2018年深圳市成人肥胖和向心性肥胖现状及影响因素

  目的  了解深圳市成年居民肥胖和向心性肥胖现状及其影响因素。  方法  于2018年在深圳市对常住居民开展慢性病及其危险因素调查，采用多阶段分层随机抽样抽取10 046名常住深圳市成年居民作为调查对象，分析肥胖与向心性肥胖的流行病学特征及影响因素。  结果  调查人群的肥胖率和向心性肥胖率分别为8.65%、38.04%，性别、年龄和吸烟均是影响肥胖率和向心性肥胖的主要因素(均有P＜0.05)，男性、中老年人和吸烟是肥胖和向心性肥胖的危险因素(OR=1.411, 95% CI: 1.115~1.725, P=0.001; OR=1.155, 95% CI: 1.010~1.321, P=0.036)，中强度职业性体力活动是向心性肥胖的保护因素(OR=0.856, 95% CI: 0.775~0.946, P=0.002)。  结论  虽然深圳市成年居民肥胖、向心性肥胖率略有降低，但仍有改善空间，相关部门应针对性的采取干预措施预防肥胖，尤其是向心性肥胖。

Prevalence and influencing factors of obesity and abdominal obesity among adults in Shenzhen in 2018

  Objective  To examine the prevalence and impact factors of obesity and central obesity among adult residents in Shenzhen City.  Methods  In 2018, a total of 10 046 permanent adult residents in Shenzhen were selected by multi-stage stratified random sampling to investigate chronic diseases and their risk factors. And analyze the epidemiological characteristics and influencing factors of obesity and centripetal obesity were analyzed.  Results  Of all the residents, 8.65% and 38.04% were indentified with obesity and central obesity, respectively. Gender, age and smoking were significantly associated with the prevalence of obesity and central obesity (all P < 0.05). Male gender, middle age and smoking were risk factors for obesity and central obesity (OR=1.411, 95% CI: 1.115-1.725, P=0.001; OR=1.155, 95% CI: 1.010-1.321, P=0.036), while moderate work physical activity was a protective factor against central obesity (OR=0.856, 95% CI: 0.775-0.946, P=0.002).  Conclusion  Although the rate of obesity and central obesity slightly decrease among adult in Shenzhen, targeted preventive measures should be encouraged, especially for central obesity.