论文部分内容阅读
[目的]分析昆明市官渡区农村居民超重和中心性肥胖的现状及与高血压、脑卒中和缺血性心脏病的关系。[方法]采用按比例概率抽样方法(PPS)抽取昆明市官渡区4011名18岁及以上村民进行现场调查,心血管疾病的患病资料和超重及中心性肥胖情况通过问卷调查和体格检查获得。[结果]该地居民的超重率为34.0%,其中男性为34.8%,女性为33.5%。该地居民的中心性肥胖率为54.0%,其中女性为57.9%,男性为48.0%;女性的中心性肥胖率明显高于男性(P﹤0.01)。男性和女性的中心性肥胖率均随年龄的增长呈上升趋势。超重者高血压、脑卒中和缺血性心脏病的患病率(39.6%、1.5%和4.1%)均高于不超重者(31.0%、1.1%和2.8%);中心性肥胖者高血压、脑卒中和缺血性心脏病的患病率(41.6%、1.5%和4.2%)均高于非中心性肥胖者(24.9%、0.9%和2.2%)。[结论]加强农村居民合理饮食的健康教育,减少超重和中心性肥胖的发生,有助于降低心血管疾病的发生。
[Objective] To analyze the status of overweight and central obesity among rural residents in Guandu District of Kunming City and its relationship with hypertension, stroke and ischemic heart disease. [Methods] A total of 4011 villagers aged 18 years and over in Guandu District of Kunming City were selected for field investigation by the method of proportional probability sampling (PPS). The prevalence of cardiovascular disease and overweight and central obesity were obtained through questionnaire and physical examination. [Results] The overweight rate of residents in this area was 34.0%, of which 34.8% were for men and 33.5% for women. The central obesity rate of residents in this area was 54.0%, of which 57.9% were females and 48.0% for males. The central obesity rate of females was significantly higher than that of males (P <0.01). Central obesity rates in both men and women are increasing with age. The prevalence rates of hypertension, stroke and ischemic heart disease (39.6%, 1.5% and 4.1%) in overweight group were significantly higher than those in non-overweight group (31.0%, 1.1% and 2.8%, respectively) The prevalences of stroke and ischemic heart disease were higher (41.6%, 1.5% and 4.2%) than those of non-central obesity (24.9%, 0.9% and 2.2%, respectively). [Conclusion] It is helpful to reduce the incidence of cardiovascular diseases by strengthening health education of rural residents on reasonable diet, reducing the incidence of overweight and central obesity.