Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001
Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001
复制标题
DOI：
10.1001/jama.289.1.76
复制
发表时间：
2003-01-01
影响因子：
120.7
通讯作者：
Marks, JS
中科院分区：
文献类型：
--
作者：
Mokdad, AH;Ford, ES;Marks, JS
背景肥胖和糖尿病在美国正日益增加。目的估计2001年美国成年人中肥胖和糖尿病的患病率。设计、设置和参与者随机数字电话调查195005名年龄在18岁或以上的成年人，居住在2001年参与行为危险因素监测系统的所有州。主要结果测量身体质量指数，根据自我报告的体重和身高以及自我报告的糖尿病，结果2001年肥胖（BMI ≥ 30）患病率为20.9%，比2000年的19.8%上升了5.6%。糖尿病患病率从2000年的7.3%上升到7.9%，增加了8.2%。2001年BMI为40或更高的流行率为2.3%。超重和肥胖与糖尿病、高血压、高胆固醇、哮喘、关节炎和健康状况不佳显著相关。与正常体重的成年人相比，BMI为40或更高的成年人的优势比（OR）为7.37（95%置信区间[CI]，6.39-8.50）诊断为糖尿病，6.38（95% CI，5.67-7.17）高血压，1.88（95%CI，1.67 -2.13）对于高胆固醇水平，2.72（95% CI，2.38-3.12）哮喘，4.41（95% CI，3.91-4.97），关节炎，4.19（95%CI，3.68-4.76）为公平或较差的健康。结论增加肥胖和糖尿病在美国成年人继续在两种性别，所有年龄，所有种族，所有教育水平，以及所有吸烟水平。肥胖与几个主要的健康风险因素密切相关。
Context Obesity and diabetes are increasing in the United States.Objective To estimate the prevalence of obesity and diabetes among US adults in 2001.Design, Setting, and Participants Random-digit telephone survey of 195 005 adults aged 18 years or older residing in all states participating in the Behavioral Risk Factor Surveillance System in 2001.Main Outcome Measures Body mass index,based on self-reported weight and height and self-reported diabetes.,Results In 2001 the prevalence of obesity (BMI greater than or equal to30) was 20.9% vs 19.8% in 2000, an increase of 5.6%. The prevalence of diabetes increased to 7.9% vs 7.3% in 2000, an increase of 8.2%. The prevalence of BMI of 40 or higher in 2001 was 2.3%. Overweight and obesity were significantly associated with diabetes, high blood pressure, high cholesterol, asthma, arthritis, and poor health status. Compared with adults with normal weight, adults with a BMI of 40 or higher had an odds ratio (OR) of 7.37 (95% confidence interval [CI], 6.39-8.50) for diagnosed diabetes, 6.38 (95% Cl, 5.67-7.17) for high blood pressure, 1.88 (95% CI,1.67-2.13) for high cholesterol levels, 2.72 (95% CI, 2.38-3.12) for asthma, 4.41 (95% CI, 3.91-4.97),for arthritis, and 4.19 (95% CI, 3.68-4.76) for fair or poor health.Conclusions Increases in obesity and diabetes among US adults continue in both sexes, all ages, all races, all educational levels, and all smoking levels. Obesity is strongly associated with several major health risk factors.