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目的了解兰州市青少年超重与肥胖的患病状况和影响因素,为预防和控制超重与肥胖提供科学依据。方法采取多阶段随机整群抽样法,抽取兰州市兰化一中和五十一中初一至高三1 400名学生作为调查对象,分别对其进行体格检查和流行病学调查,并对肥胖的影响因素采用Logistic回归分析。结果兰州市男、女生超重率分别为14.73%,4.13%,肥胖率分别为3.08%,1.54%;标准化后男生超重率和肥胖率均高于女生。超重肥胖的主要危险因素是性别、饮酒、吸烟、睡眠时间不足、每周多次吃鱼(OR值均>1),保护因素有锻炼、充足的睡眠(OR值均<1)。结论青少年超重、肥胖检出率高。应尽快采取措施,在青少年人群中开展超重和肥胖干预工作。
Objective To understand the prevalence and influencing factors of overweight and obesity among adolescents in Lanzhou and provide a scientific basis for preventing and controlling overweight and obesity. Methods A multi-stage random cluster sampling method was used to select 1 400 students from Lanzhou-I and Lanzhou-51 middle and high schools in Lanzhou City for investigation. The physical examination and epidemiological investigation were conducted respectively, and their effects on obesity Factors using Logistic regression analysis. Results The overweight rates of male and female students in Lanzhou were 14.73% and 4.13% respectively, and the obesity rates were 3.08% and 1.54% respectively. The normalized male overweight and obesity rates were higher than those of female students. The main risk factors of overweight and obesity were sex, alcohol consumption, smoking, lack of sleep time and multiple times a week of eating fish (all OR> 1). The protective factors were exercise and sufficient sleep (OR <1). Conclusion Adolescents are overweight and have a high prevalence of obesity. Measures should be taken as soon as possible to carry out overweight and obesity interventions among young people.