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目的 了解广东省成年人超重肥胖的影响因素 ,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 ,抽取广东省大、中小城市及 2类农村各 3个区 (县 ) ,1类农村 4个县。每个县 (区 )抽取 2个街道(乡 )的 6个居 (村 )委 ,共 5 4 0户居民 ,进行面对面询问调查 ,了解 18岁以上成年居民个人基本情况 ,检测体重、身高等数据。结果 调查 15 130人 ,超重与肥胖的粗患病率分别为 16 8%和 1 8% ,年龄标化患病率分别为 15 0 %和1 8%。多因素Logistic回归分析发现 ,影响超重的因素有家庭人均年收入 ,年龄 ,性别 ,吸烟 ,体力运动和城乡户籍 ,OR值分别为 1 2 9,1 11,0 78,0 77,0 72 ,0 5 3;影响肥胖的因素主要有家庭人均年收入、年龄、体力活动和城乡户籍 ,OR值分别为 1 4 7,1 14 ,0 76 ,0 4 1。结论 体力活动是超重与肥胖可干预的重要影响因素 ,加强健康教育 ,提高居民的体力活动水平是预防控制超重与肥胖的重要措施。
Objective To understand the influencing factors of overweight and obesity among adults in Guangdong Province and to determine the key points of health intervention. Methods A multistage random cluster sampling method was used to select three large and small cities in Guangdong Province and three counties in two types of rural areas and four counties in rural areas of one type. In each county (district), 6 residents (village committees) of 2 sub-districts (townships) were sampled and 5400 residents were interviewed for face-to-face interviews to find out the basic situation of individuals over the age of 18 and the data of body weight and height . Results A total of 15 130 people were surveyed. The crude prevalence rates of overweight and obesity were 16.8% and 18%, respectively. The age-standardized prevalence rates were 150% and 18% respectively. Multivariate Logistic regression analysis found that the factors influencing overweight were family annual per capita income, age, sex, smoking, physical activity and urban and rural household registration, with OR values of 1,291,1,08,0,77,0,72,0 The main factors influencing obesity are annual per capita income, age, physical activity and urban and rural household registration. The OR values are 14.7, 14.076 and 0.411 respectively. Conclusion Physical activity is an important influencing factor of overweight and obesity intervention. Strengthening health education and improving residents’ physical activity levels are important measures to prevent and control overweight and obesity.