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目的了解江门市白领人群生活方式对肥胖及亚临床疾病的影响。方法通过问卷、体格测量及血样检测等方法,调查分析781名白领的生活方式、亚临床疾病患病及二者的关系。结果调查人群吸烟率23.05%,饮酒率80.92%,体育锻炼率37.90%。超重、肥胖、向心性肥胖、高血压、血脂异常、高血糖、脂肪肝的发病率分别为35.55%、6.66%、38.41%、10.12%、40.72%、6.27%、30.99%,以上几种疾病患病率50～岁组最高(P<0.001),除高血压外男性患病率高于女性(P<0.001)。多因素Logistic回归分析显示,油脂、食盐、吸烟、饮酒、超重、向心性肥胖、高血压、血脂异常、高血糖、脂肪肝是亚临床疾病不同程度的危险因素;蔬菜、水果、体育活动是保护因素。结论江门市白领人群生活方式不合理,直接影响亚临床疾病的发生,应加强合理膳食、适当运动的健康促进,预防和控制疾病发生。
Objective To understand the influence of white-collar lifestyle in Jiangmen city on obesity and subclinical diseases. Methods By questionnaire, physical measurement and blood test, we investigated the lifestyle of 781 white-collar workers, the prevalence of subclinical disease and their relationship. Results The survey population smoking rate of 23.05%, drinking rate of 80.92%, physical exercise rate of 37.90%. The prevalence rates of overweight, obesity, central obesity, hypertension, dyslipidemia, hyperglycemia and fatty liver were 35.55%, 6.66%, 38.41%, 10.12%, 40.72%, 6.27% and 30.99% The prevalence rate was the highest in the 50 ~ year group (P <0.001), and the prevalence was higher in men than in women except for hypertension (P <0.001). Multivariate logistic regression analysis showed that different levels of risk of subclinical disease were the result of fats, salt, smoking, drinking, overweight, central obesity, hypertension, dyslipidemia, hyperglycemia and fatty liver; vegetables, fruits and physical activity were protected factor. Conclusion The life style of white-collar workers in Jiangmen City is unreasonable and has a direct impact on the occurrence of subclinical diseases. It is necessary to strengthen the reasonable diet and health promotion of proper exercise to prevent and control the occurrence of diseases.