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目的 :了解社区成年人肥胖的流行状况 ,为肥胖防治提供科学依据。方法 :采用 WHO诊断标准 ,对南海桂城区居住 5年及 5年以上 2 0～ 74岁的社区居民 8817人进行超重和肥胖的流行特点分析。内容包括问卷 ,测定身高、体重 ,对于≥ 40岁的被调查者还测定了腰围、臀围等。结果 :社区超重现患率为 2 1.13 % ,肥胖现患率为 2 .0 5%。女性的超重现患率和肥胖现患率 (2 2 .0 9%和 2 .43 % )显著高于男性 (19.93 %和 1.58% ) (P<0 .0 5) ;男性和女性的肥胖现患率随着年龄增加而上升 (P<0 .0 5) ;城市社区的超重和肥胖的现患率高于农村社区 (P<0 .0 1)。 40岁以上的人群中 ,腹型肥胖患病率为3 6.48% (以腰围为判断标准 )和 3 7.45% (以腰臀比为判断标准 )。女性腹型肥胖患病率明显高于男性 (P<0 .0 0 5)。结论 :超重和肥胖患病开始低龄化 ,超重和肥胖的患病率极有可能继续升高。因此 ,社区应该尽早开展肥胖的防治与研究
Objective: To understand the prevalence of obesity among community adults and provide a scientific basis for the prevention and treatment of obesity. Methods: Based on the diagnostic criteria of WHO, 8817 community residents aged 20 to 74 who lived in Guicheng District of the South China Sea for 5 years and above were analyzed for their prevalence of overweight and obesity. Content includes questionnaires, height, weight determination, for ≥ 40 years of age the respondents also measured waist circumference, hip circumference and so on. Results: The prevalence of overweight in community was 21.13% and prevalence of obesity was 2.05%. The prevalence of overweight and obesity in women was significantly higher than that of men (22.9% and 2.43%) (19.93% and 1.58%, P <0.05). The prevalence of obesity in both men and women Increased with age (P <0.05). The prevalence of overweight and obesity in urban communities was higher than that in rural communities (P <0.01). The prevalence of abdominal obesity was 3 6.48% (waist circumference was the criterion) and 3 7.45% (waist to hip ratio were the criteria) for people over 40 years of age. The prevalence of abdominal obesity in women was significantly higher than that in men (P <0.05). Conclusion: The prevalence of overweight and obesity is beginning to age, and the prevalence of overweight and obesity is likely to continue to rise. Therefore, the community should start obesity prevention and research as soon as possible