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1.
目的了解抚顺市18~75岁城乡居民肥胖流行现状,为采取干预措施提供参考依据。方法采用随机整群抽样方法对在辽宁省抚顺市4个区抽取的4 752名18~75岁城乡居民进行问卷调查和体格检查,采用SPSS17.0软件进行一般描述性分析、t检验、方差分析、χ2检验。结果按中国成人超重和肥胖症预防控制指南成人体质指数(BMI)分类标准,抚顺市城乡居民超重率、肥胖率、超重/肥胖率分别为29.1%,9.3%,38.4%,男性和女性居民分别为27.9%和30.3%,9.5%和9.0%,37.4%和39.3%,男性居民超重率、超重/肥胖率均低于女性居民(P=0.02),男性和女性居民肥胖率差异无统计学意义(P>0.05),抚顺市城乡居民中心性肥胖率为39.1%,男性居民中心性肥胖率为19.1%,低于女性居民的20.1%,差异有统计学意义(χ2=56.4,P=0.002);不同年龄女性居民和不同文化程度男性居民超重率均不同(P<0.05);不同年龄、文化程度男性居民和不同文化程度女性居民肥胖率均不同(P<0.05),不同文化程度男性居民和不同年龄、文化程度女性居民中心性肥胖率均不同(P<0.05);不同年龄、文化程度男性和女性居民中心性肥胖率均不同(P<0.05)。结论抚顺市城乡居民超重率和肥胖率略高,女性居民超重率、超重/肥胖率和中心性肥胖率均高于男性居民。  相似文献   

2.
江苏省城乡居民超重与肥胖流行状况   总被引:1,自引:1,他引:0  
目的了解江苏省超重和肥胖的流行水平及其在人群中的分布特点,为开展相关防治工作提供依据。方法采用多阶段随机整群抽样方法和KISH表法确定15~69岁城乡常住居民4318人为调查对象,通过问卷调查获得人群基本情况和健康状况,并测量体重、腰围。结果江苏省15~69岁城乡居民超重率、肥胖率、中心性肥胖率分别为32.90%,9.94%,42.55%,农村均高于城市(P0.05);男性在20~30岁间、女性在30岁后超重率、肥胖率、中心性肥胖率增速最快;76.65%的中心性肥胖者同时存在超重或肥胖,95.58%的调查对象患肥胖相关疾病的危险度有不同程度升高。结论超重与肥胖是该省当前亟需应对的公共卫生问题,已出现农村高于城市的新的分布特点,应探索体重管理的有效模式。  相似文献   

3.
目的了解河南省15~24岁青年人群超重、肥胖及中心性肥胖的流行情况,为其防治提供科学依据。方法按照多阶段随机抽样的方法选取调查对象,对河南省4 093名15~24岁青年人群的身高、体重及腰围进行测量并做描述性分析。结果河南省2012年15~24岁青年人群超重率、肥胖率、中心性肥胖率分别为13.10%、4.62%和16.69%。男性肥胖患病率(6.04%)高于女性(3.21%),差异有统计学意义(χ2=18.64,P0.01)。城市男性超重率、肥胖率及中心性肥胖率均高于农村男性,城市女性中心性肥胖率低于农村女性,差异均有统计学意义(P0.01)。学生超重率、肥胖率及中心性肥胖率均比其他职业低,差异均有统计学意义(P0.01)。超重、肥胖及中心性肥胖随年龄和体质指数(BMI)的增长呈升高趋势(P0.01);随着每周锻炼次数的增加,超重率、肥胖率和中心性肥胖率呈降低趋势(P0.01);肥胖率及中心性肥胖率随经济收入的增加呈升高趋势(P0.05)。结论河南省15~24岁青年人群以中心性肥胖流行为主,青年时期是超重、肥胖和中心性肥胖患病率升高的重要时期,在此阶段做好对青年人群的干预,对整个人群肥胖的预防有重要的影响。  相似文献   

