中国九省区1993—2006年成年人腰围分布的变化及中心性肥胖流行趋势分析

王惠君; 王志宏; 于文涛; 张兵; 翟凤英

Abstract

王惠君,王志宏,于文涛,张兵,翟凤英.中国九省区1993—2006年成年人腰围分布的变化及中心性肥胖流行趋势分析[J].Chinese journal of Epidemiology,2008,29(10):953-958

中国九省区1993—2006年成年人腰围分布的变化及中心性肥胖流行趋势分析

Changes of waist circumferenee distribution and the prevalence of abdominal adiposity among Chinese adults from 1993 to 2006

Received:July 07, 2008

DOI：

KeyWord: 腰围中心性肥胖成年人

English Key Word: Waist circumference Abdominal adiposity Adults

FundProject:中国疾病预防控制中心和美国北卡罗莱纳大学人口中心合作项目“中国健康与营养诃查”

Author Name	Affiliation
WANG Hui-jun	Institute of Nutrition and Food Hygiene, Chinese Center for Disease Control and Prevention, Beijing l00050, China
WANG Zhi-hong	Institute of Nutrition and Food Hygiene, Chinese Center for Disease Control and Prevention, Beijing l00050, China
YU Wen-tao	Institute of Nutrition and Food Hygiene, Chinese Center for Disease Control and Prevention, Beijing l00050, China
ZHANG Bing	Institute of Nutrition and Food Hygiene, Chinese Center for Disease Control and Prevention, Beijing l00050, China
ZHAI Feng-ying	Institute of Nutrition and Food Hygiene, Chinese Center for Disease Control and Prevention, Beijing l00050, China

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Abstract:

目的分析1993—2006年中国9省区20--65岁的成年居民腰围分布的变化及中心性肥胖的流行趋势。方法以1993、1997、2000、2004和2006年“中国健康与营养调查”资料中20～65岁健康成年人作为研究对象，应用Stats软件分析成年人腰围分布的变化，并使用LMS方法分别拟合男性和女性各调查年份P15、P50和P85百分位数曲线；以2002年由卫生部疾病控制司颁布实施的《中国成年人超重和肥胖症预防控制指南》中男性腰围≥85 cm、女性腰围≥80 cm作为判断成年人中心性肥胖的标准一，应用SAS软件分析成年人腰围分布和中心性肥胖率的城乡差别及腰围与BMI的相关性。结果1993—2006年中国20--65岁成年男性腰围均值从77．1 cm增加至82．9 eiTl，中心性肥胖率从17．9％增加至42．5％，平均增长速度为1．9％；女性腰围均值从75．8 cm增加至78．9哪，中心性肥胖率从28．8％增加至46．9％，平均增长速度为1．4％。男性和40岁以上农村女性是腰围和中心性肥胖率增长最快的人群。由于农村女性腰围和中心性肥胖率的增长均高于城市女性，到2006年女性腰围和中心性肥胖率的城乡差异消失。BMI处于正常范围的成年人中心性肥胖率呈现增加的趋势，2006年BMI正常的男性中有21，6％、女性中有27．4％处于中心性肥胖状态。结论1993—2006年中国20～65岁成年居民腰围呈现逐年增大的趋势；随着腰围的增大，中心性肥胖率也呈现逐年增加，男性腰围及中心性肥胖率的增长幅度高于女性；只有控制成年人腰围和中心性肥胖率过快增长，才能有效地控制与肥胖相关的慢性非传染性疾病患病率的增加。

English Abstract:

Objective To describe the changes of waist circumference distribution and the prevalence of abdominal adiposity on Chinese adults aged 20-65,from 1993 to 2006.Methods This paper was based on the data collected in the China Health and Nutrition Survey in 1993,1997,2000,2004 and 2006,and the subjects were men and women from 20 to 65 years old.Using the LMS method to construct the 15".50".and 85"percentile waist circumference percentile curves.The recommended cut-off points for abdominal adiposity were 85 cm and above for males and 80 cm and above for females.suggested in the"Guidelines for Overweight and Obesity Prevention and Control for Chinese Adults"in defining abdominal adiposity.Resuits Compared with 1993,the 2006 waist circumference distribution curves flattened and expanded at higher levels in males and females.The waist circumference increased from 77.1 cm to 82.9 cm among males and from 75.8 cm to 78.9 cm among females.A gradient of increasing prevalence of abdominal obesity was also observed in both sexes.In males,the prevalence increased from 17.9%to 42.5%while in females.it increased from 28.8%to 46.9%.Similar trends of increasing waist circumference and abdominal obesity were observed in underweight,normal weight,overweight and obesity.Subjects defined by body mass index(BMI)suggesting that primary prevention of abdominal obesity should be viewed as one of the major public health problems in China.Conclusion This study indicated that the rapid increase in waist circumference among Chinese adults from 1993 to 2006.A gradient of increasing prevalence of abdominal obesity was also observed in males and females.unless measures are taken to slow the increase in the course of the abdominal adiposity epidemic.the burden of obesity assoeiated morbidity and mortality in the Chinese can be expected to increese in future years.

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