【摘要】 目的了解北京市石景山区社区成人超重、肥胖与常见慢性病的关系。方法对北京市石景山区社区成人进行超重、肥胖及危险因素调查,测定血压、血糖、血脂、血尿酸水平,测量身高、体质量、腰围,分析超重、肥胖与慢性病之间的关系。结果调查对象超重和肥胖率分别为41.24%(1 588/3 851)和19.74%(760/3 851),男性为44.07%(643/1 459)和19.26%(281/1 459),女性为39.51(945/2 392)和20.03%(479/2 392);男性超重率高于女性(P<0.05)。中心性肥胖患病率47.57%(1 832/3 851),男性58.19%(849/1 459),女性41.10%(983/2 392);男性高于女性,差异有统计学意义(P<0.05)。超重、肥胖与高血压、血脂异常、血尿酸相关,随体质量指数(BMI)升高患病率增加。Logistic回归分析显示,高血压、血脂异常及血尿酸与超重、肥胖及中心性肥胖相关,高密度脂蛋白胆固醇为超重、肥胖的保护性因素。结论超重、肥胖与高血压、血脂异常、高尿酸血症及糖尿病相关。控制体质量对预防心脑血管病、糖尿病有重要意义。更多还原

【Abstract】 Objective To understand the relationship between overweight and obese with common chronic diseases in residents of Beijing Shijingshan district. Methods Overweight and obese of residents in Beijing Shijingshan district and its risk factors were surveyed; blood pressure,blood sugar,blood lipids,blood uric acid level,and height,weight,waist circumference were measured. The relationship between overweight,obese and chronic diseases was analysized. Results Overweight and obesity rates were 41.24%(1 588/3 851)and 19.74%(760/3 851)respectively,which in men were higher than those in female(44.07%(643/1 459) and 19.26%(281/1 459) vs. 39.51(945/2 392) and 20.03%(479/2 392)(P< 0.05). Central obesity prevalence was 47.57%(1 832/3 851),which in men was higher than that in female(58.19%(849/1 459) vs. 41.10%(983/2 392)(P<0.05). Overweight and obesity were associated with hypertension,dyslipidemia,blood uric acid,which prevalence increased with body mass index(BMI). Logistic regression analysis showed hypertension,dyslipidemia and blood uric acid associated with overweight,obesity and central obesity. HDL-C was protective factor for overweight and obesity. Conclusions Overweight and obesity of residents in Shijingshan district of Beijing were associated with hypertension,dyslipidemia,hyperuricemia and diabetes. Weight control has important significance to prevent cardio-cerebrovascular disease and diabetes.更多还原