4.
目的了解枣庄市山亭区居民超重和肥胖的流行水平,分析不同人群分布特征,为降低肥胖率的措施制定提供依据。方法通过多阶段随机抽样方法抽取山亭区18~80岁居民进行问卷调查和体格检查,并进行数据分析。结果调查居民2 208人,其中男性912人、女性1 296人,平均年龄(49.76±14.88)岁。居民超重、肥胖、中心性肥胖患病率分别为37.86%、26.27%、60.73%,男性超重率(39.01%)高于女性(37.05%)(P0.05),但肥胖率(23.41%)和中心肥胖率(52.03%)低于女性(28.29%、66.85%)(P0.01)。居民超重、肥胖和中心肥胖率随年龄增长先升高后降低,50~岁组最高(42.55%、33.94%、72.40)(P0.01)。不同文化程度男性的超重、肥胖和中心肥胖率无差异(P0.05),初中人群的超重率最高(44.16%),大专人群的肥胖和中心肥胖率最高(30.16%、58.27%),而女性的超重和中心肥胖率随学历增加逐渐降低(P0.01)。不同职业男性的超重和中心肥胖率差异有统计学意义(P0.01),而不同职业女性的超重、肥胖和中心肥胖率差异无统计学意义(P0.05)。不同收入人群的超重、肥胖和中心肥胖率差异有统计学意义(P0.01)。结论枣庄市山亭区居民超重、肥胖、中心性肥胖患病率均较高。  相似文献   

5.
目的 了解成都市武侯区居民超重和肥胖的流行现状,为卫生行政部门决策和人群肥胖防治工作提供依据.方法 利用2011年武侯区社区诊断调查数据资料,对武侯区12个街道18~108岁居民共16 826人进行超重和肥胖的流行现状分析.结果 武侯区超重率26.4%,肥胖率6.5%,男性超重率(28.4%)高于女性(24.1%)(x2=38.997,P<0.01);男女性肥胖率差异无统计学意义(x2 =0.369,P=0.549);居民超重率,肥胖率均随年龄增加而增高(x2超重=435.99,P<0.01,x2肥胖=87.852,P<0.01).结论 武侯区居民超重和肥胖的流行形势严峻,应采取综合措施加大预防与控制力度.  相似文献   

6.
目的 了解深圳市南山区社区居民超重、肥胖流行现状及其影响因素,为政府制定慢性病防治相关政策提供依据.方法 采用多阶段分层随机抽样方法,从深圳市南山区随机抽取10个社区共1 265名成人进行现况调查.调查内容包括问卷调查和体格检查.结果 调查人群的超重率和肥胖率分别达到33.04%,9.01%(标化后分别为31.36%,8.55%).性别、年龄和家庭年均收入是影响超重率的主要因素(P<0.05),年龄和吸烟则是影响肥胖率的主要因素(P<0.05),超重、肥胖人群年龄和吸烟间呈显著负相关(P<0.05).男性超重率明显高于女性,而中老年人超重、肥胖率明显高于青年人,吸烟人群发生肥胖的可能性更高.结论 深圳居民超重、肥胖率处于较高水平,防治工作中应以主要危险因素干预为主,加强健康教育,促进居民健康水平.  相似文献   

7.
摘要:目的 了解2002-2012年河南省居民超重和肥胖流行特征的变化情况,为有针对性的开展超重和肥胖的预防工作提供科学依据。方法 利用2002年河南省居民膳食营养与健康状况调查和2012年河南省高血压和糖尿病流行病调查的数据,比较10年间河南省居民超重和肥胖流行特征的变化。结果 10年间河南省居民 BMI均数增加近0.15 kg/m2(t=3.13,P<0.05),其中男性BMI均数增加近0.56 kg/m2(t=8.08,P<0.05),女性BMI均数不增反降(t=4.06,P<0.05);10年间河南省居民标化后的超重率和肥胖率分别增长4.60%(Z=6.75,P<0.05)和3.63%(Z=10.49,P<0.05)。其中男性分别增长3.02%(Z=12.64,P<0.05)和2.77%(Z=4.34,P<0.05),女性分别增长1.48%(Z=14.08,P<0.05)和0.81%(Z=6.16,P<0.05)。结论 10年间河南省居民超重率和肥胖率上升幅度较大,且肥胖患病率呈现明显的年轻化趋势。因此,应采取科学的措施控制超重和肥胖,尤其是中青年肥胖的发展趋势。  相似文献   

