吉林大学学报(医学版)

• 基础研究 • 上一篇    下一篇

吉林省成年人超重和肥胖的流行病学特征及影响因素调查分析 

姚宇航1,钟 磊2,刘宇赤2,付 尧3,朱颖杰1,潘 阳1,刘建伟3,姚 燕1,韩伟青1,李志君1,李 波1,于雅琴1   

  1. 1.吉林大学公共卫生学院流行病与卫生统计学教研室,吉林 长春 130021;2. 吉林省卫生厅科技教育处,吉林 长春 130051;3. 吉林省疾病预防控制中心慢性非传染性疾病预防控制所,吉林 长春 130062
  • 收稿日期:2013-06-17 出版日期:2013-09-28 发布日期:2013-12-13
  • 通讯作者: 李 波(Tel:0431-85619451,E-mail: li_bo@jlu.edu.cn); 于雅琴(Tel:0431-85619451,E-mail: yuyaqin5540@163.com) E-mail:li_bo@jlu.edu.cn;yuyaqin5540@163.com
  • 作者简介:姚宇航 (1987-),女,黑龙江省延寿县人,在读医学硕士,主要从事慢性病的流行病学研究。 
  • 基金资助:

     吉林省卫生厅科研基金资助课题(2011Z116)

Survey on epidemiological characteristics and influening factors of overweight,obesity in adults in Jilin province


YAO Yu-hang1,ZHONG Lei2,LIU Yu-chi2,FU Yao3,ZHU Ying-jie1,PAN Yang1, LIU Jian-wei3,YAO Yan1,HAN Wei-qing1,LI Zhi-jun1,LI Bo1,YU Ya-qin1   

  1. 1. Department of Epidemiology and Health Statistics,School of Public Health,Jilin University,Changchun 130021,China;2. Science,Technology and Education Division,Jilin Department of Health,Changchun 130051,China;3. Office of Non-communicable Chronic Diseases Control and Prevention,
    Jilin Provincial Center for Disease Control and Prevention,Changchun 130062,China
  • Received:2013-06-17 Online:2013-09-28 Published:2013-12-13

摘要:

目的:调查2012年吉林省成年人超重和肥胖的患病情况,分析其分布规律及相关影响因素。方法:采用多阶段分层随机整群抽样的方法,采取调查问卷和体格检查相结合的方式,共收集吉林省32个调查县(市、区)18~79岁常住居民20 839人的有效数据。以体质指数(BMI)作为超重、肥胖的判定指标。样本经过复杂加权后,统计描述吉林省成年人超重(24≤BMI<28)、肥胖(BMI≥28)的患病率,分析不同人群中超重、肥胖的分布,探讨体质量超标(BMI≥24)的相关影响因素。结果:2012年吉林省成年人超重率为32.3%(男性34.3%,女性30.2%;城市32.9%,农村31.6%);肥胖率为14.6%(男性16.3%,女性12.8%;城市14.6%,农村14.6%);吉林省成年男性超重率及肥胖率均高于女性(P<0.001),但城乡间超重率和肥胖率比较差异无统计学意义(P>0.05)。多因素分析,男性、45~55岁、已婚或离异、其他职业、既往吸烟、饮酒和肉食为主饮食者更容易发生体质量超标;而吸烟、素食为主饮食、睡眠时间超过7 h者不容易发生体质量超标(P<0.05)。结论:与2010年全国、吉林省调查结果比较,2012年吉林省成年人超重、肥胖患病率增高,体质量超标的影响因素包括性别、年龄、婚姻状况、职业性质、吸烟、饮酒、饮食习惯和睡眠时间,提示应根据相关影响因素进一步加大宣传教育力度,切实有效地预防和控制超重、肥胖的发生。

关键词:  , 成年人, 超重, 肥胖, 影响因素

Abstract:

Objective To investigate  the prevalence and distribution of overweight and obesity in the adults in Jilin province in 2012,and to analyze the distribut
ion and relevant influencing factors.Methods A total of 20 839 adults,which were sampled through multistage stratified random cluster sampling method,were enrolled in the questionnaire survey and physical examination.After being weighted according to complex sampling scheme,the sample was used to describe the prevalence of overweight(24≤BMI<28) and obesity(BMI≥28),and the distribution between groups as well as the influencing factors of overweight and obesity(BMI≥24) was analyzed through the corresponding statistical methods based on complex sampling design.Results The prevalence of overweight was 32.3% (male: 34.3%,female: 30.2%;city: 32.9%,country: 31.5%),and the prevalence of obesity was 14.6% (male: 16.3%,female: 12.8%;city: 14.6%,country: 14.6%). The prevalence of overweight and obesity among male were higher than that among female (P<0.001),but there was no significant difference between areas (P>0.05).Multivariate analysis showed that the people who were male,45-55 years old,married or divorced,other ccupation,smoked,drinking,and carnivorous diet were more likely to have overweight;while the people who were smoking,plant-based diet,sleep more than 7 were not prone to have overweight (P<0.05).Conclusion Compared with the data in 2010,the prevalence of overweight and obesity in the  adults in Jilin province in 2012 is at a high level.The influencing factors  of overweight and obesity include gender,age,marriage,occupation,smoking,drinking,diets and sleep.There need more publicity and education to prevent and control the occur of overweight and obesity.

Key words: adults, overweight, obesity, influencing factors

中图分类号: 

  • R195.4