重庆市社区居民超重肥胖及其与慢性病的关系

目的了解重庆市居民超重与肥胖现状及其相关疾病的发病情况。方法采用分层整群抽样方法,对重庆市沙坪坝区人群进行问卷调查,获得居民个人基本情况,体检获取身高、体质指数（BMI）等数据。结果共收集有效问卷59 264份。样本人群BMI均值为（21.82±2.80）kg/m2,超重和肥胖的患病率分别为14.30%和1.83%;女性超重和肥胖（14.83%和2.07%）比例高于男性（13.70%和1.57%）,差异均有统计学意义（P〈0.05）;18~岁年龄组超重和肥胖率最低,随着年龄的增长,超重和肥胖率都呈上升趋势;65~岁组超重、肥胖率均最高（24.62%和3.48%）,随体质指数的增加,高血压、糖尿病、脑卒中、高脂血症的患病率均呈上升趋势（P〈0.05）。结论被调查人群中超重、肥胖及其相关疾病患病率较高,应尽早采取预防控制措施,对居民进行防治知识的宣传教育。

Study on overweight,obesity and chronic diseases among residents in Chongqing City

Objective To investigate the epidemiological characteristics of overweight and obesity,as well as to evalute their relationship with chronic diseases.Methods A stratified multi-stage cluster sampling method was used for the investigation in Chongqin city.Background information was collected by face-to-face interview.Data of weight and height were obtained through physical exam.Results 59 264 respondents were valid for the study.The average value of BMI was（21.82±2.80） kg/m2 and the proportion of overweight and obesity were 14.30% and 1.83%,respectively.The proportion of overweight and obesity in female（14.83% and 2.07%） were significantly higher than that in male（13.70% and 1.57%）.The proportion of overweight and obesity were both the lowest among the people of age group 18～24 and increased with age for population over 24 years old.The proportion of overweight and obesity were the highest（24.62% and 3.48%） among the people of age group 65～years or over.The prevalence of hypertension,diabetes,stroke and hyperlipidemia were significant higher in the group of overweight and obesity than that in the group of normal BMI.Conclusion The prevalence of overweight and obesity were high and associated with the condition of chronic diseases in Chongqing residents,especially senior population.