8.
[目的]分析昆明市官渡区农村居民超重和中心性肥胖的现状及与高血压、脑卒中和缺血性心脏病的关系。[方法]采用按比例概率抽样方法(PPS)抽取昆明市官渡区4011名18岁及以上村民进行现场调查,心血管疾病的患病资料和超重及中心性肥胖情况通过问卷调查和体格检查获得。[结果]该地居民的超重率为34.0%,其中男性为34.8%,女性为33.5%。该地居民的中心性肥胖率为54.0%,其中女性为57.9%,男性为48.0%;女性的中心性肥胖率明显高于男性(P﹤0.01)。男性和女性的中心性肥胖率均随年龄的增长呈上升趋势。超重者高血压、脑卒中和缺血性心脏病的患病率(39.6%、1.5%和4.1%)均高于不超重者(31.0%、1.1%和2.8%);中心性肥胖者高血压、脑卒中和缺血性心脏病的患病率(41.6%、1.5%和4.2%)均高于非中心性肥胖者(24.9%、0.9%和2.2%)。[结论]加强农村居民合理饮食的健康教育,减少超重和中心性肥胖的发生,有助于降低心血管疾病的发生。  相似文献   

9.
目的 了解青岛市城乡成人超重、肥胖状况以及相关影响因素.方法 采用多层整群随机抽样的方法,在青岛市6个区(市南、市北、四方、即墨、黄岛、胶南)对6 000名35岁~常住居民进行面对面的问卷调查和体格检查.结果 青岛市居民超重率42.61%,肥胖率为25.06%,城市超重率41.96%,肥胖率23.45%,男性高于女性.农村超重率43.49%.肥胖率26.61%,性别差异无统计学意义.各年龄组间超重率、肥胖率比较,经x2检验,差异均有统计学意义(P<0.05);超重率、肥胖率均随年龄的增加而升高,65岁之后均有所下降,经相关分析,差异均有统计学意义(P<0.05).农村在45岁~、55岁~肥胖率均高于城区,经x2检验,差异有统计学意义(P<0.05).多因素Logistic回归分析显示,城市居民的教育程度、吸烟对超重与肥胖有保护作用,收入水平是危险因素,体力活动仅是超重的保护因素.农村的超重影响因素与城市相同,吸烟与体力活动是肥胖的保护因素.结论 青岛市城乡超重率、肥胖率均高于2002年调查结果.体力活动是城乡超重和肥胖保护因素.  相似文献   

10.
河北省成年居民超重肥胖流行特征及相关因素的调查分析   总被引:1,自引:0,他引:1  
目的了解河北省成年居民超重肥胖现状及相关因素。方法采用多阶段随机抽样,通过问卷、体格测量的方法,调查分析河北20个区(县)4 192名成人超重肥胖现状及相关因素。结果总体超重率为35.23%,肥胖率为16.34%,向心性肥胖率52.67%,均显著高于全国平均水平。中年男性、中老年女性是超重肥胖防治的重点人群。超重率、肥胖率随年龄的增长而升高,尤其是女性;无论男性女性,超重、肥胖和向心性肥胖组人群每周参加锻炼率均高于正常组,并且男性组高于女性组,男性组为27.79%,女性组为24.22%(P<0.01);参加中轻度和剧烈运动人群中的男性,超重率和向心性肥胖率都随锻炼次数增加而上升,而女性只是在参加中轻度运动人群中呈现此规律;在超重、向心性肥胖人群中,超重率与向心性肥胖率随着每天静坐时间的增加而上升;在超重人群中,选择骑自行车作为交通工具的人群超重率最低,而基本在家的人超重率最高。结论河北省成人超重率和肥胖率处于全国较高水平,而主动参加锻炼的人为数不多。在运动方式上,骑自行车是一种简单有效的锻炼身体好方式,能减轻体重,增进健康,适合大多数人采用。应加强对成年人群的健康教育,普及体育减肥健身知识,让人们在日常生活中应尽量避免静态的生活方式。  相似文献   

