摘要
目的了解2013年上海市浦东新区20～74岁成年人的超重、肥胖以及中心性肥胖现况及流行特征。方法采用多阶段随机抽样方法，在浦东新区13家监测点社区抽取年龄在15岁及以上的居民进行横断面调查，调查内容包括问卷调查、体格检查和生化指标检测。运用SPSS20．0对收集到的问卷及生化数据进行分析。结果浦东新区20～74岁的社区居民平均体重指数（25．04±3．79）kg／m2，平均腰围（82．44±9．51）cm。超重和肥胖患病粗率分别为41．67％和17．70％，中心性肥胖患病粗率为31．32％，标化率分别为34．39％、16．96％和25．66％（2010全国人口年龄构成）。居民超重、肥胖及中心性肥胖患病率均存在着性别差异，男性高于女性（均P〈O．05）。女性的中心性肥胖患病率随年龄增长而升高。高血压、高血糖、血脂异常以及代谢异常人群的超重、肥胖及中心性肥胖患病率均高于正常人群（均P〈O．05）。结论上海市浦东新区20～74岁居民的超重、肥胖及中心性肥胖率较高．这已成为浦东新区慢病防控的重点．需要进一步探索相关危险因素，加强社区宣教．提高居民健康意识．控制患病率以及并发症发病率的上升。
Objective To explore the prevalence and epidemic characteristics of overweight, obesity, and central obesity in Shanghai Pudong New Area. Methods Multi-stage stratified random sampling method was conducted in Pudong New Area in 2013. Residents over 15 years old were randomly selected from 13 communities and participated in the cross-sectional study. A structured questionnaire was used to collect the information and physical examination, biochemical assays were also conducted. SPSS 20.0 was used to analyze the results. Results The average body mass index of participants was （ 25.04 ± 3.79 ） kg/m2 and the average waist circumference was （ 82.44 ± 9.51 ） cm. The prevalences of overweight, obesity, and central obesity were 41.67% , 17.70% , and 31.32% respectively. Standardized prevalences of overweight, obesity, and central obesity were 34.39%, 16.96%, and 25. 66% respectively, according to 2010 national age composition of population. Statistically significant sex differences were found among the prevalence of overweight, obesity, and central obesity groups （ all P〈0.05 ）, The prevalence of central obesity in female was raised by increasing age. Residents with hypertension, hyperglycemia, dyslipidemia, and metabolic disorders had higher prevalences in overweight, obesity, and central obesity （ all P 〈 0.05）. Conclusion The prevalences of overweight, obesity, and central obesity among the residents in Shanghai Pudong New Area were relatively high. Relevant risk factors should be explored to promote health education that may enhance people＇s awareness of weight management.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2016年第3期206-212,共7页
Chinese Journal of Endocrinology and Metabolism
基金
浦东新区卫生系统带头人培养计划资助项目（PWRd2010-3）
关键词
超重
肥胖
中心性肥胖
横断面调查
Overweight
Obesity
Central obesity
Cross-sectional study
