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目的 分析出生于不同年代的20岁及以上中国居民处于相似年龄时超重/肥胖率、中心性肥胖率的差异。方法 本文利用“中国健康与营养调查”数据，选取1991年、2000年、2009年、2018年调查中20岁及以上健康成年居民作为研究对象，共纳入38 908人。基于调查时的年龄，将研究对象划分为20～29、30～39、40～49、50～59、60～69和70岁及以上组，此时各年龄组分别对应10代、20代、30代、40代、50代、60代、70代、80代和90代共9个年代出生人群。按性别分层，采用卡方检验及非参数检验比较不同年代出生人群在相似年龄段时体质指数、超重/肥胖率、腰围以及中心性肥胖率的代际差异。结果 (1)不同年代出生居民处于相似年龄时，其体质指数、超重/肥胖率、腰围及中心性肥胖率均存在不利代际差异(P<0.0001)。年轻代发生超重/肥胖和中心性肥胖的年龄更早。(2)超重/肥胖率、中心性肥胖率代际变化存在性别差异。最年长两代女性之间超重/肥胖以及中心性肥胖存在不利代际差异(P<0.0001),最大差异分别为15.5%和8.0%,相邻两代男性之间超重/肥胖及最年轻两代男性之间中心性肥胖均存在不利代际差异(P<0.0001),最大差异分别为19.5%和17.0%。结论 中国成年居民超重/肥胖率及中心性肥胖率存在不利代际差异，与年长代相比年轻代超重/肥胖率及中心性肥胖率更高，年轻代发生超重/肥胖的年龄更早。
Abstract：OBJECTIVE To analyze the generational differences in overweight/obesity prevalence and central obesity prevalence among Chinese adult residents aged 20 years and above at the same ages.METHODS A total of 38 908 healthy adult residents aged 20 years and above from “the China Health and Nutrition Survey” in 1991, 2000, 2009, and 2018 were selected for this study. Based on age at the time of the survey, the study subjects were divided into 6 age groups(20-29, 30-39, 40-49, 50-59, 60-69, and ≥70 years old) corresponding to 9 different generations of births in 10, 20, 30, 40, 50, 60, 70, 80, and 90 generations, respectively. All analyses were stratified by sex. A chi-square test was used to compare generational differences in overweight/obesity and central obesity at similar ages in populations born in different generations. Non-parametric tests were used to compare generational differences in BMI and waist circumference.RESULTS(1) Body mass index(BMI), overweight/obesity rate, waist circumference, and central obesity rate showed unfavorable generational differences(P<0.0001) among different generations of residents at similar ages. BMI, overweight/obesity prevalence, waist circumference, and central obesity prevalence were higher in the younger generation. Overweight/obesity and central obesity occurred at an earlier age in the younger generation.(2) Generational differences in overweight/obesity rates and central obesity rates followed gender specificity. Unfavorable generational differences(P<0.0001) occurred in overweight/obesity as well as central obesity between the two oldest generations of females, with maximum differences of 15.5% and 8.0%. Unfavorable generational differences(P<0.0001) occurred in overweight/obesity between the two adjacent generations of men and in central obesity between the two youngest generations of men, with maximum differences of 19.5% and 17.0%.CONCLUSION The prevalence of overweight/obesity and central obesity among Chinese adults showed unfavorable generational differences. The prevalence of overweight/obesity and central obesity was higher in the younger generation. The younger generation develops overweight/obesity at an earlier age.
[1] KELLY T,YANG W,CHEN C S,et al.Global burden of obesity in 2005 and projections to 2030 [J].Int J Obes,2008,32(9):1431-1437.
[2] 郝丽鑫，张兵，王惠君，等.1989—2018年我国15个省(自治区、直辖市)18～35岁成年人超重和肥胖变化趋势及流行特征 [J].环境与职业医学，2022,39(5):471-477.
[3] 中国居民营养与慢性病状况报告(2020年)[J].营养学报，2020,42(6):521.
[4] HAN X,WEI C,CAO G Y.Aging,generational shifts,and energy consumption in urban China [J].Proc Natl Acad Sci USA,2022,119(37):e2210853119.
[5] 黄伟.社会变迁视角下的农村居民生活方式研究 [D].长春：吉林农业大学，2011.
[6] 苏畅，王惠君，张继国，等.中国居民营养状况与生活方式的代际差异 [J].卫生研究，2012,41(3):357-362.
[7] BARZIN M,ARYANNEZHAD S,BAGHERI M,et al.The association of the age,period,and birth cohort with 15-year changes in body mass index and waist circumference in adults:Tehran lipid and glucose study (TLGS) [J].BMC Public Health,2022,22(1):418.