11.
高脂饮食诱导肥胖与肥胖抵抗动物模型建立   总被引:8,自引:0,他引:8  
目的建立高脂饮食诱导肥胖易感(OP)大鼠和肥胖抵抗(OR)大鼠动物模型。方法高脂饲料喂饲健康雄性SD大鼠8周后,筛选出OP大鼠和OR大鼠。实验结束后,处死动物,测量体脂肪含量,并收集血清,以检测血糖与血脂水平。结果OP大鼠肾周脂肪、睾周脂肪、网膜脂肪、体脂肪含量均显著高于OR大鼠,OP大鼠血糖、甘油三酯水平显著高于OR大鼠,而高密度脂蛋白水平显著低于OR大鼠。结论使用高脂饲料建立饮食诱导肥胖与肥胖抵抗动物模型,方法可靠,模型成功。  相似文献   

12.
Visceral adipose tissue (VAT) accumulation, is a part of a polycystic ovary syndrome (PCOS) phenotype. Dual-energy x-ray absorptiometry (DXA) provides a gold standard measurement of VAT. This study aimed to compare ten different indirect methods of VAT estimation in PCOS women. The study included 154 PCOS and 68 age- and BMI-matched control women. Subjects were divided into age groups: 18–30 y.o. and 30–40 y.o. Analysis included: body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist/height 0.5 (WHT.5R), visceral adipose index (VAI), lipid accumulation product (LAP), and fat mass index (FMI). VAT accumulation, android-to-gynoid ratio (A/G), and total body fat (TBF) was measured by DXA. ROC analysis revealed that WHtR, WHT.5R, WC, BMI, and LAP demonstrated the highest predictive value in identifying VAT in the PCOS group. Lower cut-off values of BMI (23.43 kg/m2) and WHtR (0.45) were determined in the younger PCOS group and higher thresholds of WHtR (0.52) in the older PCOS group than commonly used. Measuring either: WHtR, WHT.5R, WC, BMI, or LAP, could help identify a subgroup of PCOS patients at high cardiometabolic risk. The current observations reinforce the importance of using special cut-offs to identify VAT, dependent on age and PCOS presence.  相似文献   

13.
目的观测营养性肥胖大鼠血浆肾上腺髓质素(ADM)水平变化以及心脏/体重、肝脏/体重比改变。方法用特异性放免法测定血浆ADM含量;称各组大鼠心脏、肝脏湿重,并分别计算与体重之比。结果肥胖大鼠血浆ADM水平(78.35±6.38)pg/ml明显低于正常体重大鼠(92.47±10.61)pg/ml(P<0.05);心脏(g)/体重(g)、肝脏(g)/体重(g)比(0.319±0.019),(3.334±0.410)均明显高于普通饲料喂养组(0.225±0.020),(2.951±0.730)(P<0.05)。结论营养性肥胖大鼠血浆ADM水平降低,在大鼠肥胖症的发生发展以及肥胖症大鼠心脏/体重、肝脏/体重比增大中可能起作用。  相似文献   

14.
Children are prescribed second-generation antipsychotic (SGA) medications, such as olanzapine (OLZ) for FDA-approved and “off-label” indications. The long-term impact of early-life SGA medication exposure is unclear. Olanzapine and other SGA medications are known to cause excessive weight gain in young and adult patients, suggesting the possibility of long-term complications associated with the use of these drugs, such as obesity, diabetes, and heart disease. Further, the weight gain effects of OLZ have previously been shown to depend on the presence of gut bacteria and treatment with OLZ, which shifts gut bacteria toward an “obesogenic” profile. The purpose of the current study was to evaluate changes in gut bacteria in adult mice following early life treatment with OLZ and being fed either a high-fat diet or a high-fat diet supplemented with fish oil, which has previously been shown to counteract gut dysbiosis, weight gain, and inflammation produced by a high-fat diet. Female and male C57Bl/6J mice were fed a high fat diet without (HF) or with the supplementation of fish oil (HF-FO) and treated with OLZ from postnatal day (PND) 37–65 resulting in four groups of mice: mice fed a HF diet and treated with OLZ (HF-OLZ), mice fed a HF diet and treated with vehicle (HF), mice fed a HF-FO diet and treated with OLZ (HF-FO-OLZ), and mice fed a HF-FO diet and treated with vehicle (HF-FO). Following euthanasia at approximately 164 days of age, we determined changes in gut bacteria populations and serum LPS binding protein, an established marker of gut inflammation and dysbiosis. Our results showed that male HF-FO and HF-FO-OLZ mice had lower body weights, at sacrifice, compared to the HF group, with a comparable body weight across groups in female mice. HF-FO and HF-FO-OLZ male groups also exhibited lower serum LPS binding protein levels compared to the HF group, with no differences across groups in female mice. Gut microbiota profiles were also different among the four groups; the Bacteroidetes-to-Firmicutes (B/F) ratio had the lowest value of 0.51 in the HF group compared to 0.6 in HF-OLZ, 0.9 in HF-FO, and 1.1 in HF-FO-OLZ, with no differences in female mice. In conclusion, FO reduced dietary obesity and its associated inflammation and increased the B/F ratio in male mice but did not benefit the female mice. Although the weight lowering effects of OLZ were unexpected, FO effects persisted in the presence of olanzapine, demonstrating its potential protective effects in male subjects using antipsychotic drugs.  相似文献   

