首页|2013至2018年中国成人肥胖年均增长率及防控重点人群研究

2013至2018年中国成人肥胖年均增长率及防控重点人群研究

Growth rate of adult obesity prevalence in China and target population for prevention and control from 2013 to 2018

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目的 了解中国2013至2018年18岁及以上居民肥胖年均增长率和防控重点人群.方法 本研究为横断面研究,选取2013和2018年中国慢性病及危险因素监测调查的对象,通过调查问卷、现场测量的方式,收集并分析中国31个省(自治区、直辖市)人群的肥胖流行率及增长率,以及肥胖控制措施及饮食、锻炼和药物控制措施占比情况.成人肥胖定义采用体重指数≥28.0kg/m2的标准.结果 2013年入选174 736人,男性74 704人(42.8%),年龄为(51.5±14.2)岁;2018年入选179 125人,男性79 337人(44.3%),年龄为(55.1±13.8)岁.2013至2018年中国18岁及以上居民肥胖年均增长率为3.2%[不确定区间(UI):2.7%~3.6%],男性肥胖年均增长率[5.2%(UI:4.6%~5.9%)]高于女性[0.9%(UI:0.5%~1.3%)].18至29岁居民[7.4%(UI:6.9%~7.9%)]、大学(大专)及以上受教育水平[6.3%(UI:5.5%~7.1%)]、未婚人群[11.2%(UI:10.2%~12.1%)]的肥胖年均增长率高于其他亚组人群.2013至2018年,海南省肥胖年均增长率最高.除山西、湖南、甘肃和宁夏回族自治区外,其他省(自治区、直辖市)2013至2018年的成人肥胖率均在增长.肥胖人群中,采取体重控制措施的人群占比从2013年22.6%增加至2018年的32.7%.结论 我国不同人群、区域肥胖增长特征差异明显,各地肥胖防控重点应各有侧重.
Objective To investigate the annual growth rate of obesity prevalence of residents aged 18 and above in China and prevention keypoints for target populations from 2013 to 2018.Methods This was a cross-sectional study.Subjects from China Chronic Disease and Risk Factor Surveillance project in 2013 and 2018 were included.The prevalence of obesity and growth rate in 31 provinces(autonomous regions and municipalities)in China were collected through survey questionnaires and on-site measurements.Other demographic data such as the proportion of obesity control measures,diet,exercise and drug use was also analyzed.Obesity among adults was defined as body mass index≥28.0 kg/m2.Results A total of 174 736 residents,aged(51.5±14.2)years,which included 74 704(42.8%)males were recruited in 2013,and 179 125 residents,aged(55.1±13.8)years,which included 79 337(44.3%)males were included in 2018.The average annual increase rate of adult obesity prevalence in China from 2013 to 2018 was 3.2%(uncertainty interval(UI)2.7%-3.6%),and the average increase rate of obesity prevalence among men(5.2%(UI 4.6%-5.9%))was higher than that of women(0.9%(UI 0.5%-1.3%)).For subgroups analysis,the average increase rate of obesity prevalence among residents aged 18 to 29(7.4%(UI 6.9%-7.9%)),education level beyond college degree(6.3%(UI 5.5%-7.1%)),and unmarried population(11.2%(UI 10.2%-12.1%))were higher than that of other subgroups between 2013 and 2018.The residents in Hainan province showed the highest average annual growth rate of obesity.With the exception of Shanxi,Hunan,Gansu and Ningxia province,the annual growth rate of obesity prevalence among adults increased in all other provinces(autonomous regions and municipalities)from 2013 to 2018.For the obese population,the proportion of people who took weight control measures increased from 22.6%in 2013 to 32.7%in 2018.Conclusions The prevalence of obesity growth characteristics in subpopulations and regions in China are obviously different.Accordingly the focus points of obesity prevention and control in different regions should have their own emphasis.

ObesityPrevalenceChina

赵振平、张梅、李纯、于梦婷、张笑、王丽敏、周脉耕

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中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室,北京 100050

中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京 100050

肥胖症 流行率 中国

国家重大公共卫生服务项目中国疾病预防控制中心慢性非传染性疾病预防控制中心青年基金

M-1-2019-05-003

2024

中华心血管病杂志
中华医学会

中华心血管病杂志

CSTPCD北大核心
影响因子:2.846
ISSN:0253-3758
年,卷(期):2024.52(1)
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