【摘要】 目的了解郑州市18岁以上成年人超重和肥胖流行现状及影响因素,为制定相关防制策略提供依据。方法本研究数据来源于2018年郑州市成人慢性病与危险因素监测。采用多阶段分层整群随机抽样方法,抽取郑州市18岁以上常住居民为调查对象,并进行问卷调查和体格检查。问卷调查包括基本信息和行为危险因素;体格检查包括身高和体重的测量等。使用SAS 9.1软件对调查结果进行统计分析。结果共收回有效问卷6399例,有效回收率为99.87%。调查对象超重/肥胖率为55.81%。多因素Logistic回归分析结果显示:男性(OR=1.766,95%CI:1.529～2.040)、年龄在30～44岁(OR=1.794,95%CI:1.456～2.211)、年龄在45～59岁(OR=2.090,95%CI:1.693～2.580)、年龄≥60岁(OR=1.908,95%CI:1.520～2.394)、已婚/同居(OR=2.076,95%CI:1.642～2.624)、离异/丧偶/分居(OR=1.794,95%CI:1.226～2.626)、每天吸烟(OR=1.310,95%CI:1.079～1.590)、饮酒(OR=1.471,95%CI:1.275～1.698)是郑州市居民超重/肥胖的危险因素,文化程度为高中/中专(OR=0.807,95%CI:0.695～0.937)、文化程度在大专及以上(OR=0.629,95%CI:0.531～0.746)是保护因素。结论郑州市成年人超重/肥胖广泛流行,性别、年龄、文化程度、婚姻状况、吸烟和饮酒情况是该地区超重/肥胖的主要影响因素。更多还原

【Abstract】 Objective To explore the distribution characteristics of overweight/obesity and its influencing factors among adults aged over 18-years old in Zhengzhou City,and provide evidence for the prevention and control of overweight and obesity.Methods Local adult residents aged over 18-years old were selected by using multi-stage stratified cluster random sampling method.Physical examination,questionnaire survey and laboratory test were carried out. Results The prevalence of overweight/obesity in the population was 55.81%.The results of Logistic regression showed that the risk factors of overweight/obesity included male(OR=1.766,95% CI:1.529-2.040),aged from 30 to 44(OR=1.794,95% CI:1.456-2.211),aged from 45 to 59(OR=2.090,95% CI:1.693-2.580),aged 60 years or older(OR=1.908,95% CI:1.520-2.394),with marital status of married or cohabitation(OR=2.076,95% CI:1.642-2.624),divorced or widowed or separated(OR=1.794,95% CI:1.226-2.626),smoking every day(OR=1.310,95% CI:1.079-1.590) and alcohol drinking(OR=1.471,95% CI:1.275-1.698) were the risk factors.High school education(OR=0.807,95% CI:0.695-0.937) and college education and above(OR=0.629,95% CI:0.531-0.746) were the protective factors.Conclusion The prevalence of overweight and obesity were widespread among the adults in Zhengzhou and its main risk factors were sex,age,education,marital status,smoking and alcohol drinking.更多还原