15.
目的探讨饮食诱导肥胖大鼠血清C-反应蛋白(CRP)与胰岛素抵抗(IR)的关系。方法30只雄性Wistar大鼠随机分成对照组和高脂组,分别喂基础饲料和高脂饲料12周,测定12周末空腹血糖(FPG)、空腹胰岛素(FINS)、血清CRP、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平,以胰岛素敏感指数(ISI)判定机体胰岛素抵抗(IR)状态。结果12周末,高脂组大鼠血清CRP、TNF-αI、L-6水平分别为(2.933±1.039)mg/L,(2.029±0.152)μg/L,(130.32±23.28)ng/L,均高于对照组(P<0.05),而且TNF-αI、L-6分别与CRP呈正相关(P<0.05),CRP与ISI呈负相关(P<0.05)。结论CRP可能涉及肥胖及肥胖相关的IR。  相似文献   

16.
体质指数与膝关节骨性关节炎关系   总被引:2,自引:0,他引:2  
目的探讨体质指数和膝关节骨性关节炎的发病及影像学Kellgren/Lawrence(K/L)评分的相关性。方法临床选择膝关节骨性关节炎患者223例,年龄匹配对照组416例。患者行影像学K/L评分。测量患者和志愿者的身高、体重,求出体质指数(BMI),采用SPSs12.0统计软件进行分析,计算BMI在正常人群及骨性关节炎组分布;计算肥胖人群BMI在正常人群与骨性关节炎患者中的相对危险度(OR)及OR95%CI。结果223例患者经K/L评分分为Ⅰ~Ⅳ级,分别为Ⅰ级11例、Ⅱ级69例、Ⅲ级58倒、Ⅳ级84例。正常对照组、骨性关节炎组BMI(kg/m^2)分别为23.4±3.8,25.3±3.64,两者比较差异有统计学意义(P〈0.0001)。BMI和骨性关节炎影像学进展相关性回归得Pearson相关系数为0.222,P〈0.01;肥胖是骨性关节炎发病的高危因素(OR=2.63,95%CI=1.876~3.688,X^2=31.5,P〈10^-7)。结论肥胖是骨性关节炎的高危因素,且与骨性关节炎的严重程度相关。控制或减轻体重是预防和治疗膝关节骨性关节炎的有效措施之一。  相似文献   

17.
《Nutritional neuroscience》2013,16(8):376-382
Objectives: To observe the expression of brain-derived neurotrophic factor (BDNF) in hypothalamic and adipose tissue in mice with monosodium glutamate (MSG)-induced obesity.

Methods: The effects of hypothalamic lesions, specifically arcuate nucleus (ARC) lesions, induced by MSG injection were studied in male ICR mice at the neonatal stage. The following parameters were compared: body weight, body length, Lee's index, food intake, body temperature, fat weight, and levels of total cholesterol (CHOL), triglyceride (TG), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and blood glucose (GLU). The BDNF expression levels in hypothalamic and adipose tissue were measured using western blotting.

Results: Compared with the control group, the model group body had significantly higher weight, Lee's index, food intake, fat weight, CHOL, TG, LDL, HDL, and GLU levels. BDNF expression levels in hypothalamic and adipose tissue were markedly down-regulated in the model group.

