| 袁芳,王齐,郑丽梅,等.安徽省35岁以上居民肥胖流行现状及危险因素分析[J].中国临床保健杂志,2025,28(6):797-803. |
| 安徽省35岁以上居民肥胖流行现状及危险因素分析 |
| Obesity prevalence and risks among adults aged 35 and above in Anhui province |
| 投稿时间：2025-08-11 |
| DOI：10.3969/J.issn.1672-6790.2025.06.013 |
| 中文关键词: 肥胖症 肥胖管理 体重 流行病学研究 危险因素 |
| 英文关键词: Obesity Obesity management Body weight Epidemiologic studies Risk factors 〖FL |
| 基金项目:中央补助重大项目资金资助项目(皖财社〔2023〕26号,皖财社〔2023〕827号,皖疾控函〔2024〕80 号) |
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| 中文摘要: |
| 目的 了解安徽省35岁以上居民肥胖的流行特征、危险因素及其心血管疾病的状况,为安徽省制定体重管理和肥胖的预防控制提供决策依据。方法 基于2017年3月至2023年2月安徽心血管病高危人群早期筛查与综合干预项目的数据,采用R软件和多因素logistic回归进行肥胖危险因素分析(体重指数≥28 kg/m2诊断为肥胖)。结果 35~75岁145 199名受筛者中,肥胖检出率为14.5%,女性受试者肥胖率高于男性(15.4%比13.3%, χ2=120.8,P＜0.001)；肥胖组中合并高血压(47.2%比27.1%)、糖尿病(12.8%比8.0%)、血脂异常疾病(6.9%比3.5%)以及心血管疾病高危风险(30.9%比20.7%)的受筛者比例均高于非肥胖组(均P＜0.001)。多因素logistic回归分析结果显示,40~<50岁(OR=1.13,95%CI:1.03~1.23,P=0.008)、50~<60岁(OR=1.24,95%CI:1.14~1.35,P<0.001)、女性(OR=1.10,95%CI:1.06~1.14,P<0.001)、农民(OR=1.05,95%CI:1.01~1.09,P=0.006)、拥有医疗保险(OR=1.39,95%CI:1.13~1.74,P=0.003)和饮酒(OR=1.12,95%CI:1.07~1.17,P<0.001)人群的肥胖风险显著增加。家庭年收入≥5万元(OR=0.92,95%CI:0.89~0.96,P<0.001)、高中以上学历(OR=0.80,95%CI:0.75~0.84,P<0.001)、城市居民(OR=0.88,95%CI:0.85~0.91,P<0.001)和吸烟(OR=0.86,95%CI:0.82~0.90,P<0.001)人群的肥胖风险降低；婚姻状况与肥胖风险无相关性(OR=0.97,95%CI:0.92~1.02,P=0.277)。结论 安徽省35岁以上居民肥胖筛出率为14.5%,心血管疾病高风险人群占比高。应根据年龄、性别、职业、教育水平、居住地、家庭收入和饮酒习惯等情况进行针对性的健康干预。 |
| 英文摘要: |
| Objective To investigate the prevalence characteristics and influencing factors of obesity among adult residents in Anhui province,as well as the status of related cardiovascular diseases,providing a reference basis for weight management and the prevention and control of obesity.Methods Based on The China HEART (China Health Evaluation And risk Reduction through nationwide Teamwork) project from March 2017 to February 2023 in Anhui province,We assessed the prevalence of obesity (body mass index ≥28 kg/m2) and quantified the socio-demographic associations with obesity using R software and logistic regression analysis.Results The obesity dectection rate among 145 199 residents aged 35-75 years was 14.5%.The obesity rate of women was higher than that of man(15.4% vs 13.3%, χ2=120.8,P＜0.001).The proportion of participants with hypertension (47.2% vs 27.1%),diabetes (12.8% vs 8.0%),dyslipidemia (6.9% vs 3.5%) and high risk of cardiovascular disease (30.9% vs 20.7%) in the obese group were all higher than those in the non-obese group (P<0.001).Multivariate regression analysis indicated that the risk of obesity is significantly increased in being aged 40-<50 (OR=1.13,95%CI:1.03-1.23,P=0.008),50-<60 (OR=1.24,95%CI:1.14-1.35,P<0.001),women (OR=1.10,95%CI:1.06-1.14,P<0.001),farmer (OR=1.05,95%CI:1.01-1.09,P=0.006),having health insurance (OR=1.39,95%CI:1.13-1.74,P=0.003) and those who consume alcohol (OR=1.12,95%CI:1.07-1.17,P<0.001).In contrast,The risk of obesity was lower in the population with annual household income ≥50 000 yuan (OR=0.92,95%CI:0.89-0.96,P<0.001),high school education or above (OR=0.80,95%CI:0.75-0.84,P<0.001),urban residents (OR=0.88,95%CI:0.85-0.91,P<0.001) and smokers (OR=0.86,95%CI:0.82-0.90,P<0.001).Marital status had no statistically significant association with obesity (OR=0.97,95%CI:0.92-1.02,P=0.277).Conclusions The screening rate for obesity among residents aged 35 and above in Anhui Province is 14.5%,with a high proportion of high-risk individuals for cardiovascular disease. Targeted health interventions should be carried out based on age,gender,occupation,education level,place of residence,family income,and drinking habits. |
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