目的 了解汉中农村居民超重和肥胖的流行现况,为进一步健康干预提供基础资料.方法 通过分层随机抽样方法抽取汉中市汉台区9个农业乡镇的3030名常住居民,对其进行问卷调查和体格测量.结果 纳入分析的调查对象为3017人,其中男性1048人,女性1969人.平均体重指数为(22.9±4.2) kg/m2,男性和女性分别为(23.0±5.5)和(22.9±3.2) kg/m2.该调查人群的超重和肥胖率分别为27.9％和5.9％(标化率为23.4％和5.4％),其中男性超重和肥胖率分别为28.3％和6.1％(标化率为24.7％和7.5％),女性超重和肥胖率分别为27.6％和5.8％(标化率为22.8％和4.5％).在婚、家庭财富指数较高、文化程度高的中青年男性超重肥胖率高,女性的超重肥胖好发于家庭财富指数较高、文化程度低的中老年女性人群.结论 该地区超重和肥胖率均高于全国农村平均水平,需采取有效措施对该地居民进行健康干预,以预防各种相关疾病的发生.%Objective To investigate the prevalences of overweight and obesity in the rural communities in Hanzhong, Shaanxi Province. Methods A total of 3030 residents in the rural areas of Hanzhong city were selected by stratified random sampling method to take questionnaire-based survey and physical examinations. Results The data of 3017 valid subjects (1048 men and 1969 women) entered the final analysis. The average body mass index was (22. 9 ±4. 2) kg/m2 [ (23. 0 ±5. 5) kg/m2 in men and (22. 9 ±3. 2) kg/m2 in women]. The prevalence rates of overweight and obesity were 27. 9% and 5. 9% respectively, and the standardized rates were 23. 4% and 5. 4% , respectively. More specifically, prevalence rates of overweight and obesity were 28.3% and 6. 1% in men (standardized rates were 24.7% and 7.5% , respectively) and 27.6% and 5. 8% ( standardized rate were 22. 8% and 4. 5% respectively) in women. The overweight/obesity was more often in young and mid-aged married men with higher education and socioeconomic status and in middle-aged and older women with less education from wealthier households. Conclusion The prevalences of overweight and obesity are relatively high in the rural areas of Hanzhong, and therefore effective interventions are warranted.
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