| 刘少博,夏云婷,王丽敏,张梅,赵振平,徐婷玲,张笑,李纯,黄正京,李剑虹.2013年中国18岁及以上超重/肥胖人群体重测量行为分析[J].中华流行病学杂志,2019,40(11):1386-1391 |
| 2013年中国18岁及以上超重/肥胖人群体重测量行为分析 |
| Self-body weight measurement in overweight and obese adults in China, 2013 |
| 收稿日期:2019-03-07 出版日期:2019-11-26 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.11.009 |
| 中文关键词: 超重 肥胖 体重 测量 |
| 英文关键词: Overweight Obesity Body weight Measurement |
| 基金项目:国家重点研发计划（2018YFC1313904） |
| 作者 | 单位 | E-mail | | 刘少博 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心肥胖与代谢性疾病防控室, 北京 100050 | | | 夏云婷 | 中国疾病预防控制中心农村改水技术指导中心检验室, 北京 102200
中国疾病预防控制中心中国现场流行病学培训项目, 北京 100050 | | | 王丽敏 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心危险因素监测室, 北京 100050 | | | 张梅 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心危险因素监测室, 北京 100050 | | | 赵振平 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心危险因素监测室, 北京 100050 | | | 徐婷玲 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心肥胖与代谢性疾病防控室, 北京 100050 | | | 张笑 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心危险因素监测室, 北京 100050 | | | 李纯 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心危险因素监测室, 北京 100050 | | | 黄正京 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心危险因素监测室, 北京 100050 | | | 李剑虹 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心肥胖与代谢性疾病防控室, 北京 100050 | lijianhong@ncncd.chinacdc.cn |
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| 中文摘要: |
| 目的 了解2013年我国≥ 18岁超重/肥胖人群体重测量情况及其影响因素。方法 2013年在中国慢性病及其危险因素监测的302个监测点，采用多阶段分层整群随机抽样方法调查≥ 18岁常住居民共计177 099名，选取87 670名超重/肥胖者作为研究对象。问卷调查获取人口学特征、体重测量情况、主要慢性病患病情况等信息；通过身体测量获取个体的身高、体重、腰围和血压；采集调查对象空腹静脉血，检测FPG、TC、TG、LDL-C和HDL-C，采集服75 g无水葡萄糖后静脉血检测服糖后2 h血糖。经复杂加权后分析超重/肥胖者体重测量情况及其影响因素。结果 我国超重/肥胖成年人在1周内、1个月内、1年内测量过体重的比例分别为18.9%、23.0%和30.2%。1周内的体重测量率男性高于女性，60~岁组最低（P<0.05）。超重/肥胖成年人从未测量过体重的比例为20.5%，女性高于男性，60~岁组最高（P<0.05）。较高年龄（60~岁组OR=0.73，95%CI：0.64~0.82）是体重测量的危险因素；女性（OR=1.11，95%CI：1.03~1.19）、较高文化程度（大专及以上OR=3.79，95%CI：2.89~4.97）、较高家庭年收入（2.1~万元OR=1.61，95%CI：1.31~1.98）、糖尿病（OR=1.15，95%CI：1.03~1.30）、血脂异常（OR=1.13，95%CI：1.04~1.23）是体重测量的保护因素。结论 我国超重/肥胖成年人自主体重测量行为有待提高，应对不同特征人群开展针对性健康教育，促进重点人群规律监测体重、维持健康体重。 |
| 英文摘要: |
| Objective To investigate the status of self-measurement of body weight in overweight and obese adults in China and identify the related factors. Methods A total of 87 670 adults were enrolled in this study, who were selected through multi stage cluster random sampling from 177 099 residents aged ≥ 18 years in 302 surveillance areas in China where the fourth chronic non-communicable disease and related factor surveillance project was conducted in 2013. The information about their demographic characteristics and body weight measurement were collected by using questionnaire. Their body height, body weight, waist circumstance and blood pressure were measured respectively through physical examination. Fasting venous blood samples were obtained and assayed for FPG, TC, TG, LDL-C and HDL-C levels. Venous blood samples after 75 g glucose intake were obtained and assayed for OGTT-2h level. The proportion of self-body weight measurement were analyzed after complex sample weighting. Results The proportion of overweight and obese adults who had self-body weight measurement within 1 week, 1 month and 1 year were 18.9%, 23.0% and 30.2%, respectively. The proportion of those having self-body weight measurement within 1 week was higher in men than in women, and lowest in ≥ 60 years old group (P<0.05). The proportion of overweight and obese adults who had never measured their body weight was 20.5%, the proportion was higher in women than in men, and highest in ≥ 60 years old group (P<0.05). Older age (OR=0.73, 95%CI:0.64-0.82) was risk factor for self-body weight measurement; female (OR=1.11, 95%CI:1.03-1.19), higher education level (junior college and above OR=3.79, 95%CI:2.89-4.97), high-income (OR=1.61, 95%CI:1.31-1.98), dyslipidemia (OR=1.13, 95%CI:1.04-1.23), diabetes (OR=1.15, 95%CI:1.03-1.30) were the protective factors for self-body weight measurement. Conclusion It is necessary to promote self-body weight measurement in overweight and obese adults in China. Targeted health education should be carried out for different groups to encourage regular self-body weight measurement to maintain healthy body weight. |
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