【摘要】 目的了解新疆图木舒克市居民中心性肥胖的流行特征及其危险因素,为当地政府采取相应的干预措施及政策制定提供参考依据。方法采用多阶段分层整群随机抽样的方法,分别于2014、2016年共有效抽取大于或等于18岁常住居民1 271人作为调查对象,调查内容包括性别、年龄、婚姻、职业、民族、保险种类及高血压、糖尿病等慢性病的患病情况等,人体学指标测量包括腰围、身高、体重等。并对中心性肥胖相关影响因素采用多因素非条件logistic回归统计分析,分别计算比值比(OR)值及其95%可信区间(95%CI)。结果图木舒克市成年居民中,中心性肥胖人数共934人,中心性肥胖率为73.49%,男性的中心性肥胖率为67.85%,低于女性(79.39%)(χ~2=390.90,P<0.001)。男、女性腰围和中心性肥胖均随体重指数(BMI)升高而升高,呈线性趋势(F=287.32,P<0.001)。吸烟人群的中心性肥胖检出率为(68.47%),低于不吸烟人群(75.00%)(P<0.05);患糖尿病人群的中心性肥胖检出率为(88.89%),高于未患糖尿病人群的(73.04%)(P<0.05);患高血压人群的中心性肥胖检出率为(84.00%),高于未患高血压人群的(70.91%)(P<0.05);患血脂异常人群的中心性肥胖检出率为(96.15%),高于未患血脂异常人群的(72.52%)(P<0.05)。多因素logistic回归结果显示,年龄(OR=2.125,95%CI 1.52～2.968)、血脂异常(OR=6.583,95%CI 1.475～29.381)、高血压(OR=2.153,95%CI 1.445～3.209)、吸烟(OR=1.486,95%CI 1.054～2.094)、性别(OR=1.895,95%CI 1.389～2.586)为中心性肥胖的危险因素。结论图木舒克市居民中心性肥胖检出率较高,中心性肥胖率高于全国平均水平,男、女性腰围均值已接近或超过中心性肥胖切点水平,应积极开展防控措施,降低居民肥胖率,进而减少相关慢性病的发生。更多还原

【Abstract】 Objective To investigate the epidemiological characteristics and risk factors of central obesity in Tumushuke city,Xinjiang province,and provide reference basis for local government to take corresponding intervention measures and make policy.Methods A multistage stratified cluster random sampling method was used.A total of 1 271 permanent residents aged 18 and over were effectively selected as the subjects for the survey in 2014 and 2016.The survey included gender,age,marriage,occupation,ethnicity,type of insurance and the prevalence of chronic diseases such as hypertension and diabetes.Anthropometrics included waist circumference,height,and weight,etc.Multivariate logistic regression was used to analyze the influencing factors of central obesity,and the OR value and its 95%CI were calculated respectively.Results Among the adult residents of Tumushuke,934 of them were central obese,the central obesity rate was 73.49%.And the central obesity rate of males was 67.85%,lower than that of females(79.39%)（χ~2=390.90,P<0.001）.Waist circumference and central obesity of male and female increased with the increase of Body mass index(BMI),showing a linear trend(F=287.32,P<0.001).The detection rate of central obesity in smokers was 68.47%,which was lower than that in non-smokers(75.00%,P<0.05).The detection rate of central obesity in diabetic was 88.89%,lower than that in non-diabetes group(73.04%)(P<0.05).The detection rate of central obesity in hypertensive patients was 84.00%,higher than that in non-hypertensive patients(70.91%,P<0.05).The detection rate of central obesity in people with dyslipidemia was 96.15%,higher than that in people without dyslipidemia(72.52%)(P <0.05).Multivariate logistic regression results showed that age(OR=2.125,95%CI 1.52-2.968),dyslipidemia(OR=6.583,95%CI 1.475-29.381),hypertension(OR=2.153,95%CI 1.445-3.209),smoking(OR=1.486,95%CI 1.054-2.094),gender(OR=1.895,95%CI1.389-2.586)were risk factors for central obesity.Conclusion Tumushuke city residents have a high detection rate of central obesity.The rate of central obesity is higher than the national average,the mean waist circumference of male and female is close to or above the cut-off point level of central obesity.Therefore,we should actively carry out prevention and control measures to reduce the obesity rate of residents,and then reduce the incidence of related chronic diseases.更多还原