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目的探讨江阴成年人腰围(WC)和体质指数(BMI)的分布特征及其与主要相关疾病的关系。方法 2007年11月至2008年1月,采用多阶段分层整群抽样方法随机抽取江阴市3个镇(街道),6个行政村(居委)537个住户中的居民为调查对象。通过问卷实施入户调查及体检。结果样本人群BMI均值为(23.00±0.19),超重率和肥胖率分别为29.8%和8.4%;男性的超重比例高于女性,肥胖比例低于女性。中心性肥胖率47.27%,男性为37.10%,女性为47.56%,女性的中心性肥胖比例高于男性,随着年龄的增长,超重和肥胖率都呈上升趋势;超重组和肥胖组的高血压、高血糖均显著高于正常组,全身性超重/肥胖且中心肥胖组人群的血压和血糖超标率明显高于其他组。结论近年来江阴市居民超重率、肥胖率呈上升趋势,BMI、WC与高血压、糖尿病患病率呈正相关;全身性超重/肥胖且中心肥胖人群具有更高的高血压、糖尿病危险。
Objective To investigate the distribution characteristics of waist circumference (WC) and body mass index (BMI) in Jiangyin adults and its relationship with major related diseases. Methods From November 2007 to January 2008, residents in 537 households in 3 towns (streets) and 6 administrative villages (residents’ committees) of Jiangyin were randomly selected as samples by stratified cluster sampling method. Through the questionnaire implementation of household surveys and physical examination. Results The average BMI of the sample population was (23.00 ± 0.19), the rate of overweight and obesity was 29.8% and 8.4%, respectively. The overweight rate of males was higher than that of females, and the obesity rate was lower than that of females. The central obesity rate was 47.27%, 37.10% for males and 47.56% for females. The proportion of central obesity in males was higher than that in males. Overweight and obesity rates showed an upward trend with age. The prevalence of overweight and obesity , Hyperglycemia were significantly higher than the normal group, systemic overweight / obesity and central obesity group blood pressure and blood glucose levels were significantly higher than the other groups. Conclusion In recent years, overweight rate and obesity rate of residents in Jiangyin City have been on the rise. There is a positive correlation between BMI and WC and the prevalence of hypertension and diabetes mellitus. The overweight / obese central obesity population has higher risk of hypertension and diabetes.