摘要
目的 了解广东省佛山市南海区社区居民中心性肥胖的流行现状及危险因素,为该区域干预政策的制定提供科学依据. 方法 采用多阶段分层随机抽样方法抽取南海区2个街道6个镇共17 124户中18岁以上常住居民进行调查.采用入户面对面访谈的方法,并进行相关人体测量.采用SPSS13.0统计软件进行多因素Logistic回归分析. 结果广东省佛山市南海区18岁以上居民中心性肥胖的粗患病率为44.7％,其中男性41.1％,女性48.8％,差异有统计学意义（P＜0.001）.多因素Logistic回归分析显示,年龄是中心性肥胖患病的危险因素,中心性肥胖的风险随年龄增大而增高.BMI是中心性肥胖患病的重要危险因素,超重人群中有约80％的人患中心性肥胖,肥胖人群则高达85％.其他中心性肥胖的相关因素OR值及95％ CI包括性别1.807（1.668～1.957）、婚姻状况0.790 （0.699～0.893）、每天静坐时间1.111（1.026～1.202）、每天奶制品摄入1.453（1.035～2.040）. 结论 佛山市南海区社区居民中心性肥胖患病率高达44.7％.年龄增加、BMI增大是中心性肥胖的重要危险因素,应在社区加强健康教育,倡导健康生活方式,从而改善中心性肥胖的流行现状.
Objective The aim of this study was to identify the prevalence of abdominal obesity and its risk factors among community population in Nanhai District,Foshan City.Methods Multi-stage random sampling was conducted to select subjects aged 18 years or older from 17,124 families from two streets and six towns in Nanhai District Foshan City in 2010.Data were collected by face-to-face interview with questionnaire.Physical examinations were conducted and blood pressures were measured.Data were analyzed by SPSS 13.0 software and multivariate Logistic regression was used for analysis of risk factors.Results The prevalence of abdominal obesity among residents aged 18 years or older in Nanhai District,Foshan City was 44.7%.The prevalence rates for males and females were 41.1% and 48.8% respectively,showing significant difference （P〈0.001）.Multivariate Logistic regression analysis indicated that the risk of abdominal obesity was increased with growing age.BMI increases were also associated with higher abdominal obesity risk.The people with abdominal obesity accounted for about 80% among overweight individuals and 85% among people with obesity.Other risk factors included gender（OR：1.807,95%CI：1.668 ～ 1.957）,marriage status（OR：0.790,95 % CI：0.669～ 0.893）,daily sitting time （OR：1.111,95 % CI：1.026～ 1.202） and daily milk intake（OR：1.453,95% CI：1.035～2.040）.Conclusions The prevalence of abdominal obesity in Nanhai District,Foshan City reaches a high level of 44.7%.Increase of age and BMI are important risking factors.Community health education should be strengthened and healthy life style should be initiated to reduce the prevalence of abdominal obesity.
出处
《实用预防医学》
CAS
2014年第4期391-394,共4页
Practical Preventive Medicine
基金
广州市教育局高校科研项目(2012C140)
