内江市中区超重及肥胖人群相关因素调查

【】　目的　探讨内江市企事业及机关单位从业人员20~60岁人群中超重、肥胖者及其相关因素。　方法　2009年6月－2010年9月采用整体随机分层方法，对内江市企事业及机关单位从业人员共5832例进行调查。用问卷了解吸烟、饮酒、运动、家族史、文化程度，并测定身高、体重、空腹血糖、甘油三酯、胆固醇等。采用SPSS17.0软件进行统计学分析，以双侧P<0.05为有统计学的意义。与肥胖有关的危险因素采用多因素logistic回归分析。　结果　超重及肥胖者比例为27.16%，其中超重者1377例，占23.6%，肥胖者207例，占3.55%；肥胖较超重者空腹血糖、甘油三酯、血压更高；多因素logistic回归分析提示超重及肥胖与年龄、吸烟、性别、运动、家族史、文化程度有关，与饮酒无关。　结论　内江市企事业及机关单位从业人员20~60岁人群中超重、肥胖者比例为27.16%；肥胖较超重者更易发生高血糖、高血压、高血脂、高尿酸血症；超重及肥胖与年龄、吸烟、性别、运动、家族史、文化程度均有关。【Abstract】　Objective　Toinvestigatetheprevalenceandtheriskfactorsofoverweightandobesityamongemployeesaged20to60yearsoldinenterprisesandgovernmentinstitutionsinNeijiangcity.　Methods　FromJune2009toSeptember2010,5832employeesingovernmentdepartments,enterprisesandinstitutionsinNeijiangweresurveyedusingstratifiedrandomsamplingmethod.Itemslikephysicalexercise,smoking,drinking,educationallevel,andfamilyhistorywerecollectedthroughface-to-facequestionnaire,andtheirheight,weight,fastingplasmaglucose,triglyceride,cholesterolweremeasured.SPSS17.0wasusedforstatisticalanalysis,andtherelationshipofeachindexwasanalyzedbyPearsoncorrelativeanalysis.BilateralP<0.05wasconsideredtobestatisticallysignificant.RiskfactorsassociatedwithobesitywereanalyzedbyLogisticregressionanalysis.　Results　Theoverweightandobesitymorbidityratewas27.16%,including1377casesofoverweight(23.6%)and207casesofobesity(3.55%).Fastingplasmaglucose,triglyceride,andbloodpressureofobesitypatientswerehigherthanthoseoftheoverweightpatients.Correlationanalysisshowedthatoverweightandobesitywerepositivelycorrelatedwithfastingplasmaglucose(r=0.116,P<0.01),triglyceride(r=0.319,P<0.01),uricacid(r=0.373,P<0.01),diastolicbloodpressure(r=0.198,P<0.01),andsystolicbloodpressure(r=0.212,P<0.01),butnotcorrelatedwithcholesterol.Logisticregressionmultivariateanalysisshowedthatoverweightandobesitywererelatedwithage,smoking,sex,sports,theeducationallevelandfamilyhistory,butnotrelatedwithdrinking.　Conclusions　Theprevalenceofoverweightandobesityamongemployeesaged20to60yearsoldinenterprisesandgovernmentinstitutionsinNeijiangcityis27.16%.Peoplewithoverweightandobesityaremoresusceptibletohyperglycemia,hypertension,hyperlipemia,andhyperuricemia.Overweightandobesitywerecloselyrelatedwithage,smoking,gender,sportsactivities,familyhistory,andeducationallevel.