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目的了解安徽省农村老年人肥胖现状及影响因素,并探讨其与慢性病的关系,为提高安徽省农村老年人健康生活质量提供依据。方法采用分层随机整群抽样的方法,对751名60岁以上老年人进行问卷调查和身高、体重等指标的测量。结果在有效的743份问卷中,BMI法测量有52名肥胖者,占总人数的7.0%,其中女性多于男性(P<0.05);WHR法测量有551名腹型肥胖者,占总人数的74.2%,女性高于男性(P<0.05),70～75岁达到高峰;单因素χ2检验分析显示,性别、经济来源、家人外出务工情况、吸烟、甜食为肥胖的主要影响因素;同时,肥胖者高血压、胆囊炎/胆结石的患病率明显高于正常体重者(P<0.05)。结论安徽省部分地区农村老年肥胖尤其是腹型肥胖现状十分严峻,实施防治肥胖的干预措施是必要的。
Objective To understand the status and influencing factors of obesity in rural elderly in Anhui Province and to explore its relationship with chronic diseases and to provide evidence for improving the quality of life of rural elderly in Anhui Province. Methods A stratified random cluster sampling method was used to survey 751 elderly people over the age of 60 and height, weight and other indicators of measurement. Results Among 743 valid questionnaires, 52 obese people were measured by BMI method, accounting for 7.0% of the total, including more females than males (P <0.05); 551 obese people by WHR method, accounting for the total number (P <0.05). The single factor χ2 test showed that gender, economic source, migrant family members, smoking and sweets were the main influencing factors of obesity. At the same time, Obesity, hypertension, cholecystitis / gallstones prevalence was significantly higher than normal weight (P <0.05). Conclusion The current situation of elderly obesity, especially abdominal obesity, is very serious in some areas of Anhui Province. It is necessary to implement interventions to prevent and treat obesity.