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目的了解上海市黄浦区成年人2007—2013年超重、肥胖和中心性肥胖率的流行趋势。方法对黄浦区2007年、2010年、2013年3次慢性病及其危险因素监测资料中4 512名18~69岁样本人群的数据进行统计分析,并采用中国2000年人口普查数据进行标化。结果 3次监测标化超重率分别为17.17%,18.35%和19.44%,差异无统计学意义;3次监测标化肥胖率分别为8.09%,7.12%和5.06%,差异有统计学意义;3次监测标化中心性肥胖率分别为24.68%,27.13%和28.23%,差异无统计学意义。logistic回归显示,2007—2013年,超重率没有显著变化(2010年与2007年相比,OR=0.97,P>0.05;2013年与2007年相比,OR=0.88,P>0.05)。2013年与2007年相比,肥胖率明显下降(OR=0.62,P<0.01),而中心性肥胖率上升(OR=1.68,P<0.01)。结论 2007—2013年,黄浦区18~69岁成年人的超重率变化趋势不明显,肥胖率有逐年下降的趋势,而中心性肥胖率有逐年上升的趋势。
Objective To understand the prevalence of overweight, obesity and central obesity among adults in Huangpu District of Shanghai from 2007 to 2013. Methods The data of 4 512 sample data from 18 to 69 years old in three monitoring data of chronic diseases and their risk factors in Huangpu District in 2007, 2010 and 2013 were statistically analyzed and standardized by China 2000 census data. Results The overweight rates of standardized monitoring in 3 times were 17.17%, 18.35% and 19.44%, respectively. There was no significant difference between them. The standardized rates of obesity were 8.09%, 7.12% and 5.06%, respectively, with statistical significance; 3 Secondary monitoring standardized central obesity rates were 24.68%, 27.13% and 28.23%, the difference was not statistically significant. Logistic regression showed no significant change in overweight rate from 2007 to 2013 (OR = 0.97, P> 0.05 for 2010 compared to 2007; OR = 0.88 for 2013 compared to 2007, P> 0.05). Compared with 2007, the obesity rate decreased significantly in 2013 (OR = 0.62, P <0.01), while the central obesity rate increased (OR = 1.68, P <0.01). Conclusion From 2007 to 2013, the trend of overweight rate of adults aged 18-69 in Huangpu District was not obvious. The obesity rate decreased year by year while the central obesity rate increased year by year.