| 754 | 0 | 1044 |
| 下载次数 | 被引频次 | 阅读次数 |
目的 分析2002—2015年新疆成年居民腰围和中心性肥胖的变化趋势。方法 采用多阶段分层整群抽样方法，选取“中国居民营养与健康状况监测”2002年、2012年和2015年三次横断面调查中18岁及以上居民的相关数据，根据《成人体重判定标准》(WS/T 428—2013)定义中心性肥胖前期和中心性肥胖，比较不同性别、年龄和城乡组间腰围、中心性肥胖率及其变化趋势。结果 2002—2015年，新疆成年居民平均腰围由78.3 cm增长至85.9 cm(P<0.01),男性平均腰围由80.3 cm增长到88.3 cm,女性平均腰围由76.4 cm增长到83.6 cm。18～44岁、45～59岁、60岁及以上居民平均腰围分别由76.2 cm、83.0 cm、80.0 cm增长到83.7 cm、87.7 cm、87.9 cm。中心性肥胖率由19.6%上升至44.1%(P<0.01),男性由19.4%增长到44.7%,女性由19.9%增长到43.5%。18～44岁、45～59岁、60岁及以上居民分别由12.9%、35.8%、24.9%增长到36.2%、50.3%、51.1%。2002年无城市居民腰围数据，农村居民平均腰围由2012年的82.6 cm增加至2015年的85.1 cm,而城市居民平均腰围由2012年的87.6 cm减少到2015年的86.9 cm。农村居民中心性肥胖率由2012年的30.4%增长到2015年的40.9%,而城市居民中心性肥胖率由2012年的51.7%降低到2015年的47.9%。腰围和中心性肥胖率的城乡差距变小。CMH趋势检验显示中心性肥胖等级(正常、前期、肥胖)随调查年份升高(趋势χ2=500.50,P<0.01),表明2002—2015年新疆成年居民中心性肥胖呈进行性加重趋势。结论 2002—2015年新疆成年居民腰围及中心性肥胖率呈上升趋势。
Abstract：OBJECTIVE To analyze the changing trends of waist circumference and central obesity among adult residents in Xinjiang Uygur Autonomous Region from 2002 to 2015.METHODS A multi-stage stratified cluster sampling method was adopted to select the relevant data of residents aged 18 and above from the three cross-sectional surveys of “China Nutrition and Health Surveillance” conducted in 2002, 2012 and 2015. Pre-central obesity and central obesity were defined according to the Chinese Adult Weight Determination Criteria(WS/T 428-2013). Compared the waist circumference, the rate of central obesity and their changing trends among different genders, ages and urban-rural groups.RESULTS From 2002 to 2015, the average waist circumference of adult residents in Xinjiang Uygur Autonomous Region increased from 78.3 cm to 85.9 cm(P<0.01), The average waist circumference of men increased from 80.3 cm to 88.3 cm, and that of women increased from 76.4 cm to 83.6 cm.The average waist circumference of residents aged 18-44, 45-59, and 60 and above increased from 76.2 cm, 83.0 cm, and 80.0 cm to 83.7 cm, 87.7 cm, and 87.9 cm, respectively. The rate of central obesity increased from 19.6% to 44.1%(P<0.01), with men increasing from 19.4% to 44.7% and women from 19.9% to 43.5%. The rate of central obesity of residents aged 18-44, 45-59, and 60 and above increased from 12.9%, 35.8%, and 24.9% to 36.2%, 50.3%, and 51.1% respectively.The growth rate was more significant among men and residents aged 60 and above. In 2002, there was no data on the waist circumference of urban residents.The average waist circumference of rural residents increased from 82.6 cm in 2012 to 85.1 cm in 2015. While the average waist circumference of urban residents decreased from 87.6 cm in 2012 to 86.9 cm in 2015. The central obesity rate among rural residents rose from 30.4% in 2012 to 40.9% in 2015. Meanwhile, the central obesity rate among urban residents dropped from 51.7% in 2012 to 47.9% in 2015. The gap between urban and rural areas in waist circumference and central obesity rates has narrowed. The CMH trend test showed that the grades of central obesity(normal, pre-obesity, obesity) significantly increased with the years of investigation(trend χ2=500.50, P<0.01), indicating that central obesity among adult residents in Xinjiang Uygur Autonomous Region showed a progressive aggravation trend from 2002 to 2015.CONCLUSION From 2002 to 2015, the waist circumference and central obesity rate of adult residents in Xinjiang Uygur Autonomous Region showed a significant upward trend, and health intervention needs to be strengthened.
[1] REN Z Y,SUN W D,WANG S H,et al.Status and transition of normal-weight central obesity and the risk of cardiovascular diseases:a population-based cohort study in China[J].Nutr Metab Cardiovasc Dis,2022,32(12):2794-2802.
[2] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志，2021,13(4):315-409.
