| 邓茜,姜勇,王丽敏.中国成年人体重指数与生命质量的关系研究[J].中华流行病学杂志,2014,35(5):557-561 |
| 中国成年人体重指数与生命质量的关系研究 |
| Association between body mass index and quality of life in Chinese adults |
| 收稿日期:2013-11-21 出版日期:2014-09-17 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.05.019 |
| 中文关键词: 体重指数 生命质量 性别 |
| 英文关键词: Body mass index Quality of life Gender |
| 基金项目:国家重大公共卫生项目 |
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| 中文摘要: |
| 目的 探讨中国成年人BMI与生命质量的关系。方法 纳入2010年中国慢性病及其危险因素监测的所有调查对象共83 347名。应用问卷收集调查对象的年龄、性别、相关疾病患病情况等信息。并使用WHO生存质量测定简表（QOL-BREF）测定其生命质量。测量体重和身高，计算BMI。采用秩和检验比较不同BMI分组的人群生命质量的差异；用多元logistic回归模型检验不同性别人群BMI与生命质量的关系。结果 83 347名调查对象中，与体重正常组相比，体重过轻、超重和肥胖组的生理维度得分均较低；超重组的心理和环境维度的得分高于其他3组；社会关系维度的得分以肥胖组最高，体重过轻组得分最低，差异均有统计学意义（P<0.000 1）。体重过轻男性的生理（OR＝1.38，95%CI：1.12～1.70）、心理（OR＝1.29，95%CI：1.08～1.54）、社会关系（OR＝1.26，95%CI：1.08～1.47）和环境（OR＝1.37，95%CI：1.12～1.67）4个维度的生命质量受损的危险度明显增加。超重和肥胖组男性的生理（OR＝0.88，95%CI：0.82～0.94；OR＝0.90，95%CI：0.82～0.98）、心理（OR＝0.88，95%CI：0.83～0.94；OR＝0.83，95%CI：0.77～0.90）、社会关系（OR＝0.89，95% CI：0.84～0.94；OR＝0.78，95% CI：0.71～0.85）和环境（OR＝0.85，95% CI：0.80～0.92；OR＝0.79，95%CI：0.73～0.86）维度的生命质量受损的危险度降低。超重组女性的社会关系（OR＝0.92，95%CI：0.85～0.98）和环境维度（OR＝0.91，95%CI：0.80～0.92）的生命质量受损的危险度显著降低。而肥胖女性社会关系维度的危险度也显著降低（OR＝0.86，95%CI：0.78～0.95）。结论 BMI分组不同的人群各个维度的生命质量不同，男性体重过轻组4个维度的生命质量均较差，男性超重和肥胖组各个维度生命质量均较好，女性超重组的社会关系和环境维度生命质量较好，女性肥胖组社会关系维度生命质量较好。 |
| 英文摘要: |
| Objective To assess the relationship between body mass index and quality of life（QOL）in Chinese adults. Methods 83 347 subjects from database of 2010 Chronic Non-communicable Disease and Risk Factor Surveillance in China were included in this study. Questionnaire was used to collect general information and health status. WHO QOL-BREF was adopted as an instrument to measure the quality of life among all the subjects. Weight and height of each subject were measured，and then body mass index（BMI）was calculated. Kruskal-Wallis test was used to compare QOL from different BMI classifications. Multiple logistic regression analysis was used to assess the association of QOL with BMI in different sex. Results Among 83 347 subjects，when compared with normal weight adults，their QOL scores were relatively low for those underweight，overweight and obese adults. Scores of psychological and environment domains in the overweight adult groups were higher than other groups. The highest score of social relationship domain was for obese group and the lowest score was seen in the underweight group. Differences on the above said groups were significant（P<0.000 1）. When compared to normal weight adults，after adjusting for other factors，OR impaired QOLs in physical（OR＝1.38，95% CI：1.12-1.70）， mental（OR＝1.29，95% CI：1.08-1.54），social relationship and（OR＝1.26，95% CI：1.08-1.47）and environment domains（OR＝1.37，95% CI：1.12-1.67）all increased among men in the underweight group. However，ORs of impaired QOL in physica（lOR＝0.88，95%CI：0.82-0.94；OR＝0.90，95%CI：0.82-0.98），psychological （OR＝0.88，95% CI：0.83-0.94；OR＝0.83，95% CI：0.77-0.90），social relationship（OR＝0.89，95%CI：0.84-0.94；OR＝0.78，95%CI：0.71-0.85）and environment domains（OR＝0.85，95%CI：0.80-0.92；OR＝0.79，95%CI：0.73-0.86）decreased among both overweight and obese men，respectively. For women，ORs of impaired QOL in social relationship（OR＝0.92，95%CI： 0.85-0.98）and environment domains（OR＝0.91，95%CI：0.80-0.92）both decreased in the overweight group. And the ORs decreased also in impaired QOL in social relationship domain（OR＝0.86，95%CI： 0.78-0.95）for obese women. Conclusion QOLs of the four domains were different for adults with different BMl classification． Underweight men showed poor QOL on these four domains while overweight and obese men had better QOLs. For women，overweight group had better QOLs in both relationship and environment domains but obese women had better relationship QOL. |
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