吉林省居民中心性肥胖及其前期流行特征的影响因素分析

刘婷; 李璐; 贾淯媛; 朱颖俐; 卢欣荣; 郭伟

Abstract

刘婷,李璐,贾淯媛,朱颖俐,卢欣荣,郭伟.吉林省居民中心性肥胖及其前期流行特征的影响因素分析[J].Chinese journal of Epidemiology,2023,44(12):1928-1935

吉林省居民中心性肥胖及其前期流行特征的影响因素分析

Analysis on epidemiological characteristics of central obesity/pre-central obesity and influencing factors in Jilin Province

Received:May 19, 2023

DOI：10.3760/cma.j.cn112338-20230519-00311

KeyWord: 中心性肥胖前期中心性肥胖流行特征影响因素

English Key Word: Pre-central obesity Central obesity Epidemiological characteristic Influencing factors

FundProject:中央财政转移支付地方重大公共卫生项目

Author Name	Affiliation	E-mail
Liu Ting	Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Li Lu	Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Jia Yuyuan	Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Zhu Yingli	Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Lu Xinrong	Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Guo Wei	Department of Chronic and Non-communicable Disease Control and Prevention, Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China	mbs@jlscdc.org.cn

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Abstract:

目的了解吉林省居民中心性肥胖及其前期的流行特征的影响因素，为制定相关预防与控制策略及措施提供参考依据。方法本研究以2017-2018年吉林省心血管病高危人群早期筛查与综合干预项目为基础，纳入吉林省6个项目点35~75岁常住居民11 903人为研究对象，进行体格检查、实验室检测和问卷调查。采用χ²检验、趋势χ²检验、F检验计算不同特征人群和健康指标的中心性肥胖及其前期情况，其影响因素采用多因素logistic回归模型分析。结果吉林省居民中心性肥胖率为33.35%（3 970/11 903），标化率为31.73%，中心性肥胖前期率为28.79%（3 427/11 903），标化率为28.86%。多因素分析结果显示，农村居民（OR=1.99，95%CI：1.78~2.23）、女性（OR=1.76，95%CI：1.57~1.97）、65~75岁组（OR=1.21，95%CI：1.03~1.45）、高中/中专文化程度（OR=1.38，95%CI：1.17~1.63）、家庭年收入>10万元（OR=1.65，95%CI：1.20~2.26）、超重（OR=9.27，95%CI：8.26~10.41）、肥胖（OR=82.82，95%CI：62.63~109.52）、正常高值血压（OR=1.49，95%CI：1.27~1.74）、高血压（OR=1.70，95%CI：1.42~2.04）、糖尿病（OR=2.30，95%CI：1.94~2.73）、血脂异常（OR=1.33，95%CI：1.18~1.50）与中心性肥胖及其前期发生风险呈正相关。结论吉林省居民中心性肥胖及其前期率均处于较高水平，农村居民、女性、年龄大、高中/中专文化程度、高收入、超重、肥胖、正常高值血压、高血压、糖尿病、血脂异常是吉林省居民中心性肥胖及其前期的危险因素。

English Abstract:

Objective To understand the epidemiological characteristics of central obesity and pre-central obesity and influencing factors in residents in Jilin Province, and provide reference for the prevention and control of central obesity and pre-central obesity. Methods Based on the results of early screening and comprehensive intervention program in high-risk groups of cardiovascular disease in Jilin dyring 2017-2018, a total of 11 903 participants aged 35-75 years in 6 project areas in Jilin were included as the survey subjects for physical examination, laboratory test and questionnaire survey. The prevalence of central obesity and pre-central obesity in populations with different characteristic and health status were analyzed by χ² test, trend χ² test, F-test. Multivariate logistic regression model was used for influencing factor analysis. Results The central obesity rate was 33.35% (3 970/11 903), the standardized rate was 31.73%, the pre-central obesity rate was 28.79% (3 427/11 903), the standardized rate was 28.86%. Multifactor analysis results showed that being rural resident (OR=1.99, 95%CI: 1.78-2.23), being woman (OR=1.76, 95%CI: 1.57-1.97), 65-75 years old (OR=1.21, 95%CI: 1.03-1.45), senior high school and technical secondary school education level (OR=1.38, 95%CI: 1.17-1.63), annual family income >100 000 yuan (OR=1.65, 95%CI: 1.20-2.26), overweight (OR=9.27, 95%CI: 8.26-10.41), obesity (OR=82.82, 95%CI: 62.63-109.52), normal high blood pressure (OR=1.49, 95%CI: 1.27-1.74), hypertension (OR=1.70, 95%CI: 1.42-2.04), diabetes (OR=2.30, 95%CI: 1.94-2.73), dyslipidemia (OR=1.33, 95%CI: 1.18-1.50) were positively related to the risk for central obesity and pre central obesity. Conclusions The prevalence rates of central obesity and pre central obesity in residents in Jilin were at high levels, being rural resident, being woman, older age, senior high school and technical secondary school education level, high income, overweight and obesity, normal high blood pressure and hypertension, diabetes, dyslipidemia were risk factors for central obesity and pre-central obesity in Jilin.

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