重庆社区居民中心性肥胖患病率及其影响因素分析

摘要

目的 了解重庆社区居民中心性肥胖患病情况及相关因素,为干预政策的制定提供依据.方法 采用多阶段随机整群抽样的方法对重庆市沙坪坝区56 233名居民进行问卷调查,计算中心性肥胖患病率情况,应用Logistic回归模型进行危险因素分析.结果 中心性肥胖患病率为29.66％,其中男性为31.20％,女性为28.20％,差异有统计学意义(P＜0.05)；多因素Logistic回归分析显示,年龄(OR=1.099)、性别(OR=1.094)、婚姻(OR=1.033)、喜甜食(OR=1.255)、喜咸食(OR=1.054)、常吃油炸食物(OR=1.072)、BMI(OR =2.166)为中心性肥胖的危险因素,文化程度(OR=0.959)、常吃过热食物(OR =0.758)、经常参加体育锻炼(OR=0.408)为中心性肥胖的保护因素.结论 重庆市居民中心性肥胖患病率较高,应尽快出台控制肥胖的政策和措施,对居民进行防治知识的健康教育.%Objective To investigate the prevalence and related risk factors of abdominal obesity among community crowds in Chongqing,and provide scientific basis for early prevention and control measures of hypertension.Methods The population about 56 233 in Chongqing was sampled by stratified multi-staged cluster sampling.The prevalence was calculated and the relevant risk factors were analyzed by logistic regression.Results The prevalence of abdominal obesity in Chongqing were 29.66％,31.20％ in male while 28.20％ in female.There were statistically significant difference (P ＜ 0.05).Among the potential risk factors of abdominal obesity,data from logistic regression analyses suggested that age (OR =1.099),sex (OR =1.094),marriage (OR =1.033),liking sweet (OR =1.255),high salt consumption (OR =1.054),fried food (0R=1.072),BMI (0R=2.166) were risk factors,education (0R=0.959),overheating food (OR =0.758),physical exercise (OR =0.408) were protective factors.Contusion The prevalence of abdominal obesity in Chongqing was high.The government and professional institutes should raise the attention on health education and promotion as the major intervention measures as early as possible.