群肥胖率较低(P<0.01)。结论:贵阳市中老年人群超重率、肥胖率及中心性肥胖率与西南、西部部分地区研究结果相似,中年男性、老年女性、缺乏运动及受教育程度低的人群是肥胖防治的重点人群。
Objective: To investigate the epidemiological characteristics of overweight,obesity and central obesity of middle-aged and elderly adults in Guiyang,China. Methods: The Yunyang District of Guiyang City,Guizhoyu China was selected as the research site. A total of 10 017 Han residents of over 40 years old who lived in Guiyang for more than 5 years were selected. A randomized cluster sampling method was used to conduct questionnaires and physical examinations. Results: The rate of overweight of the male population was higher than that of the female( P < 0. 05). There was no significant difference in the obesity rate between the male and the female,but the prevalence of female central obesity was higher than that of the male( P < 0. 01). In the male population,the obesity rate in the group of aged 40 ~ 49 was higher than that in the same aged group of the female( P < 0. 05). The prevalence of overweight,obesity,and central obesity in the female population increased with the growth of age( P < 0. 01),and the prevalence of central obesity in the female groups of aged over 50 were significant higher than that in the male groups of the same age( P < 0. 01). People with regular moderate-intensity exercise and higher education had lower rates of obesity. Conclusion: The prevalence rate of overweight,obesity,and central obesity in the middle-aged and elderly population in Guiyang City is similar to some ares of southwest and western vegions. Middle-aged men,older women and people with lack of exercise,and of lower education levels are the focus of obesity prevention.

关键词(KeyWords)： 中年人;老年人;超重;肥胖;中心性肥胖;患病率;流行病学
middle-aged adults;elderly adults;overweight;obesity;central obesity;prevalence rate;epidemiology

Abstract:

Keywords:

基金项目(Foundation): 贵州省省长资金临床应用课题专项研究基金(黔省专合字2012-100号)

作者(Author): 汪凯悦,徐淑静,时立新,张巧,彭年春
WANG Kaiyue,XU Shujing,SHI Lixin,ZHANG Qiao,PENG Nianchun

DOI: 10.19367/j.cnki.1000-2707.2018.07.010

参考文献(References)：

• [1]FINUCANE M M,STEVENS G A,COWAN M J,et al.National,regional,and global trends in body-mass index since 1980:systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants[J].Lancet,2011,377(9765):557-567.
• [2]NG M,FLEMING T,ROBINSON M,et al.Global,regional,and national prevalence of overweight and obesity in children and adults during 1980-2013:A systematic analysis for the Global Burden of Disease Study 2013[J].Lancet,2014,384(9945):766.
• [3]NIMPTSCH K,PISCHON T.Body fatness,related biomarkers and cancer risk:An epidemiological perspective[J].Horm Mol Biol Clin Investig,2015,22(2):39-51.
• [4]BOEING H.Obesity and cancer-the update 2013[J].Best Pract Res Clin Endocrinol Metab,2013,27(2):219-227.
• [5]中国肥胖问题工作组数据汇总分析协作组.我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究[J].中华流行病学杂志,2002,23(1):5-10.
• [6]中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(10):26-89.
• [7]曾静.四川省泸州市40岁以上人群超重、肥胖流行情况及其危险因素分析[D].泸州:西南医科大学,2013.
• [8]姜勇,张梅.中国老年人中心型肥胖流行特征及其与心血管代谢性危险性因素聚集的关系[J].中华预防医学杂志,2013,47(9):816-820.
• [9]李晓燕,姜勇,胡楠,等.2010年我国成年人超重及肥胖流行特征[J].中华预防医学杂志,2012,46(8):683-686.
• [10]王增武,郝光,王馨,等.我国中年人超重/肥胖现况及心血管病危险因素聚集分析[J].中华流行病学杂志,2014,35(4):354-358.
• [11]徐汉朋,王心桐.生活方式与肥胖的关联性研究[J].青岛大学医学院学报,2009,45(6):508-510.
• [12]黄楚霖,林刁珠,黎锋,等.广州地区40岁以上人群肥胖情况分析[J].中华内分泌代谢杂志,2013,29(3):242-244.
• [13]贾富池,李立,陈玉娟,等.河北省老年人群超重、肥胖分布特征调查与影响因素分析[J].中国老年学杂志,2010,30(13):1869-1872.
• [14]刘小荣,黄晓波.西南地区中老年人群超重及肥胖流行状况与影响因素分析[J].重庆医学,2016,45(8):1056-1058.
• [15]芮欣忆,阮晓楠,周先锋,等.上海市浦东新区20~74岁居民超重、肥胖、中心性肥胖的现况调查及流行特征[J].中华内分泌代谢杂志,2016,32(3):206-212.
• [16]李建新,李莹,陈纪春,等.生活方式对中国35~74岁成年人中心型肥胖发病率的影响[J].中国预防医学杂志,2014,48(7):581-586.
• [17]张淼,彭年春,时立新,等.贵阳市成人超重和肥胖的发生率及其影响因素[J].中国糖尿病杂志,2012,20(9):654-655.

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