目的:通过对内蒙古自治区锡林郭勒盟乌拉盖地区人群腹型肥胖的患病率及相关危险因素的研究,探讨该地区人群腹型肥胖的流行特点,为制定目标层次的疾病控制措施提供有效依据。方法:对乌拉盖年龄≥20岁的成年居民采用分层整群抽样的方法,通过问卷调查及体格检查计算腹型肥胖的患病率,性别、年龄和民族等作为解释变量,是否腹型肥胖为反应变量,进行非条件二分类多元logistics回归分析并作图。结果:本次调查有效样本共1 231人,其中腹部肥胖者399人,腹部肥胖患病率为32.4 %。年龄≥60岁的人群肥胖率高于其他年龄段人群(P＜0.01);牧场人群腹部肥胖的患病率低于城镇人群(P＜0.05);高年龄、以荤为主是腹型肥胖的危险因素。结论:乌拉盖成人腹型肥胖率整体较高;老年人群腹部肥胖率高于其他人群;危险因素包括高龄及不良的饮食习惯等。
Objective: To determine the epidemic characteristics of abdominal obesity in Wulagai region by studying the prevalence rate and risk factors of abdominal obesity, aiming to provide effective basis for making decisions to control target diseases.Methods: Stratified sampling was used among the adult residents aged ≥20 years in Wulagai region, and the prevalence rate was calculated according to the health standards of China.Gender, age and ethnicity were used as explanatory variables, and abdominal obesity was used as response variable. Unconditional dichotomous multivariate logistic regression analysis was conducted and plotted.Results: A total of 1 231 residents of Wulagai region were involved in this study, 399 cases with abdominal obesity were found, with the abdominal obesity prevalence rate of 32.4 %. The prevalence rate of abdominal obesity in people aged more than 60 years was higher than other age groups(P<0.01). The prevalence rate of abdominal obesity in nomads was lower than in towners(P<0.01). Conclusion: The prevalence rate of abdominal obesity of Wulagai adults is high.Prevalence rate of abdominal obesity in the elderly popnlation is higher than that in other popnlation. Advanced age and poor dietary habits are risk factors of abdominal obesity in Wulagai region.
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