【作者】 卫国荣； 付朝伟； 王法弟； 王学才； 宋建根； 陈跃； 姜庆五；

【Author】 WEI Guo-rong,FU Chao-wei,WANG Fa-di,WANG Xue-cai,SONG Jian -gen~2,CHEN Yue~3,JIANG Qing-wu~1 1.Department of epidemiology,School of Public Health,Fudan University,Key Laboratory of Public Health Safety,Ministry of Education,Shanghai 200032,China; 2.Deqing Center for Disease Control and Prevenion,Huzhou 313200,China.

【机构】 复旦大学公共卫生学院流行病学教研室,教育部公共卫生安全重点实验室； 德清县疾病预防控制中心； 加拿大渥太华大学医学院；

【摘要】 目的了解当前农村社区成人居民超重与肥胖状况及其与空腹血糖异常的关系。方法采用流行病学现况研究设计,整群抽取浙江省德清县4个农村社区,面对面调查上述社区中所有15～64周岁的社区户籍居民。在Epi Data3.1中文版建立数据库,SPSS16.0中进行数据分析。结果在5 840名调查对象中,平均BMI为（22.7±11.6）kg/m²,超重率为25.1%（肥胖率为3.8%）（按照2000年全国人口进行年龄性别标化,标化的超重率为21.8%）。从年龄分布看,无论男性还是女性社区居民的超重率均表现出明显的年龄增高趋势(男:x_趋势²=5.61,P=0.018;女:x_趋势²=50.96,P<0.001;合并:x_趋势²=14.05,P<0.001)。校正了年龄、性别、吸烟、饮酒和规律体育锻炼后,在多分类Logistic回归模型中,与非超重居民相比,超重与较高的空腹血糖受损和糖尿病风险有关,其调整OR（aOR）分别为1.8（95%CI:1.34～2.37）和3.7（95%CI:2.42～5.65）,BMI每增加一个单位,空腹血糖受损和糖尿病的风险分别增加14%和24%（aOR=1.14,95%CI:1.10～1.20;aOR=1.24,95%CI:1.16～1.32）。结论农村社区成人居民超重/肥胖率较高,超重/肥胖既与糖尿病密切相关也与空腹血糖受损有关,值得进一步研究与监测。更多还原

【Abstract】 Objective To understand the prevalence of overweight and relationships with hyperglyceamia in adults in rural Deqing,China.Methods A cross-sectional study was carried out in four rural communities in Deqing County,Zhejiang Province,China.A toal of 5 840 subjects aged 18 to 64 years participated in this study.EpiData 3.1（Chinese version） was used to manage the data and SPSS 16.0 was used for statistical analysis.Results The average of BMI was（22.7±11.6） kg/m²,the crude prevalence of overweight was 25.1%（of obesity was 3.8%） and the age-gender-standardized prevalence was 21.8%,and there was a significantly higher trend with age regardless of gender(x_Trend²) =5.61,P=0.018 for men;x_Trend²=50.96,P<0.001 for women;xx_Trend²=14.05,P<0.001).Further,in multinomial logistic model,compared to subjects without overweight/obesity,those with overweight/obesity had significantly higher risk at impaired fasting glucose（IFG） and diabetes mellitus（DM）（adjusted OR=1.8,95%CI:1.34～2.37 and 3.7,95%CI:2.42～5.65,respectively）,and the risk of IFG and DM increased 14%and 24%respectively with the increase of BMI by one unit（aOR=1.14,95%CI: 1.10～1.20 and aOR=1.24,95%CI:1.16～1.32,respectively）.Conclusions The prevalence of overweight/ obesity in adults aged 18 to 64 years old was high in rural China,which were significantly associated with IFG and DM.更多还原