【摘要】 目的了解河北省成年居民超重肥胖现状及相关因素。方法采用多阶段随机抽样,通过问卷、体格测量的方法,调查分析河北20个区(县)4 192名成人超重肥胖现状及相关因素。结果总体超重率为35.23%,肥胖率为16.34%,向心性肥胖率52.67%,均显著高于全国平均水平。中年男性、中老年女性是超重肥胖防治的重点人群。超重率、肥胖率随年龄的增长而升高,尤其是女性;无论男性女性,超重、肥胖和向心性肥胖组人群每周参加锻炼率均高于正常组,并且男性组高于女性组,男性组为27.79%,女性组为24.22%(P<0.01);参加中轻度和剧烈运动人群中的男性,超重率和向心性肥胖率都随锻炼次数增加而上升,而女性只是在参加中轻度运动人群中呈现此规律;在超重、向心性肥胖人群中,超重率与向心性肥胖率随着每天静坐时间的增加而上升;在超重人群中,选择骑自行车作为交通工具的人群超重率最低,而基本在家的人超重率最高。结论河北省成人超重率和肥胖率处于全国较高水平,而主动参加锻炼的人为数不多。在运动方式上,骑自行车是一种简单有效的锻炼身体好方式,能减轻体重,增进健康,适合大多数人采用。应加强对成年人群的健康教育,普及体育减肥健身知识,让人们在日常生活中应尽量避免静态的生活方式。更多还原

【Abstract】 Objective To understand the epidemiology of overweight and obesity and the related risk factors among adult residents in Hebei Province.MethodsA total of 4,192 adults from 20 districts in Hebei Province were selected by multistage stratified random sampling method,and the questionnaire survey and body weight and height measurement were conducted among them for understanding the epidemiology on the related factors of overweight and obesity.Results The total rates of overweight,obesity and central obesity were 35.23%,16.34% and 52.67% respectively.These results in Hebei Province were significantly higher than the average level in China.Middle-aged men and middle-aged and elderly women were the key taregt population of overweight and obesity prevention and control.The rates of overweight and central obesity were highly associated with ageing,particularly among the females.Whether the gender,the rate of physical exercise per week among the overweight and obesity adults was increased,in addition,the males(27.79%) were higher than the females(24.22%)(P<0.01).Both the moderate exercised males and females had slightly higher rates of overweight and central obesity,but only in males the rates were higher with the more strenucous exercises.Similarly,the rates of overweight and central obesity were higher with sitting silently lifestyle among them.The rate of overweight was the lowest than other groups in the people who riding bicycle as the means of transportation, but the rate was the highest in people who often stay at home.Conclusion The rates of overweight and obesity in Hebei Province are higher than the average level in China,and a few people do exercises on their own initiative.As a simple and effective exercise way,bicycle riding not only reduces excessive weight but also build up health,and is suitable for the majority of the people.It is necessary to develop health education for popularizing the knowledge of slimming and bodybuilding physical exercises,and avoiding static lifestyle in everyday life among adult residents.更多还原