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目的了解当前农村社区成人居民超重状况及其与空腹血糖异常的关系。方法采用流行病学现况研究设计,整群抽取浙江省德清县4个农村社区,使用统一调查表面对面调查上述社区中所有18～64周岁的社区户籍居民5840人的一般人口特征和健康相关内容,同时测量身高、体重、空腹血糖等指标。利用Epidata 3.1中文版建立数据库,SPSS 16.0进行数据分析。结果在5840名调查对象中,平均BMI为22.7±11.6,超重率25.1%,肥胖率3.8%(按照2000年全国人口进行年龄性别标化,标化的超重率为21.8%)。从年龄分布看,无论男性还是女性社区居民的超重率均在35岁之后明显增加,表现出一定的年龄趋势(男:χ2趋势=5.61,P=0.018;女:χ2趋势=50.96,P<0.001;合并:χ2趋势=14.05,P<0.001)。校正了年龄、性别、吸烟、饮酒和规律体育锻炼后,在多分类Logistic回归模型中,与非超重居民相比,超重与较高的空腹血糖受损和糖尿病风险有关,其调整OR(aOR)分别为1.8(95%CI 1.34～2.37)和3.7(95%CI 2.42～5.65),BMI每增加一个单位,空腹血糖受损和糖尿病的风险分别增加14%和24%(aOR=1.14,95%CI 1.10～1.20;aOR=1.24,95%CI 1.16～1.32)。结论德清农村社区成人居民超重率较高,超重既与糖尿病密切相关也与空腹血糖受损有关,值得进一步研究与监测。
Objective To understand the current overweight status of adult residents in rural communities and its relationship with impaired fasting glucose. Methods Based on the epidemiological study design and design, four rural communities in Deqing County of Zhejiang Province were sampled by cluster sampling. The population characteristics and health related contents of 5840 residents of all the 18 ~ 64-year-old urban dwellers in the above community were surveyed across the surface of the unified survey. , While measuring height, weight, fasting blood glucose and other indicators. Epidata 3.1 using the Chinese version of the establishment of the database, SPSS 16.0 for data analysis. Results Among 5840 subjects, the average BMI was 22.7 ± 11.6, the rate of overweight was 25.1%, and the rate of obesity was 3.8% (according to the national population in 2000, the overweight rate was 21.8%). From the perspective of age distribution, the overweight rate of both community residents in both men and women increased significantly after 35 years of age and showed a certain age trend (male: χ2 trend = 5.61, P = 0.018; female: trend χ2 = 50.96, P <0.001 ; Pooled: χ2 trend = 14.05, P <0.001). After adjusting for age, sex, smoking, drinking and regular physical activity, in the multi-class Logistic regression model, overweight was associated with higher impaired fasting glucose and diabetes risk compared with non-overweight residents, adjusting for OR (aOR) (95% CI 1.34 to 2.37) and 3.7 (95% CI 2.42 to 5.65), respectively. The risk of impaired fasting glucose and diabetes was increased by 14% and 24% for each additional BMI (aOR = 1.14, 95% CI 1.10 to 1.20; aOR = 1.24, 95% CI 1.16 to 1.32). Conclusion Adult residents in rural areas of Deqing have a higher prevalence of overweight. Overweight is associated with both diabetes and impaired fasting glucose, which deserves further study and monitoring.