摘要
目的 了解北京市朝阳区中小学教职人员超重及肥胖现况和影响因素,为开展针对性的健康干预提供依据。方法 采取整群抽样的方法,选择朝阳区16所中小学校教职人员进行问卷调查及健康体检。结果 2 949人完成问卷调查并有所需的完整体检数据。调查人群超重率为29.4%,肥胖率为11.3%,其中男性的超重率和肥胖率分别为46.9%和24.2%,女性的超重率和肥胖率分别为25.6%和8.5%。超重及肥胖人群中,高血压、糖尿病及血脂异常者的比例均显著高于体重正常人群。多因素logistic回归分析结果显示,相对于男性,女性超重和肥胖的可能性更低(OR=0.222,95%CI:0.179~0.275);相对于本科及以下学历人群,硕士及以上学历人群超重和肥胖的可能性更低(OR=0.720,95%CI:0.567~0.915);相对于30岁以下低年龄人群,高年龄人群超重和肥胖的可能性更高(OR_(30~<40岁)=1.640,95%CI:1.268~2.123;OR_(40~<50岁)=3.582,95%CI:2.797~4.585;OR_(50~60岁)=3.424,95%CI:2.514~4.662);相对于饮食模式非以荤为主的人群,饮食模式以荤为主的人群超重和肥胖的可能性更高(OR=1.744,95%CI:1.284~2.368);相对于非饮食嗜好高油脂人群,饮食嗜好高油脂人群的超重和肥胖的可能性更高(OR=1.608,95%CI:1.213~2.133);相对于吃饭细嚼慢咽或速度中等的人群,吃饭速度较快人群的超重和肥胖的可能性更高(OR=1.527,95%CI:1.299~1.795)。结论 北京市朝阳区教职人员的超重及肥胖现况不容忽视,应针对危险因素开展健康干预,以促进该人群的健康。
Objective To explore the status of obesity and overweight and its influencing factors among 2949 primary and secondary school staffs in Chaoyang district of Beijing,and to provide basis for further intervention.Methods By using cluster sampling method,the staffs in 16 primary and secondary schools in Chaoyang district were selected for questionnaire survey and physical examination.Results A total of 2949 people completed the questionnaire and took the required complete physical examination.The overweight rate and obesity rate were 29.4%and 11.3%.The rates of overweight and obesity in male were 46.9%and 24.2%while 25.6%and 8.5%in female respectively.Among overweight and obese people,the proportions of people with hypertension,diabetes and dyslipidemia were significantly higher than those with normal weight.Multivariate logistic regression analysis showed that female were less likely to be overweight and obese(OR=0.222,95%CI:0.179-0.275)compared to male.Compared to those with bachelor's degree or below,those with master's degree or above were less likely to be overweight and obese(OR=0.720,95%CI:0.567-0.915).Compared to younger group under 30 years old,the older group was more likely to be overweight and obese(OR_(30-<40)=1.640,95%CI:1.268-2.123;OR_(40-<50)=3.582,95%CI:2.797-4.585;OR_(50-60)=3.424,95%CI:2.514-4.662).Compared to those with non-meat based diet,those with meat based diet were more likely to be overweight and obese(OR=1.744,95%CI:1.284-2.368).Compared to those with non-dietary high fat,those with dietary high fat were more likely to be overweight and obese(OR=1.608,95%CI:1.213-2.133).Compared to those who ate slowly or at moderate speed,those who ate faster were more likely to be overweight and obese(OR=1.527,95%CI:1.299-1.795).Conclusions Overweight and obesity are associated with many factors.Targeted health intervention should be conducted to promote health status among primary and secondary school staff in Chaoyang district.
作者
齐智
李书明
刘峰
赵斌
QI Zhi;LI Shuming;LIU Feng;ZHAO Bin(Chaoyang District Center for Disease Prevention and Control,Beijing 100021,China;不详)
出处
《首都公共卫生》
2023年第5期300-304,共5页
Capital Journal of Public Health
关键词
超重
肥胖
职业人群
影响因素
Overweight
Obesity
Occupational population
Influencing factors