平湖市成人超重肥胖现状及与糖尿病、高血压、血脂异常的关系

目的 了解平湖市成年人超重、肥胖的现状及其与糖尿病、高血压、血脂异常的关系。方法 采用多阶段随机抽样法,对平湖市辖区内 ≥ 18周岁的本地户籍居民3 106人进行问卷调查,同时对其血糖、血脂、血压及身高、体重等指标进行检测。结果 平湖市 ≥ 18周岁居民的超重率为31.6%,标化率为29.5%;肥胖率为8.1%,标化率为7.8%,50~59岁年龄段人群的超重率、肥胖率最高。不同年龄、文化程度的人群超重率差异均有统计学意义(P<0.05)。超重、肥胖人群的糖尿病、高血压、血脂异常患病率均高于正常体重人群(P<0.01),体质指数(BMI)是糖尿病、高血压、高脂血症的危险因素,OR值分别为1.508、2.127、1.571。结论 平湖市 ≥ 18周岁居民的超重、肥胖情况严重,超重、肥胖与慢性疾病关系密切,对超重、肥胖人群开展切实有效的健康干预十分必要。

Analysis on prevalence of overweight and obesity and their relation with diabetes,hypertension, dyslipidemia among adults in Pinghu City

Objective To estimate the prevalence of overweight and obesity, and their relationship between overweight, obesity and chronic diseases among adults in Pinghu City.Methods A total of 3 106 local registered permanent residents aged above 18 years were selected by multi-stage random sampling and questionnaire surveys were conducted. The blood glucose, blood lipid, blood pressure, height and weight of the participants were tested.Results The prevalence rate of overweight was 31.6% (the standardized rate was 29.5%) and the prevalence rate of obesity was 8.1% (the standardized rate is 7.8%) in residents aged above 18 years in Pinghu City. The prevalence rate of overweight and obesity was highest among population aged from 50 to 59 years. The prevalence rates of overweight of the population in different ages and with different education backgrounds had significant differences(P<0.05). The prevalence rates of diabetes, hypertension and dyslipidemia among overweight and obese population were higher than those with normal weight (P< 0.01). BMI was the risk factor of hypertension, diabetes mellitus and dyslipidemia, and the OR value was 1.508, 2.127 and 1.571, respectively.Conclusion The prevalence of overweight and obesity in Pinghu City is serious and has close relation with chronic diseases. Prevention and intervention measures are necessary for the overweight and obesity population.