上海市某郊区成年居民在外就餐与超重、肥胖及脂肪肝的关系分析

李静; 李咏梅; 陆颖; 孙洪坤; 黄丹; 张梅; 庄丽燕; 金燕; 木大为

doi:10.19428/j.cnki.sjpm.2023.22912

上海市某郊区成年居民在外就餐与超重、肥胖及脂肪肝的关系分析

Relationship between eating out and overweight， obesity， and fatty liver disease in adult residents in a suburban area of Shanghai

摘要

摘要:
目的了解上海市某郊区成年居民的超重、肥胖和脂肪肝检出情况，并分析其与在外就餐之间的关系，为疾病预防提供科学依据。
方法以2017年5—9月参与上海市松江区中山社区队列基线调查的成年人群为研究对象，询问其在外就餐（在餐馆、饭店就餐，包括外卖点单）情况，并进行腹部超声检查进行脂肪肝的筛查。采用二分类logistics回归模型分析在外就餐与超重、肥胖及脂肪肝的关系。
结果纳入分析的6 608人中，超重、肥胖和脂肪肝的检出率分别为41.65%、14.71%和38.29%。经过调整潜在混杂因素后，logistics回归分析结果显示在外就餐是超重、肥胖和脂肪肝的危险因素，在外就餐频率>1次·周^-1与≤1次·月^-1相比，肥胖患病率上升了1.44倍（P=0.006），超重或者肥胖的患病率上升了1.35倍（P=0.005），脂肪肝患病率上升了1.36倍（P=0.008）。
结论上海市松江区某社区超重率、肥胖率和脂肪肝的检出率均较高，而在外就餐是可能的危险因素。建议居民减少在外就餐次数，选择合理饮食结构。

Abstract:
Objective To investigate the prevalence of overweight， obesity and fatty liver disease （FLD） in adult residents in a suburban area of Shanghai， and to explore the relationship between these conditions and eating out of home （EOH）.
Methods Adult residents from Zhongshan Street， Songjiang， Shanghai， were invited to report their frequency of EOH and undergo a physical examination using B-ultrasonography from May to September 2017. Binary logistic regression analyses were conducted to examine the relationship between EOH and conditions of overweight， obesity， and FLD.
Results Among the final sample size of 6 608 participants， the prevalence rates of overweight， obesity， and FLD were 41.65%， 14.71% and 38.29%， respectively. After adjusting for potential confounders， logistic analyses revealed that participants with an EOH frequency > once/week had a 1.44-fold higher prevalence of obesity （P=0.006）， a 1.35-fold higher prevalence of overweight/obesity （P=0.005）， and a 1.36-fold higher prevalence of FLD （P=0.008）.
Conclusion The prevalence of overweight， obesity， and FLD is relatively high in Songjiang， Shanghai. EOH may be a risk factor for these diseases， and residents are recommended to reduce the frequency of EOH.

HTML全文

参考文献(20)

施引文献

资源附件(0)