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目的:了解湖北省部分地区中老年人超重和肥胖病的流行状况及其影响因素,确定可以进行健康干预的重点环节。方法:采用多阶段随机整群抽样方法,抽取湖北省12县(市)、区2811位年龄≥35岁的居民进行面访。结果:超重与肥胖的年龄标化患病率分别为36.6%和9.8%,超重肥胖率在干部、文化程度高的以及高收入人群中最高,在农民、文盲、以及低收入人群中最低;常吃甜食是超重的相关影响因素,重体力职业活动可以减少其危险性,体育锻炼是肥胖的保护因素。在超重肥胖人群中,一些主要的慢性非传染性疾病的患病率明显高于非超重肥胖人群。结论:湖北省超重肥胖状况处于全国中等水平,不容乐观。超重肥胖人群是慢性病防治的重点干预人群,需加强健康教育。体力活动和体育锻炼是可干预的重要影响因素。
Objective: To understand the prevalence and influencing factors of overweight and obesity among middle-aged and elderly people in some areas of Hubei Province and to determine the key points of health intervention. Methods: A multistage random cluster sampling method was used to interview 2,811 residents aged 35 or older in 12 counties (cities) of Hubei Province. Results: The age-standardized prevalence rates of overweight and obesity were 36.6% and 9.8% respectively. The prevalence of overweight and obesity was the highest among cadres, high education and high-income people, and the lowest among farmers, illiterates and low-income people. Eating sweets is overweight related factors, heavy physical activity can reduce the risk of physical exercise is a protective factor of obesity. Among overweight and obese people, the prevalence of some major chronic non-communicable diseases is significantly higher than in non-overweight and obese people. Conclusion: Overweight and obesity in Hubei Province is at a medium level in the country, which is not optimistic. Overweight and obese people are the key intervention groups for the prevention and treatment of chronic diseases and need to strengthen their health education. Physical activity and physical activity are important influential factors that can be intervened.