【摘要】 目的 了解广西城乡成人超重、肥胖患病流行特征及其相关危险因素。方法 采用多阶段整群随机抽样的方法，抽取南宁、钦州、贺州、河池市4个市和天等、巴马、靖西、忻城4个县，每个县市再分别抽取3个乡镇和街道，每个乡镇(街道)再整群随机抽取2个村(居委会)：按单纯随机抽样原则，在每村(居委会)抽取90户，以其中18岁以上成人为调查对象。按照《2002年中国居民营养与健康状况调查工作手册》，对其进行调查和分析。结果 广西城乡成年居民BMI平均水平为21.72±3.18，其中城市居民BMI为22.59±3.36，显著高于农村(20.83±2.69，P<0.01)；成年居民超重率、肥胖率分别为17.51%和4.16%，其中，城市居民超重率、肥胖率分别为24.78%、6.60%显著高于农村(10.05%、1.59%)(P<0.01)；城市男性居民肥胖率和农村女性居民超重率不同年龄组发病无显著差别，而城乡其他性别居民的肥胖和超重率均随年龄的增加而升高，农村18～29岁青壮年居民超重率达8.67%，已接近城市同年龄组水平。单因素分析显示超重、肥胖与高年龄、高学历、轻体力活动等因素有关，而Loqistic回归模型多因素显示年龄、轻体力和高收入是城市居民超重、肥胖的共同的危险因素，而高收入、高中以上学历和汉族则是农村居民超重、肥胖的共同危险因素。结论 广西居民尤其是城市居民成人超重、肥胖流行严重，农村青壮年居民超重已接近城市居民；急需通过健康教育和健康促进，以提高城乡居民防治超重、肥胖的行为和技能，增强体力活动和注意改善脂肪摄入与能量平衡，尤其重要。

    【关键词】 超重；肥胖；流行病学；危险因素

    The epidemiological analysis of body overweigght and obesity in Guangxi urban and rural adult residents

    TANG Zhen-zhu,CHEN Xing-le,HAN Yan-bin,et al.Guangxi Center for Disease Control and Prevention,Nanning 530021,China

    【Abstract】 Objective To explore the current prevalence status of body overweight,obesity and with correlative dangerous factors in urban and rural adults of Guangxi.Methods Using the multistage stratified randomized cluster sampling way, 4 cities of Nanning,Qinzhou,Hezhou,Hechi and 4 counties of Tiandeng,Jingxi,Bama,Xincheng, 3 towns or streets were selected from each of cities or counties,2 villages or denizen committees were selected from each of towns or streets, 90 households were selected from each of villages or denizen committees with cluster randomized sampling way afterwards.The person who aged above 18 years old were investigated and analyzed by the unified ways of “Handbook of the Nation and Health Status os the Chinese People in 2002”.Results The mean adults BMI in Guangxi was 21.72±3.18, the BMI in urban (22.59±3.36) was significantly higher than that in rural(20.83±2.69,P<0.01).The prevalence rate was 17.51% for body overweight and 4.16% for obesity.The prevalence rate of body overweight and obesity in urban(24.78% and 6.60% respectively) was significantly higher than that in rural(10.05%、1.59% respectively, P<0.01). Excepting the urban male prevalence rate of obesity and the rural female prevalence rate of body overweight in different aged group had not significant, others prevalence rate of body overweight and obesity in urban and rural show appareent higher with the age increasing. The prevalence rate of body overweight aged 18～29 years older in rural was 8.67%,which closed to that in same age group in urban. The single factors analisys show that the overweight or obesity people had significantly correlation with age, high-class education,light physical activity.In Logistic regression model, the age,light physical activity,high income was collective dangerous factors for he overweight or obesity in urban,and that the high income, senior high school education and over,Chinese nation was collective dangerous factors in rural. Conclusion The prevalence rate of body overweight,obesity was severity in in Guangxi adults, especially in urban, and the prevalence rate of body overweight in young and middle age people in rural was closed to that in urban inhabitants.It is very important by health education, health promotion, to boosting the skill of provent and treat body overweight and obesity for the urban and rural inhabitants, to increasing physical activity and pay attention to improving the intake of fat and oil,keeping the energy balance. ......