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目的了解上海市15～69岁人群超重和肥胖的流行特点,为制定超重及肥胖防治的相关策略和措施提供科学依据。方法利用2007年上海市慢性病及其危险因素监测调查数据,对17 144名(男性8 057人,女性9 087人)15～69岁人群的身高、体重值进行描述性分析。超重及肥胖判断标准采用卫生部《中国成人超重和肥胖症预防控制指南》推荐的标准。结果上海市15～69岁人群超重、肥胖粗率分别为31.0%和8.9%,年龄标化患病率分别为25.8%和6.9%。男性超重粗率(33.9%)高于女性(28.4%),非中心城区与中心城区之间差异无统计学意义;中心城区肥胖粗率(9.4%)高于非中心城区(8.4%),女性(10.1%)高于男性(7.6%)。超重、肥胖的影响因素主要为年龄、性别、文化程度、职业、家庭收入、吸烟、饮酒与身体锻炼(P<0.05)。结论超重和肥胖已经成为上海市居民一个重要的公共卫生问题,必须采取平衡膳食、增加体力活动与健康教育等措施进行综合防治。
Objective To understand the prevalence of overweight and obesity among 15-69-year-olds in Shanghai and to provide scientific evidence for the development of strategies and measures for the prevention and control of overweight and obesity. Methods According to the 2007 survey of chronic diseases and its risk factors in Shanghai, the descriptive analysis of the height and weight of 17 144 people (8 057 males and 9 087 females) aged 15-69 years was conducted. Overweight and obesity criteria using the Ministry of Health “Chinese adult overweight and obesity prevention and control guidelines” recommended standards. Results The overweight and obesity rates in Shanghai aged 15-69 were 31.0% and 8.9%, respectively. The age-standardized prevalences were 25.8% and 6.9% respectively. The prevalence of overweight and obesity in males was higher than that in females (33.9% vs 28.4%), but there was no significant difference between noncentrosities and centers (9.4% vs. %) Than men (7.6%). The main influencing factors of overweight and obesity were age, sex, education level, occupation, family income, smoking, drinking and physical exercise (P <0.05). Conclusion Overweight and obesity have become an important public health problem for Shanghai residents. We must take measures such as balanced diet, increased physical activity and health education to carry out comprehensive prevention and treatment.