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目的以汉族人群为对照,分析新疆心血管疾病高发人群-哈萨克族和维吾尔族人群超重和腹型肥胖的流行现状和特征。方法利用2007年新疆高血压研究所高血压现况调查获取的7 510人的有效数据,计算哈萨克族、维吾尔族、汉族人群超重率、腹型肥胖的患病率,并采用三组人群的合并人群作为标准人群,对各率进行年龄标化。超重的诊断标准为:BMI≥25 kg/m2为超重;腹型肥胖的诊断标准为:腰围≥90 cm(男)或≥80 cm(女)为腹型肥胖。结果 (1)超重的患病率在三民族的男女人群分别为:哈萨克族63.83%和55.67%,维吾尔族61.33%和60.77%,汉族51.79%和29.53%;腹型肥胖的患病率相应为:哈萨克族46.61%和53.43%,维吾尔族42.03%和64.33%,汉族42.49%和36.22%。(2)超重率在三民族人群均表现为男性>女性,而腹型肥胖患病率的性别差异在不同人群表现不同,哈萨克族、维吾尔族人群为女性>男性,汉族人群则为男性>女性。(3)汉族女性人群各年龄段腹型肥胖的患病率均高于同年龄段超重率,50岁以后女性维吾尔族、哈萨克族人群也出现了同样的特点,但男性汉族、维吾尔族、哈萨克族人群各年龄段腹型肥胖的患病率始终低于超重率。结论哈萨克族、维吾尔族是超重、腹型肥胖的高发人群,汉族女性人群和50岁以后的维吾尔族、哈萨克族女性人群的腹型肥胖率高于超重率。
Objective To compare the prevalence and characteristics of overweight and abdominal obesity in Kazak and Uygur populations with high incidence of cardiovascular disease in Xinjiang. Methods Based on the data of 7 510 individuals surveyed by the Hypertension Survey of Hypertension Institute in Xinjiang in 2007, the prevalence of overweight and abdominal obesity in Kazak, Uygur and Han nationalities was calculated. The combined use of three groups As a standard population, the population is age-standardized. Diagnostic criteria for overweight: BMI ≥ 25 kg / m2 for overweight; abdominal obesity diagnostic criteria: waist ≥ 90 cm (male) or ≥ 80 cm (female) abdominal obesity. Results (1) The prevalence rate of overweight in the three ethnic groups were 63.83% and 55.67% in Kazak ethnic group, 61.33% and 60.77% in Uighur ethnic group, 51.79% and 29.53% in Han nationality, respectively. The prevalence of abdominal obesity was 46.61% and 53.43% of Kazaks, 42.03% and 64.33% of Uyghurs, 42.49% and 36.22% of Han Chinese, respectively. (2) The rates of overweight in the three ethnic groups are both male and female, while the gender differences in the prevalence of abdominal obesity are different in different groups of people, with Kazakhs and Uighurs as female> male and Han as male> female . (3) The prevalence of abdominal obesity in Han women of all ages was higher than that in the same age group. The same characteristics were observed in female Uygur and Kazaks after 50 years of age, but male Han, Uygur, Kazak The prevalence of abdominal obesity in all ethnic groups is always lower than the rate of overweight. Conclusions Kazak and Uyghur are the overweight and obese people. The prevalence of abdominal obesity is higher than that of overweight women in Han women and Uygur and Uzbek ethnic after 50 years old.