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目的了解温州市区成年人超重及肥胖流行现状。方法采用多阶段分层整群抽样方法,抽取温州市区成年居民10 449人进行问卷调查、体格检查和实验室检测,并分析成年居民超重和肥胖现况及危险因素。结果温州市区居民超重和肥胖粗患病率分别为32.60%和7.70%,标化患病率分别为27.50%和6.51%。多因素Logistic回归分析显示,高龄(OR=1.01,95%CI:1.01~1.02)和饮酒(OR=1.14,95%CI:1.02~1.27)是超重和肥胖的危险因素,文化程度高(OR=0.87,95%CI:0.84~0.91)和参加体育锻炼(OR=0.75,95%CI:0.57~0.98)是超重和肥胖的保护因素。超重和肥胖人群糖尿病、血脂异常、高血压和高尿酸血症患病率均明显高于正常人群(P<0.01)。结论温州市区成年居民超重和肥胖率较高,应积极开展防控措施,降低居民超重和肥胖的患病率。
Objective To understand the prevalence of overweight and obesity among adults in Wenzhou. Methods A multistage stratified cluster sampling method was used to extract 10 449 adult residents of Wenzhou City for questionnaires, physical examinations and laboratory tests. The prevalence and risk factors of overweight and obesity in adult residents were analyzed. Results The prevalence rates of overweight and obesity in Wenzhou urban residents were 32.60% and 7.70% respectively, and the standardized prevalence rates were 27.50% and 6.51% respectively. Multivariate Logistic regression analysis showed that the elderly (OR = 1.01, 95% CI: 1.01-1.02) and drinking (OR = 1.14, 95% CI: 1.02-1.27) were risk factors for overweight and obesity. 0.87, 95% CI: 0.84-0.91) and physical activity (OR = 0.75,95% CI: 0.57-0.98) were protective factors of overweight and obesity. The prevalence rates of diabetes, dyslipidemia, hypertension and hyperuricemia in overweight and obese people were significantly higher than those in normal population (P <0.01). Conclusion Adult residents in Wenzhou have higher rates of overweight and obesity. Prevention and control measures should be actively implemented to reduce the prevalence of overweight and obesity among residents.