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目的探讨长沙市城郊人群体质量超标、肥胖及相关慢性疾病的流行情况。方法回顾性分析2011年长沙地区某镇1 786例健康体检者的体检资料,分析体质量超标、肥胖与血压、血脂、血糖、血尿酸及相关慢性病患病率的关系。结果体检人群中超重率达37.2%,肥胖率达12.3%,超重、肥胖率随年龄的增加而升高。超重组、肥胖组收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、甘油三脂(TG)和血尿酸(UA)高于正常组。肥胖组SBP、DBP、TG、UA和空腹血糖(FBG)高于超重组。肥胖人群高血压、冠心病、糖尿病、胆结石、脂肪肝等慢性病的比例明显高于非肥胖人群。结论肥胖与高血压、冠心病、糖尿病、胆结石、脂肪肝等慢性病密切相关,抓好超重及肥胖的健康教育和生活方式干预是今后社区慢性病防治工作的重点。
Objective To investigate the prevalence of overweight, obesity and related chronic diseases in suburban population in Changsha City. Methods A retrospective analysis of medical records of 1 786 healthy volunteers in a town in Changsha in 2011 was conducted to analyze the relationship between obesity and blood pressure, blood fat, blood sugar, blood uric acid and related chronic diseases. Results The overweight rate in the examination population was 37.2% and obesity rate was 12.3%. Overweight and obesity rates increased with age. SBP, DBP, TC, TG and UA in overweight group and obesity group were higher than those in normal group. SBP, DBP, TG, UA and fasting blood glucose (FBG) were higher in obesity than in overweight group. Obese people with hypertension, coronary heart disease, diabetes, gallstones, fatty liver and other chronic diseases were significantly higher than non-obese people. Conclusions Obesity is closely related to chronic diseases such as hypertension, coronary heart disease, diabetes, gallstones and fatty liver. Focusing on health education and lifestyle intervention of overweight and obesity is the focus of future community chronic disease prevention and treatment.