五指山市居民肥胖与主要慢性病的关联性

目的 探讨五指山市居民肥胖与主要慢性病的关联度,为慢性病防控提供科学依据。方法 采用多阶段抽样方法抽取18岁以上常驻居民2 425例进行问卷调查、体格测量、血糖和血脂检测,分析肥胖和主要慢性病的相关性。结果 黎族地区居民的主要超重、肥胖和中心型肥胖率分别为24.4%、5.7%和9.1%。超重和肥胖在年龄、民族、文化程度和婚姻等因素间差异均有统计学意义（P<0.05）,中心性肥胖在性别、年龄、民族和婚姻等因素间差异均有统计学意义（P<0.01）。多因素非条件Logistic回归分析显示超重患高血压、糖尿病和血脂异常的风险是体重正常者的1.7倍（OR=1.7,95%CI=1.3~2.1）、1.4倍（OR=1.4,95%CI=0.9~2.1）和2.1倍（OR=2.1,95%CI=1.7~2.6）,肥胖患高血压、糖尿病和血脂异常的风险是体重正常者的2.9倍（OR=2.9,95%CI=1.9~4.5）、2.1倍（OR=2.1,95%CI=1.1~4.0）和4.8倍（OR=4.8,95%CI=3.2~7.3）;中心性肥胖患高血压、糖尿病和血脂异常的风险是体重正常者的1.6倍（OR=1.6,95%,CI=1.1~2.3）、1.6倍（OR=1.6,95%CI=0.9~2.9）和1.5倍（OR=1.5,95%CI=0.9~1.7）。3种慢性病在BMI肥胖的人群归因危险度(PAR)是72.04%~81.88%,在中心性肥胖的PAR是88.92%~91.52%。结论 超重比重在增长,应加大力度进行全民宣传、肥胖高危筛查及健康干预。

Correlation between obesity and main chronic diseases of residents in Wuzhishan,Hainan

Objective To explore the correlation between obesity and main chronic diseases ofresidents in Wuzhishan City, Hainan Province, so as to provide the evidence for improving the prevention and control of chronic diseases.Methods The multistage sampling method was used to sample 2 425 inhabitants of 18 years old in Wuzhishan City, Hainan Province, the questionnaire survey, physical examination, and blood sample detection were conducted, and the data were collected and analyzed for the correlation between obesity and main chronic diseases.Results The prevalence rates of overweight, obesity and central obesity were 24.4%, 5.7%, and 9.1%, respectively. There were statistically significant differences between/among the age, nationality, education levels and marriage in overweight and obesity (P<0.05). There were statistically significant differences between/among the gender, age, nationality, education levels, and marriage in central obesity (P<0.01). The results of the multivariate unconditional logistic analysis showed that the risks of hypertension, diabetes and dyslipidemia of the overweight people were 1.7 times (OR=1.7, 95%CI=13-2.1), 1.4 times (OR=1.4, 95%CI=0.9-2.1) and 2.1 times (OR=2.1, 95%CI=1.7-2.6) higher than those of the normal weight body people, respectively; the risks of hypertension, diabetes and dyslipidemia of the obesity people were 2.9 times (OR=2.9, 95%CI=1.9-4.5), 2.1 times (OR=2.1, 95%CI=1.1-4.0), and 4.8 times (OR=4.8, 95%CI=3.2-7.3) higher than those of the normal weight body people, respectively; the risks of hypertension, diabetes and dyslipidemia of the central obesity people were 1.6 times (OR=1.6, 95%CI=1.1-2.3), 1.6 times (OR=1.6, 95%CI=0.9-2.9) and 1.5 times (OR=1.5, 95CI=0.9-1.7) higher than those of the normal weight body people, respectively. The population attributable risk (PAR) of three chronic diseases (hypertension, diabetes and dyslipidemia) in the BMI obesity people was 72.04%-81.88%, and in the central obesity people was 88.92%-91.52%.Conclusion sThe proportion of overweight of residents is increasing in Wuzhishan City. Therefore, it is necessary to promote the public health education, high-risk screening for obesity, and health interventions.