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目的了解四川省绵阳市成人超重、肥胖的流行现状,为制定成人超重、肥胖的防控策略提供依据。方法采用多阶段随机抽样方法,于2014年11月至2015年9月在四川省绵阳市共抽取262 434名18岁及以上居民作为研究对象,对其进行问卷调查与体格检查。结果调查对象中,超重人数共79 981人,超重率为30.48%,男性的超重率(32.28%)高于女性(29.10%,P<0.01);肥胖人数共23 010人,肥胖率为8.77%,男性的肥胖率(8.53%)低于女性(8.95%,P<0.01)。在不同年龄段组中,50~59岁年龄组人群的超重、肥胖检出率最高(39.26%和12.07%)。在不同文化程度组中,初中及以下人群的超重、肥胖检出率最高(35.02%和10.57%);在不同职业组中,无业人群的超重、肥胖检出率最高(36.87%和12.65%)。涪城的超重、肥胖检出率(30.01%和10.14%)高于江油(29.97%和7.46%,P均<0.01)。吸烟人群的超重、肥胖检出率(32.88%和9.46%)高于不吸烟人群(30.02%和8.64%,P均<0.01)。饮酒人群的超重、肥胖检出率(33.43%和9.72%)高于不饮酒人群(29.78%和8.54%,P均<0.01)。结论绵阳市成人超重、肥胖检出率较高,50~59岁、初中及以下文化程度、无业、吸烟和饮酒人群的超重、肥胖情况较严重。
Objective To understand the prevalence of overweight and obesity among adults in Mianyang City, Sichuan Province, and to provide basis for the prevention and control strategies of overweight and obesity in adults. Methods A total of 262,434 inhabitants aged 18 years and older were enrolled in Mianyang City, Sichuan Province from November 2014 to September 2015 by means of multistage random sampling method. Questionnaires and physical examinations were conducted. Results The number of overweight subjects was 79 981 with an overweight rate of 30.48%. The overweight rate of males was higher than that of females (32.28%) (29.10%, P <0.01). The obesity population was 23 010 and the obesity rate was 8.77% The prevalence of obesity in males (8.53%) was lower than that in females (8.95%, P <0.01). In different age groups, the prevalence rate of overweight and obesity in the age group of 50- to 59-year-old was the highest (39.26% and 12.07%). Among different vocational education groups, the detection rate of overweight and obesity among junior middle school students and below was the highest (35.02% and 10.57%). Among the occupational groups, the overweight and obesity rates among the unemployed were the highest (36.87% and 12.65%), respectively . Fucheng overweight, obesity detection rate (30.01% and 10.14%) higher than Jiangyou (29.97% and 7.46%, P <0.01). The prevalence of overweight and obesity among smokers was higher than that of non-smokers (32.02% vs 8.64%, P <0.01). The overweight and obesity rates of drinking alcohol group were higher than those without drinking alcohol group (33.43% and 9.72%, 29.78% vs 8.54%, P <0.01 respectively). Conclusion The detection rate of overweight and obesity in adults in Mianyang City is relatively high. The prevalence of overweight and obesity among unemployed, smoking and drinking people aged 50-59 years and of junior high school education or below is more serious.