延安市宝塔区成年居民肥胖流行特征及其影响因素分析
Analysis of the Prevalence Characteristics of Obesity and Its Influencing Factors among Adult Residents in Baota District, Yan’an City
DOI: 10.12677/ACM.2023.1381752, PDF,    科研立项经费支持
作者: 李芝乐, 方 敏, 王佳佳, 闫保娥, 朱敏杰：延安大学医学院，陕西 延安；周 静*：延安大学附属医院心血管内科，陕西 延安
关键词: 肥胖；体脂百分比；影响因素；Obesity； Body Fat Percentage； Influencing Factors
摘要: 目的：探究延安市宝塔区18岁以上成年人肥胖流行特征及相关因素，为合理干预成人肥胖提供科学指导。方法：于2021年6月至12月采用简单随机抽样，抽取延安市宝塔区柳林及万花两个乡镇18岁以上常住居民为调查对象，并进行问卷调查和体成分的测量。应用SPSS 26.0软件进行χ2检验和多因素logistic回归分析。结果：共收回有效问卷542例，有效回收率为98.01%；调查对象肥胖率为62.92%，内脏脂肪型腹部肥胖率为58.49%。多因素logistic回归分析结果显示：男性(OR = 0.458, 95% CI: 0.236~0.889)是延安市成年居民肥胖的保护因素，有高血压(OR = 2.128, 95% CI: 1.397~3.329)、文化程度是小学(OR = 1.692, 95% CI: 1.087~2.636)是危险因素。同样，男性(OR = 0.351, 95% CI: 0.180~0.683)是当地居民内脏脂肪型腹部肥胖的保护因素，而年龄在60~88岁(OR = 1.776, 95% CI: 1.146~2.752)、有高血压(OR = 2.835, 95% CI: 1.837~4.376)、每天摄入蛋类(OR = 1.628, 95% CI: 1.021~2.596)是危险因素。结论：延安市宝塔区成年居民肥胖率及内脏脂肪型腹部肥胖率较高，需要当地加大健康知识宣教力度，倡导居民养成健康的生活方式，控制肥胖率的上升。
Abstract: Objective: To investigate the prevalence characteristics of obesity and related factors in adults over 18 years old in Baota District, Yan’an City, and to provide scientific guidance for reasonable inter-vention in adult obesity. Methods: From June to December 2021, simple random sampling was used to select permanent residents aged 18 years or older in two townships, Liulin and Wanhua, Baota District, Yan’an City, and questionnaires and measurements of body composition were conducted. The χ2 test and multi-factor logistic regression analysis were performed with SPSS 26.0 software. Results: A total of 542 cases of valid questionnaires were collected, with a valid recovery rate of 98.01%; the obesity rate of the survey subjects was 62.92%, and the rate of visceral fat type ab-dominal obesity was 58.49%. The results of multi-factor logistic regression analysis showed that: male (OR = 0.458, 95% CI: 0.236~0.889) was the protective factor for obesity among adult residents in Yan’an, having hypertension (OR = 2.128, 95% CI: 1.397~3.329), having elementary school edu-cation (OR = 1.692, 95% CI: 1.087~2.636) were risk factors. Similarly, being male (OR = 0.351, 95% CI: 0.180 to 0.683) was a protective factor for visceral fat type abdominal obesity in the local popu-lation, while being aged 60 to 88 years (OR = 1.776, 95% CI: 1.146 to 2.752), having hypertension (OR = 2.835, 95% CI: 1.837 to 4.376), having daily intake of eggs (OR = 1.628, 95% CI: 1.021~2.596) were risk factors. Conclusion: The obesity rate and visceral fat type abdominal obesity rate of adult residents in local areas of Yan’an City are high, and it is necessary to increase local health knowledge education and advocate residents to develop a healthy lifestyle to control the rise of obesity rate.
文章引用：李芝乐, 方敏, 王佳佳, 闫保娥, 朱敏杰, 周静. 延安市宝塔区成年居民肥胖流行特征及其影响因素分析[J]. 临床医学进展, 2023, 13(8): 12497-12505. https://doi.org/10.12677/ACM.2023.1381752

