2001--2010年北京城市社区老年人群体重变迁及其危险因素变化的研究

王义艳; 何耀; 姜斌; 王建华; 吴蕾; 刘淼; 杨姗姗; 孙冬玲; 李小鹰

Abstract

王义艳,何耀,姜斌,王建华,吴蕾,刘淼,杨姗姗,孙冬玲,李小鹰.2001--2010年北京城市社区老年人群体重变迁及其危险因素变化的研究[J].Chinese journal of Epidemiology,2014,35(4):359-364

2001--2010年北京城市社区老年人群体重变迁及其危险因素变化的研究

Study on the secular changes of BMI,prevalence rates of overweight,obesity and related factors in an urban elderly population,Beijing from 2001 to 2010

Received:November 28, 2013

DOI：10.3760/cma.j.issn.0254-6450.2014.04.004

KeyWord: 肥胖超重体重指数老年人变化趋势

English Key Word: Obesity Overweight Body mass index Elderly Secular changes

FundProject:国家自然科学基金(81072355);北京市科技计划重大项目(D121100004912003);卫生行业基金科研专项(201002011);解放军总医院科技创新苗圃基金(13KMm²6)

Author Name	Affiliation	E-mail
Wang Yiyan	Department Epidemiology, Institute of Geriatrics Beotng Key Laboratory of Aging and Geriatrics	yhe301@sina.com
He Yao	Department Epidemiology, Institute of Geriatrics Beotng Key Laboratory of Aging and Geriatrics StateKey Laboratory of Kney Disease
Jiang Bin	Department of Chinese Traditiohal Medicine and Acupuncture
Wang Jianhua	Department Epidemiology, Institute of Geriatrics Beotng Key Laboratory of Aging and Geriatrics
WuLei	Department Epidemiology, Institute of Geriatrics Beotng Key Laboratory of Aging and Geriatrics
Liu Miao	Department Epidemiology, Institute of Geriatrics Beotng Key Laboratory of Aging and Geriatrics
Sun Donglings	Department of Geriatric Cardiology, Chinese PL4 General Hospital, Beijing 100853 China
Li Xiaoyin	Department of Geriatric Cardiology, Chinese PL4 General Hospital, Beijing 100853 China
Yang Shanshan	Department Epidemiology, Institute of Geriatrics Beotng Key Laboratory of Aging and Geriatrics Department of Disease Control, Jinan Military Area Center for Disease Control and Prention

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Abstract:

目的分析2001-2010年北京市城区老年人超重、肥胖率变化趋势及其相关危险因素的变化。方法分析数据来自课题组对北京市万寿路社区/>60岁老年人2001年(2277人)和2010年(2102人)进行的两次横断面调查。结果 2001年男女性年龄调整BMI(kg/m²)均值分别为25.3(95%C/:25.1～25.5)和25.8(95%Cl:25.5-25.9),2010年分别为25.0(95%C/:24.8～25.1)和25.0(95%C1:24.7.25.1),男女性BMI均值均呈下降趋势(P<0.05)。年龄标化后,按WHO标准,lo年间超重(BMI≥25kg/m²)率男性由48.3%下降为44.5%,女性由46.3%下降为39.9%;肥胖率(BMI≥30kg/m²)男性由5.4%下降至4.9%,女性由11.6%下降至7.3%,其中女性超重率和肥胖率下降均存在统计学意义,而男性均不显著;按中国标准,10年问超重(BMI>,24kg/m²)率男性由47.9%下降为47.2%,女性由44.9%下降为41.0%;肥胖率(BMI≥28kg/m²)男性由19.2%下降至15.5%,女性由24.2%下降为18.0%,其中男性超重率下降不显著(P>0.05),女性有统计学意义,两性别人群肥胖率下降幅度均有统计学意义,女性超重率和肥胖率的下降幅度显著大于男性。两次调查m糖、血脂、血压水平均与超重或肥胖呈正相关,多因素logistic回归分析显示,10年间人群中吸烟、饮酒、体育锻炼等生活方式的改变对体重变化有一定影响。结论 10年间研究人群的BMI及超重和肥胖现患率均呈下降;高血压、高血糖和高血脂仍是老年人超重或肥胖的重要危险因素,而其健康生活方式对降低超重和肥胖率有重要作用。

English Abstract:

Objective The aim of this study was to assess the secular changes of BMI,prevalence rates of overweight and obesity as well as related factors in an elderly population ofBeijing.during 200l and 2010.Methods A two-round population-based cross.sectional study wasconducted in an elderly population.selected from a representative urban area in Beijing in 200 l(n=2 277)and 2010(n=2 102)respectively.Results In this population.the age.adjusted meansonBMlwere 25.3(95%Cl,25.1-25.5)formen and 25.8(95%Cl,25.5-25.9)forwomenin 2001,andobesity.Conclusion The mean BMI andprevalence rates of overweight and obesity decreased in the last 10一year period.2001-2010.Hypertension,hyperglycemia and hyperlipidemia remained as risk factors of overweight and obesity.HealthY lifestyle in elderly seemed partially account for the declined BMI.

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