摘要
目的了解2018年河南省成年人体重自评准确情况,为制定健康体重干预策略提供依据。方法2018年中国成人慢性病与营养监测采用多阶段分层整群随机抽样法,在河南省调查18岁以上成人共计8515人。问卷调查获取人口学特征、体重自我评价等信息,体格测量获取个人身高、体重、腰围等信息,分析不同群体对自身体重的认知情况。结果河南省居民体重自评准确率为41.2%,标化率为46.3%。身体质量指数(body mass index,BMI)偏低组、BMI正常组、BMI超重组、BMI肥胖组体重自评准确率分别为52.3%、71.6%、32.3%和8.2%,标化率分别为33.5%、71.4%、41.2%和13.5%。体重自评准确率存在男性低于女性,农村居民低于城市居民,中心性肥胖者低于非中心性肥胖者的现象,差异有统计学意义(P<0.05)。随着文化程度升高,总的体重自评准确率逐渐升高(χ趋势2=70.984,P<0.05);随着年龄增加、BMI增大,总的体重自评准确率逐渐降低(χ趋势2=75.408、1933.366,P均<0.05);未婚、已婚/同居、丧偶/离婚/分居者总的体重自评准确性逐渐降低,差异有统计学意义(χ趋势2=4.576,P<0.05)。结论河南省成年人体重自评准确率不高,在性别、文化程度、年龄、地区、中心性肥胖、BMI水平等方面存在的差异,应加强体重与健康关系的知识教育,增加监测体重的环境支持。
Objective To understand the accuracy of body weight self-evaluation among adults in Henan,and provide evidence for the development of healthy weight intervention policy.Methods Data were from 2018 Chinese Chronic Diseases and Nutrition Surveillance Program,and a total of 8515 adults over 18 years old were investigated by multistage stratified cluster random sampling in Henan.The data were collected through in-person interviews and physical measurements.Demographic characteristics,body weight self-evaluation and other information were obtained by questionnaire survey.Personal height,weight,waist circumference and other information were obtained by physical measurement.Results The accuracy of body weight self-evaluation among adults in Henan was 41.2%averagely,and the standardized rate was 46.3%.The accuracy of body weight self-evaluation among low BMI group,normal BMI group,overweight BMI group and obese BMI group was 52.3%,71.6%,32.3%and 8.2%respectively,and the standardized rates were 33.5%,71.4%,41.2%and 13.5%respectively.The accuracy was higher in female than in male,higher in urban than in rural area,higher in non-central obesity than in central obesity(P<0.05),and was getting higher with education level increasing(χtrend2=70.984,P<0.05)and lower with age and BMI level growing(χtrend2=75.408、1933.366,P<0.05 all).A decreasing trend was also found in unmarried,married/cohabitant,widowed/divorced/separated residents(χtrend2=4.576,P<0.05).%Conclusion The total accuracy of body weight self-evaluation in Henan is not high.There are differences in gender,education,age,region,central obesity or not,and BMI level.Healthy weight health education and environmental support for weight monitoring should be strengthened.
作者
安伟锋
戚敏杰
田惠子
李卉
范雷
康锴
AN Weifeng;QI Minjie;TIAN Huizi;LI Hui;FAN Lei;KANG Kai(Institute of Chronic&Non-communicable Disease Control&Prevention,Henan Center for Disease Control and Prevention,Zhengzhou,Henan 450016,China)
出处
《河南预防医学杂志》
2021年第6期420-423,共4页
Henan Journal of Preventive Medicine
基金
河南省科技厅科技攻关项目(182102311132)
关键词
成年人
超重
肥胖
自我评价
身体质量指数
Adult
Overweight
Obesity
Self-evaluation
Body mass index(BMI)