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目的研究秦皇岛市北戴河区肥胖与相关慢性疾病的影响因素。方法采用随机抽样方法,于2010年8—10月对北戴河区20～92岁居民进行面对面调查,抽取3 569人,用询问调查法获得个人基本情况和相关因素,测量身高、体重。结果超重、全身性肥胖和腹型肥胖总患病率分别为36.79%、13.28%和54.08%;不同性别的人群超重率、全身性肥胖率和腹型肥胖率差异有统计学意义(χ2=126.31,P<0.01;χ2=63.85,P<0.01;χ2=14.91,P<0.01);不同年龄人群超重率、全身性肥胖率和腹型肥胖率差异有统计学意义(χ2=93.15,P<0.01;χ2=6.002,P=0.01;χ2=24.70,P<0.01);不同文化程度的人群超重率、全身性肥胖率和腹型肥胖率差异有统计学意义(χ2=9.49,P<0.01;χ2=126.31,P<0.01;χ2=13.11,P<0.01);与体重正常人群比较,超重和肥胖人群高血压、血糖异常和甘油三酯升高危险性较高,其OR值分别为2.86,2.94,3.52和5.06,4.19,6.37)。结论肥胖者易患高血压、血糖异常、血脂异常等慢性疾病,应采取有效的措施预防和控制肥胖。
Objective To study the influencing factors of obesity and related chronic diseases in Beidaihe District, Qinhuangdao City. Methods From July to October 2010, residents of 20 to 92 years old in Beidaihe district were interviewed face to face. A total of 3 569 residents were sampled. Individuals’ basic conditions and related factors were obtained by questionnaire survey, and their height and weight were measured. Results The prevalence rates of overweight, general obesity and abdominal obesity were 36.79%, 13.28% and 54.08% respectively. The differences of overweight, generalized obesity and abdominal obesity among different sex groups were statistically significant (χ2 = 126.31 , P <0.01; χ2 = 63.85, P <0.01; χ2 = 14.91, P <0.01). There was significant difference in overweight rate, generalized obesity rate and abdominal obesity rate among different age groups ; χ2 = 6.002, P = 0.01; χ2 = 24.70, P <0.01). There was significant difference in overweight rate, generalized obesity rate and abdominal obesity rate among different education levels (χ2 = 9.49, P <0.01; = 126.31, P <0.01; χ2 = 13.11, P <0.01). Compared with normal weight group, the risk of hypertension, abnormal blood glucose and triglyceride increased in overweight and obesity groups, the OR values were 2.86 and 2.94 , 3.52 and 5.06, 4.19, 6.37). Conclusion Obesity is susceptible to chronic diseases such as hypertension, abnormal blood glucose and dyslipidemia. Effective measures should be taken to prevent and control obesity.