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Types of Obesity and Its Association with the Clustering of Cardiovascular Disease Risk Factors in Jilin Province of China

机译:吉林省肥胖类型及其与心血管疾病危险因素聚类的关系

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Cardiovascular disease (CVD) has become a serious public health problem in recent years in China. Aggregation of CVD risk factors in one individual increases the risk of CVD and the risk increases substantially with each additional risk factor. This study aims to explore the relationship between the number of clustered CVD risk factors and different types of obesity. A multistage stratified random cluster sampling design was used in this population-based cross-sectional study in 2012. Information was collected by face to face interviews. One-way analysis of variance (ANOVA), chi-square test, Kruskal-Wallis test and multiple logistic regression were used in this study. The prevalence of general obesity, central obesity and compound obesity were 0.3%, 36.1% and 14.7%, respectively. The prevalence of hypertension, hyperlipidemia and diabetes in the compound obesity group were higher than those in other groups (compound obesity > central obesity > general obesity > non-obesity), while smoking rate in the non-obesity group was higher than those in other groups (non-obesity > general obesity > central obesity > compound obesity). People with obesity were more likely to have one or more CVD risk factor compared with non-obesity subjects (general obesity (OR: 2.27, 95% CI: 1.13–4.56), central obesity (OR: 2.64, 95% CI: 2.41–2.89), compound obesity (OR: 5.09, 95% CI: 4.38–5.90). The results were similar when the number of clustered CVD risk factors was ≥ 2 and ≥ 3. As a conclusion, more than half of the residents in Jilin Province have a problem of obesity, especially central obesity. Government and health department should take measures to improve people’s awareness of central obesity in Jilin Province of China. The prevalence of hypertension, hyperlipidemia and diabetes are associated with obesity types. Compound obesity has a greater risk to cluster multiple CVD risk factors than central obesity and general obesity. Taking measures to control obesity will reduce the prevalence of CVD in Jilin Province.
机译:近年来,心血管疾病(CVD)已成为严重的公共卫生问题。单个人中CVD危险因素的聚集会增加CVD的危险,并且每增加一个危险因素,危险就会显着增加。这项研究的目的是探索成群的CVD危险因素数量与不同类型肥胖之间的关系。在2012年的这项基于人群的横断面研究中,使用了多阶段分层随机整群抽样设计。通过面对面访谈收集信息。本研究使用单向方差分析(ANOVA),卡方检验,Kruskal-Wallis检验和多元逻辑回归。普通肥胖,中枢肥胖和复合肥胖的患病率分别为0.3%,36.1%和14.7%。复合肥胖组的高血压,高血脂和糖尿病的患病率高于其他组(复合肥胖>中枢肥胖>普通肥胖>非肥胖),而非肥胖组的吸烟率高于其他人群人群(非肥胖>普通肥胖>中枢性肥胖>复合性肥胖)。与非肥胖受试者(一般肥胖(OR:2.27,95%CI:1.13–4.56),中枢肥胖(OR:2.64,95%CI:2.41– 2.89),复合型肥胖(OR:5.09,95%CI:4.38–5.90),当CVD的聚集危险因素数量≥2和≥3时,结果相似。结论是,吉林一半以上的居民吉林省存在肥胖问题,尤其是中枢性肥胖,吉林省政府和卫生部门应采取措施提高人们对中枢性肥胖的认识,高血压,高脂血症和糖尿病的患病与肥胖类型有关,复合型肥胖的发生率较高心血管疾病的风险比中型肥胖和普通肥胖更容易聚集,采取控制肥胖的措施将降低吉林省的CVD患病率。

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