生活方式与肥胖的关联性研究_医学论文.docVIP

生活方式与肥胖的关联性研究_医学论文 生活方式与肥胖的关联性研究_医学论文 作者：徐汉朋 王心桐 迟乃春 尼宏莉 杨永洁 战迅 冯晶 【摘要】 目的 探讨生活方式与肥胖之间的关系。方法 按照整群随机抽样的原则选取青岛市20～59岁成年人2 398名进行问卷调查和体质测试，应用多因素Logistic回归分析方法分析生活方式等因素与肥胖的关联性。结果 青岛市成年人肥胖患病率为12.7%，其中男性肥胖患病率为14.4%，女性肥胖患病率为11.0%，男女性肥胖患病率比较差异有显著性(χ2=6.24，0.05)。单因素Logistic回归分析显示，年龄(OR=1.535,0.001)、饮酒(OR=0.961,0.001)、饮食(OR=0.996,0.001)、睡眠时间(OR=0.720,0.01)、睡眠质量(OR=1.376,0.01)、每周工作时间(OR=0.603,0.01)、每天坐姿时间(OR=1.078,0.01)和体育锻炼(OR=0.940,0.001)与肥胖有关，其中睡眠质量与肥胖呈负相关。多因素Logistic回归分析显示，影响肥胖独立危险因素为年龄(OR=2.274,0.001)、饮酒(OR=1.582,0.01)、饮食(OR=1.874,0.001)、睡眠质量(OR=1.158,0.001)、坐姿时间(OR=1.718,0.01)和体育锻炼(OR=0.851,0.001)。结论 年龄增长、高脂肪和高盐饮食、经常性饮酒、静态生活方式增多和体育锻炼不足是导致肥胖的重要因素。 【关键词】 生活方式肥胖症回归分析 [ABSTRACT] Objective To study the relationship between lifestyle and obesity. Methods According to cluster random sampling principle, 2 398 people in Qingdao area aged from 20 to 59 years were recruited for answering questionnaires and physical tests. Multivariate Logistic regression analysis was used to analyze the association lifestyle with obesity. Results The morbidity of obesity in adult was 12.7% in Qingdao, of which, 14.4% were male and 11.0% female, the difference of obesity morbidity between male and female was statistically significant (χ2=6.24,0.05). Single factor logistic regression analysis showed that obesity was associated with age (OR=1.535,0.001), alcohol drinking (OR=0.961,0.001), diet (OR=0.996,0.001), hours of sleep (OR=0.720,0.01), sleep quality (OR=1.376,0.01), weekly working hours (OR=0.603,0.01), sitting time per day (OR=1.078,0.01) and physical exercise (OR=0.940,0.001). Among all the influencing factors, sleep quality was negatively correlated with obesity. Multivariate Logistic regression analysis showed the independent risk factors of obesity were age (OR=2.274,0.001), alcohol drinking (OR=1.582,0.01), diet (OR=1.874,0.001), sleep quality(OR=1.158,0.001), sitting time per day (OR=1.718,0.01) and physical exercise (OR=0.851,0.001). Conclusion Age, highfat and highsalt diet, regul