[3] LAUBY-SECRETAN B,SCOCCIANTI C,LOOMIS D,et al.Body fatness and cancer—viewpoint of the IARC working group[J].N Engl J Med,2016,375(8):794-798.
[4] LEAR S A,HUMPHRIES K H,KOHLI S,et al.Visceral adipose tissue accumulation differs according to ethnic background:results of the Multicultural Community Health Assessment Trial (M-CHAT)[J].Am J Clin Nutr,2007,86(2):353-359.
[5] 黄洁武，吴东亭，宋嘉宜，等.甲状腺正常人群脂质蓄积指数、内脏脂肪指数与代谢综合征患病关系[J].中国公共卫生，2022,38(9):1181-1186.
[6] 中国肥胖问题工作组.中国成人超重和肥胖症预防与控制指南(节录)[J].营养学报，2004(1):1-4.
[7] ASHWELL M,GIBSON S.Waist-to-height ratio as an indicator of ‘early health risk’:simpler and more predictive than using a ‘matrix’ based on BMI and waist circumference[J].BMJ Open,2016,6(3):e010159.
[8] 《中国居民营养与慢性病状况报告(2020年)》发布成年居民超重肥胖超50%[J].初中生世界，2021(14):61.
[9] ZHAO W,ZHAI Y,HU J,et al.Economic burden of obesity-related chronic diseases in China's mainland[J].Obes Rev,2008,9(S1):62-67.
[10] 裘美娟，房玥晖，连怡遥，等.中国成年居民膳食模式的区域分布特征[J].中国食物与营养，2023,29(6):62-66.
[11] 王陇德.中国居民营养与健康状况调查报告之一：2002综合报告[M].北京：人民卫生出版社，2005.
[12] 常继乐，王宇.中国居民营养与健康状况监测2010—2013年综合报告[M].北京：北京大学医学出版社，2016.
[13] 赵丽云，丁钢强，赵文华.2015—2017年中国居民营养与健康状况监测报告[M].北京：人民卫生出版社，2022.
[14] 公维一，王惠君，房红芸，等.2002—2015年中国成年居民腰围分布的变化趋势与特征[J].卫生研究，2025,54(2):208-213.
[15] 张晓帆，王惠君，苏畅，等.2000—2023年中国十省(自治区)成年居民超重肥胖及中心性肥胖的流行现况及趋势[J].卫生研究，2024,53(6):874-879.
[16] ABUDUSILIMU M,MUYIDULI X,REJIAFU S,et al.The epidemiological features of and correlation between central obesity and major cardiometabolic disease clustering among middle-aged and elderly residents in Xinjiang[J].BMC Public Health,2025,25(1):3904.
[17] 樊萌语，吕筠，郭彧，等.中国慢性病前瞻性研究：10个项目地区成人体力活动和休闲静坐时间特征差异的分析[J].中华流行病学杂志，2015,36(8):779-785.
[18] 王楠，吴旭龙，丁子尧，等.学龄儿童青少年闲暇视屏时间与超重肥胖的相关性[J].中国学校卫生，2016,37(11):1604-1606.
[19] GOENS D,VIRZI N E,JUNG S E,et al.Obesity,chronic stress,and stress reduction[J].Gastroenterol Clin North Am,2023,52(2):347-362.
[20] ZHONG H,LI H X,XU D,et al.The prevalence and risk factors associated with hypertension subtypes among ethnic Dai adults in rural China[J].Prev Med Rep,2024,47:102886.
[21] 孙孟姊，聂鹏，李铁梅，等.中国成人肥胖疾病负担与经济负担及趋势预测[J].中国预防医学杂志，2025,26(8):1013-1017.
[22] JONES-SMITH J C,GORDON-LARSEN P,SIDDIQI A,et al.Is the burden of overweight shifting to the poor across the globe?Time trends among women in 39 low-and middle-income countries (1991-2008)[J].Int J Obes,2012,36(8):1114-1120.
[23] POPKIN B M,DU S F,ZHAI F Y,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.
[24] NG S W,POPKIN B M.Time use and physical activity:a shift away from movement across the globe[J].Obes Rev,2012,13(8):659-680.
[25] 马丽媛，吴亚哲，王文，等.《中国心血管病报告2017》要点解读[J].中国心血管杂志，2018,23(1):3-6.
基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2026.02.004
中图分类号:R151.42
引用信息:
[1]买迪娜·阿布都斯力木,房红芸,郭齐雅,等.2002—2015年新疆成年居民腰围和中心性肥胖变化趋势[J].卫生研究,2026,55(02):195-200.DOI:10.19813/j.cnki.weishengyanjiu.2026.02.004.
基金信息:
国家财政项目：公共卫生应急-营养健康与合理膳食行动(No.102393220020070000012); 国家重大公共卫生服务项目[中国居民营养与健康状况调查/监测(2002—2015年)]
2026-03-20
2026-03-20