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目的了解北京市石景山区社区成人超重、肥胖与常见慢性病的关系。方法对北京市石景山区社区成人进行超重、肥胖及危险因素调查,测定血压、血糖、血脂、血尿酸水平,测量身高、体质量、腰围,分析超重、肥胖与慢性病之间的关系。结果调查对象超重和肥胖率分别为41.24%(1 588/3 851)和19.74%(760/3 851),男性为44.07%(643/1 459)和19.26%(281/1 459),女性为39.51(945/2 392)和20.03%(479/2 392);男性超重率高于女性(P<0.05)。中心性肥胖患病率47.57%(1 832/3 851),男性58.19%(849/1 459),女性41.10%(983/2 392);男性高于女性,差异有统计学意义(P<0.05)。超重、肥胖与高血压、血脂异常、血尿酸相关,随体质量指数(BMI)升高患病率增加。Logistic回归分析显示,高血压、血脂异常及血尿酸与超重、肥胖及中心性肥胖相关,高密度脂蛋白胆固醇为超重、肥胖的保护性因素。结论超重、肥胖与高血压、血脂异常、高尿酸血症及糖尿病相关。控制体质量对预防心脑血管病、糖尿病有重要意义。
Objective To understand the relationship between overweight, obesity and common chronic diseases among adults in Shijingshan District of Beijing. Methods The survey of overweight, obesity and risk factors in community adults in Shijingshan District of Beijing City was conducted. Blood pressure, blood glucose, blood lipid and serum uric acid levels were measured. The relationship between height, body mass, waist circumference and overweight, obesity and chronic diseases was analyzed. Results The overweight and obesity rates of the survey subjects were 41.24% (1 588/3 851) and 19.74% (760/3 851), respectively, 44.07% (643/1 459) and 19.26% (281/1 459) for males and 39.51 (945/2 392) and 20.03% (479/2 392) respectively. The rate of overweight in males was higher than that in females (P <0.05). The prevalence rate of central obesity was 47.57% (1832/3 851), 58.19% (849/1 459) were male and 41.10% (983/2 392) were female, which were significantly higher in males than in females (P <0.05 ). Overweight, obesity and hypertension, dyslipidemia, serum uric acid related, with the body mass index (BMI) increased prevalence. Logistic regression analysis showed that hypertension, dyslipidemia and serum uric acid were associated with overweight, obesity and central obesity. High density lipoprotein cholesterol was a protective factor of overweight and obesity. Conclusion Overweight, obesity and hypertension, dyslipidemia, hyperuricemia and diabetes related. Control of body weight to prevent cardiovascular disease, diabetes is of great significance.