Discussion: BDNF may be closely associated with MSG-induced hypothalamic obesity.  相似文献   

18.
农村居民体质指数、腰围与血压变化趋势分析   总被引:1,自引:3,他引:1  
目的 研究山东省居民体质指数(BMI)、腰围与血压的关系。方法 采用多阶段随机抽样的方法抽取样本,对确定的调查人群进行问卷调查,测量身高、体重、腰围、臀围和血压,并计算出体质指数和腰臀比。用描述性流行病学方法进行分析。结果 当体质指数(kg/m2)在18.5~23.9,24~27.9,≥28时,血压均值分别是123.5/76.1,128.8/80.0,134.5/85.6mmHg,高血压的患病率分别是15.65%,26.38%和43.78%。当体质指数≥24和/或腰围≥85cm(女性≥80cm),血压增长的速度明显加快,高血压的患病率也明显上升。结论 血压均值和高血压的患病率随着体质指数和腰围的增加而上升.二者是高血压的主要危险因素。  相似文献   

19.
Obesity and obesity-related low-grade inflammation are common findings in polycystic ovary syndrome (PCOS), the most common endocrine-metabolic disorder-affecting women in reproductive age. The terms metabolically healthy obese (MHO), and metabolically unhealthy obese (MUO) have been introduced to define individuals with obesity in whom cardio-metabolic risk factors are absent or present, respectively. To date, evidence investigating differences in body composition and adherence to the Mediterranean diet (MD) between MHO and MUO-PCOS women are lacking. Aim of this study was to better characterize the determinants of the metabolic health status in PCOS patients with obesity according to MHO and MUO phenotypes by evaluating endocrine-metabolic profile, inflammatory status, adherence to the MD, and body composition. The study population consisted of 94 treatment-naïve women with PCOS and obesity (BMI = 38.23 ± 6.62 kg/m2 and age = 24.12 ± 3.68 years). Compared PCOS MHO with PCOS MUO patients, the latter had higher levels of high-sensitivity C-reactive protein (hs-CRP) (p < 0.001), testosterone (p < 0.001), and insulin (p < 0.001), worse metabolic parameters, and higher Homeostatic Model Assessment of Insulin Resistance (HoMA-IR), Visceral Adiposity Index (VAI), and Fatty liver Index (FLI) (p < 0.001). Furthermore, PCOS MUO patients had lower adherence to the MD (p < 0.001) in spite of the same total energy intake (p = 0.102) as compared to PCOS MHO. The presence of MUO was associated with highest hs-CRP levels (OR = 1.49, p < 0.001), more severe hyperandrogenism and cardio-metabolic indices (p < 0.001). On the contrary, being PCOS MUO was associated with lower adherence to the MD (OR = 0.28, p < 0.001), and smaller PhAs (OR = 0.04, p < 0.001). Using a regression linear analysis model PREDIMED score entered at the first step (p < 0.001), followed by VAI (p < 0.001), and FLI (p = 0.032) in this analysis. At ROC analysis, a PREDIMED score of ≤4 (p < 0.001, AUC 0.926) could serve as a threshold for a significantly increased risk of presence the MUO-PCOS phenotype. To the best of our knowledge, this is the first study that characterized MHO and MUO-PCOS women on the basis of their adherence to the MD, body composition, and cardio-metabolic indices, providing evidence of the usefulness of adjunctive diagnostic parameters to better differentiate the MHO/MHO phenotypes in this cohort of PCOS patients with obesity.  相似文献   

20.
目的探讨部队官兵BMI异常状况以及官兵慢性疾病风险状况调查分析。方法采用问卷调查法和生化检验,收集相应体系部队官兵生活调查问卷和生化检测数据,通过Excel 2007和SPSS 17.0软件进行统计分析。结果官兵人群中BMI异常人群相对较高,且BMI异常官兵人群相较正常人群日常运动量明显偏少(P<0.05);血液生化检测显示官兵肾功能异常人群较多,占总人群23.49%,其中该类人群主要为高尿酸血症人群;生化指标分析显示BMI异常提示官兵患高脂血症风险增加(P<0.05);尿液分析检测显示官兵人群军事训练诱发蛋白尿人群显著增多(P<0.05),但是BMI异常为运动性蛋白尿非危险因素指标(P>0.05)。结论部队应加强官兵健康管理,积极干预导致官兵BMI异常的后天因素有效预防和降低官兵高脂血症、高尿酸血症、运动性肾损伤等慢性病发生风险,积极促进官兵整体健康水平。  相似文献   

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