上海市黄浦区2007—2013年成年人超重和肥胖流行趋势分析

殷丽红; 纪云芳; 张艳; 高淑娜; 倪一宏; 赵俊峰

doi:10.19428/j.cnki.sjpm.2017.09.001

上海市黄浦区2007—2013年成年人超重和肥胖流行趋势分析

Trends analysis on overweight and obesity among adults in Huangpu District of Shanghai, 2007-2013

摘要

摘要:
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。

Abstract:
ObjectiveTo explore the trends in prevalence of overweight, obesity and central obesity among the adults in Huangpu District from 2007 to 2013.
MethodsWith a total of 4 512 men and women aged 18-69, their data on three continuous chronic diseases and the risk factors surveys(2007, 2010, 2013) were analyzed in Huangpu District.
ResultsThe standardized overweight rates in the 3 surveys were 17.17%, 18.35% and 19.44% respectively which had no statistical significant difference; the three surveys showed the standardized obesity rates were 8.09%, 7.12% and 5.06% respectively which had statistical significant difference; the three surveys indicated the standardized central obesity rates were 24.68%, 27.13% and 28.23% respectively which had no statistical significant difference. Logistic regression indicated that the overweight prevalence had no linear trends from 2007 to 2013.Compared with the prevalence in 2007, the obesity prevalence in 2013 was declined statistically(OR=0.62, P < 0.01); the central obesity prevalence in 2013 was increased statistically(OR=1.68, P < 0.01).
ConclusionFrom 2007 to 2013, the change in the trends in overweight prevalence in Huangpu is not obvious and the obesity decreased significantly, while there is an upward trend in central obesity year by year.

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