摘要
目的 分析中国18岁及以上成年人腰围水平及中心型肥胖的流行特征.方法 数据来自2010—2012年中国居民营养与健康状况监测.采用多阶段分层与人口成比例的整群随机抽样方法,调查对象为中国内地31个省份的150个县/区的18岁及以上居民,共120265名.对所有调查对象测定腰围,依据中华人民共和国卫生行业标准《成人体重判定》（WS/T 428-2013）判断中心型肥胖.采用2009年国家统计局公布的人口数据,进行复杂抽样加权处理,计算腰围水平,中心型肥胖率及95%CI值.结果 中国18岁及以上男性腰围均值为82.8 cm,城市（84.1 cm）高于农村（81.4 cm）（P〈0.001）;女性腰围均值为78.5 cm,城市和农村分别为78.7和78.4 cm（P=0.965）.随着文化程度的升高,男性腰围均值逐渐升高,由81.2 cm增至84.3 cm（P〈0.001）,女性腰围均值逐渐下降,由80.3 cm降至74.3.cm（P〈0.001）;随着家庭收入水平的升高,男性腰围均值逐渐升高,由81.9 cm增至84.7 cm（P〈0.001）,女性腰围均值逐渐下降,由78.8 cm降至77.6 cm（P〈0.001）.18岁及以上居民中心型肥胖率为25.7%（95%CI：23.7%~27.7%）;城市男性中心型肥胖率[29.8%（95%CI：26.5%~33.1%）]高于农村男性[22.3%（95%CI：19.3%~25.2%）]（P=0.001）.城市和农村女性中心型肥胖率分别为25.6%（95%CI：22.8%~28.4%）和25.1%（95%CI：22.2%~27.9%）（P=0.772）.随着文化程度的升高,男性中心型肥胖率呈上升趋势,由20.1%（95%CI：18.0%~22.1%）升至32.6%（95%CI：28.6%~36.6%）（P〈0.001）;女性中心型肥胖率逐渐下降,由31.3%（95%CI：28.7%~33.9%）降至13.5%（95%CI：10.9%~16.1%）（P〈0.001）;随着家庭收入水平的升高,男性中心型肥胖率逐渐升高,由23.3%（95%CI：20.7%~25.9%）增至31.8%（95%CI：27.6%~36.1%）（P〈0.001）;女性中心型肥胖率逐渐下降,由26.5%（95%CI：24.2%~28.7%）降至20.0%（95%CI：17.2%~22.8%）（P〈0.001）.结论 中国18岁及以上居民中心型肥胖率较高,不同年龄、地区、文化程度、家庭收入水平的男性及女性腰围及中心型肥胖流行特征均存在明显差异.
Objective To investigate the epidemiological characteristics of waist circumference （WC） and abdominal obesity （AO） among Chinese adults aged 18 and above. Methods Data were collected from China National Nutrition and Health Surveillance in 2010-2012. Multi-stage stratifies proportion to the population cluster random sampling method was conducted to determine 120265 subjects aged 18 and above at 150 counties in 31 provinces in China mainland. WC was determined for all subjects, and AO was judged according to the ＆quot;Healthy Adult Weight Determination＆quot; （WS/T 428-2013）. Using the demographic data published by the National Bureau of Statistics of China in 2009, we performed complex sampling weighted treatment to calculate the WC, AO rate and 95%CI. Results The mean WC of Chinese men aged 18 and above was 82.8 cm, which of urban men （84.1 cm） was higher than that of rural men （81.4 cm） （P〈0.001）. The average WC of women was 78.5 cm. There was no statistical difference between urban （78.7 cm） and rural women （78.4 cm） （P=0.965）. With the increase of education level, the mean WC of male increased gradually from 81.2 cm to 84.3 cm （P〈0.001）, and the mean WC of female decreased from 80.3 cm to 74.3 cm （P〈0.001）. With the family income rose, the mean WC of men increased gradually from 81.9 cm to 84.7 cm （P〈0.001）, and the mean of WC of women decreased from 78.8 cm to 77.6 cm （P〈0.001）. The AO rate was 25.7% （95%CI： 23.7%-27.7%） in adults aged 18 years and older. The AO rate in urban males （29.8%（95%CI： 26.5%-33.1%）） was significantly higher than that of rural males （22.3% （95%CI： 19.3%-25.2%）） （P=0.001）. There was no significant difference in the female AO rate between urban （25.6% （95%CI： 22.8%-28.4%）） and rural areas （25.1% （95%CI： 22.2%-27.9%）） （P=0.772）. With the increase of the educational level, the AO rate of men increased from 20.1% （95%CI： 18.0%-22.1%） to 32.6% （95%CI： 28.6%-36.6%） （P〈0.001）, the rate of women decreased gradually from 31.3% （95%CI： 28.7%-33.9%） to 13.5% （95%CI：10.9%-16.1%） （P〈0.001）. With the increase of family income, the AO rate of male increased gradually from 23.3% （95%CI： 20.7%-25.9%） to 31.8% （95%CI： 27.6%-36.1%） （P〈0.001）, the rate of female decreased from 26.5% （95% CI： 24.2%- 28.7% ） to 20.0% （95% CI： 17.2%- 22.8% ） （P〈0.001）. Conclusion The prevalence of AO among Chinese residents aged 18 years and above was high, and there were significant differences in WC and AO rate between men and women under different age, region, educational level and family income level.
作者
翟屹
房红芸
于文涛
王京钟
于冬梅
赵丽云
梁晓峰
赵文华
Zhai Yi Fang Hongyun Yu Wentao Wang Jingzhong Yu Dongmei Zhao Liyun Liang Xiaofeng Zhao Wenhua(Division of Non-communicable Diseases Control and Community Healt Department of Academic Editorial and Publishing, Chinese Center for Disease Control and Prevention, Beifing 102206, China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2017年第6期506-512,共7页
Chinese Journal of Preventive Medicine
基金
基金项目：国家卫生计生委（原卫生部）医改重大项目[中国居民营养与健康状况监测（2010-2012年）]
关键词
横断面研究
成年人
中国
肥胖症
腰围
Cross-sectional studies
Adult
China
Obesity
Waist circumference