参考文献

[1] Satia, J.A. (2010) Dietary Acculturation and the Nutrition Transition: An Overview. Applied Physiology, Nutrition, and Metabolism, 35, 219-223. [Google Scholar] [CrossRef] 
[2] 向芳. 肥胖的营养性影响因素及营养干预研究进展[J]. 食品工程, 2020(1): 1-4+11.
[3] 黄艺文, 闫银坤, 侯冬青, 等. 北京6~16岁儿童膳食摄入状况及与身体脂肪的关联研究[J]. 中国儿童保健杂志, 2021, 29(12): 1281-1285.
[4] 吐尔逊阿依∙阿不都米吉提, 黄李春, 苏丹婷, 等. 浙江省成年女性膳食模式与肥胖的关联[J]. 卫生研究, 2022, 51(5): 733-739.
[5] 李怡璇, 刘洋, 闻德亮. 肥胖相关代谢性炎症研究进展[J]. 现代预防医学, 2022, 49(17): 3246-3251.
[6] 中国营养学会肥胖防控分会, 中国营养学会临床营养分会, 中华预防医学会行为健康分会, 等. 中国居民肥胖防治专家共识[J]. 西安交通大学学报(医学版), 2022, 43(4): 619-631.
[7] Hung, S.P., Chen, C.Y., Guo, F.R., Chang, C.I. and Jan, C.F. (2017) Combine Body Mass Index and Body Fat Percentage Measures to Improve the Accuracy of Obesity Screening in Young Adults. Obesity Research & Clinical Practice, 11, 11-18. [Google Scholar] [CrossRef] [PubMed]
[8] 张艳. 太原市8~11岁儿童体成分与血清尿酸的相关性分析[J]. 中国儿童保健杂志, 2022, 30(9): 1005-1009, 1040.
[9] 傅宁, 邓燕妮, 施俊. 关于体脂百分比、腰臀比、体重指数诊断肥胖的研究[J]. 中国疗养医学, 2011, 20(9): 779-780.
[10] 中国肥胖问题工作组数据汇总分析协作组. 我国成人体重指数和腰围对相关疾病危险因素异常的预测价值: 适宜体重指数和腰围切点的研究[J]. 中华流行病学杂志, 2002, 23(1): 5-10.
[11] Sellen, D. (1998) Physical Status: The Use and Interpretation of Anthropometry: Report of a WHO Expert Committee. World Health Or-ganization, Geneva.
[12] 张强, 周绍酉, 闫雪皎, 等. 体质指数和体脂肪率评价成年人肥胖的比较[J]. 卫生研究, 2019, 48(4): 573-576.
[13] 邵宇涵. 青岛市65岁以上老年人肥胖分布情况[J]. 中国公共卫生管理, 2018, 34(2): 253-255.
[14] 卢露, 景翔, 王亚丽, 等. 山东省≥60岁老年人超重、肥胖和腹型肥胖流行现状及其影响因素分析[J]. 中国公共卫生, 2020, 36(4): 566-569.
[15] 金璐, 邵姜超, 刘文昊, 等. 烟台市成年居民肥胖流行现状及影响因素分析[J]. 中国卫生统计, 2022, 39(4): 607-609.
[16] 刘鑫, 张兴华, 宇克莉, 等. 中国藏缅语族未识别民族的超重与肥胖[J]. 解剖学报, 2022, 53(5): 657-662.
[17] 赵园园, 张华, 孙晓晖, 等. 2020年青岛市成年人中心性肥胖患病情况及影响因素分析[J]. 中国慢性病预防与控制, 2022, 30(12): 951-953.
[18] Liu, R., Zhao, Y., Li, Q., Dang, S.N. and Yan, H. (2020) Body Fat Mass, Fat Distribution and Egg Consumption: A Population-Based Study in Chinese Adults. Journal of the American College of Nutrition, 39, 528-536. [Google Scholar] [CrossRef] [PubMed]
[19] 张志坤, 刘丹, 符金鹏, 等. 唐山市45~64岁城乡居民超重肥胖流行[J]. 中国公共卫生, 2013, 29(6): 805-808.
[20] Tchernof, A. and Després, J. (2013) Pathophysiology of Human Visceral Obesity: An Update. Physiological Reviews, 93, 359-404. [Google Scholar] [CrossRef] [PubMed]

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