[8] IBI D,RIETMAN M L,PICAVET H S J,et al.Adverse generational changes in obesity development converge at midlife without increased cardiometabolic risk [J].Obesity,2021,29(11):1925-1938.
[9] CHEN Y,PENG Q,YANG Y,et al.The prevalence and increasing trends of overweight,general obesity,and abdominal obesity among Chinese adults:a repeated cross-sectional study [J].BMC Public Health,2019,19(1):1293.
[10] MA S,XI B,YANG L,et al.Trends in the prevalence of overweight,obesity,and abdominal obesity among Chinese adults between 1993 and 2015 [J].Int J Obes,2021,45(2):427-437.
[11] POPKIN B M,DU S,ZHAI F,et al.Cohort profile:the China health and nutrition survey—monitoring and understanding socio-economic and health change in China,1989-2011 [J].Int J Epidemiol,2010,39(6):1435-1440.
[12] ZHANG B,ZHAI F Y,DU S F,et al.The China health and nutrition survey,1989-2011 [J].Obes Rev,2014,15 (Suppl 1):2-7.
[13] 中华人民共和国卫生和计划生育委员会.成人体重判定：WS/T 428—2013 [S].北京：中国标准出版社，2013.
[14] 马爱娟，董忠，祁琨，等.北京市成年人不同体重异常判断指标与血脂异常的相关性研究 [J].中华预防医学杂志，2023 (3):400-405.
[15] JAACKS L M,GORDON-LARSEN P,MAYER-DAVIS E J,et al.Age,period and cohort effects on adult body mass index and overweight from 1991 to 2009 in China:the China health and nutrition survey [J].Int J Epidemiol,2013,42(3):828-837.
[16] 杨欣丽，王惠君.成人中心型肥胖的流行趋势及其影响因素 [J].中国健康教育，2014 (7):634-636.
[17] 魏潇琪，琚腊红，于冬梅，等.中国2002—2015年≥18岁成人在外就餐行为变化趋势及其对肥胖影响 [J].中国公共卫生，2022 (5):570-576.
[18] 张晓帆，杜文雯，张继国，等.中国6省18～65岁餐馆就餐者在外就餐频率与超重肥胖的关系 [J].中国健康教育，2020,36(9):779-783.
[19] 王茹.家庭收入、生活方式对中国成人肥胖的影响 [D].南京：东南大学，2020.
[20] 汪云，王志宏，张兵，等.2015年中国十五省老年居民屏幕静坐时间及与肥胖的关联 [J].环境与职业医学，2019,36(12):1100-1105.
[21] TU Y K,CHIEN K L,BURLEY V,et al.Unravelling the effects of age,period and cohort on metabolic syndrome components in a Taiwanese population using partial least squares regression [J].BMC Med Res Methodol,2011,11:82.
[22] PILKINGTON R,TAYLOR A W,HUGO G,et al.Are baby boomers healthier than generation X A profile of Australia’s working generations using national health survey data [J].PLoS One,2014,9(3):e93087.
[23] MARTINSON M L,LAPHAM J,ERCIN-SWEARINGER H,et al.Generational shifts in young adult cardiovascular health?Millennials and generation X in the United States and England [J].J Gerontol B Psychol Sci Soc Sci,2022,77(Suppl 2):S177-S188.
[24] LEE J M,PILLI S,GEBREMARIAM A,et al.Getting heavier,younger:trajectories of obesity over the life course [J].Int J Obes (Lond),2010,34(4):614-623.
[25] ROBINSON W R,UTZ R L,KEYES K M,et al.Birth cohort effects on abdominal obesity in the United States:the silent generation,baby boomers and generation X [J].Int J Obes,2013,37(8):1129-1134.
[26] BADLEY E M,CANIZARES M,PERRUCCIO A V,et al.Benefits gained,benefits lost:comparing baby boomers to other generations in a longitudinal cohort study of self-rated health [J].Milbank Q,2015,93(1):40-72.
基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2024.01.003
中图分类号:R589.2
引用信息:
[1]郭丽杰,黄绯绯,杜文雯,等.中国成年居民超重肥胖的代际差异[J].卫生研究,2024,53(01):14-20+65.DOI:10.19813/j.cnki.weishengyanjiu.2024.01.003.
基金信息:
中国健康与营养调查(No.R01-HD30880,DK056350,R01-HD38700); 国家财政项目(No.13103110700015005)
2024-01-16
2024-01-16