Obesity Prevalence and Risks Among Chinese Adults: Findings From the China PEACE Million Persons Project, 2014-2018.
Obesity Prevalence and Risks Among Chinese Adults: Findings From the China PEACE Million Persons Project, 2014-2018.
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中国成年人肥胖患病率及风险：中国和平百万人项目2014-2018年调查结果
DOI：
10.1161/circoutcomes.120.007292
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发表时间：
2021-06
期刊：
影响因子：
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通讯作者：
Zheng X
中科院分区：
文献类型：
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作者：
Mu L;Liu J;Zhou G;Wu C;Chen B;Lu Y;Lu J;Yan X;Zhu Z;Nasir K;Spatz ES;Krumholz HM;Zheng X
文本中提供了补充数字内容。近几十年来，中国的肥胖症流行迅速，但很少有研究报告全国范围内的社会人口亚组肥胖症。我们试图评估全国范围内肥胖的患病率和社会人口统计学关联。我们评估了2014年至2018年中国PEACE百万人口项目中270万35至75岁社区居民成年人的总体肥胖（体重指数≥28 kg/m2）和腹型肥胖（女性/男性腰围≥85/90 cm）患病率，并使用多变量混合模型量化了肥胖的社会人口统计学关联。女性总体肥胖和腹部肥胖的标准化率分别为14.4%（95% CI，14.3%-14.4%）和32.7%（32.6%-32.8%），男性分别为16.0%（15.9%-16.1%）和36.6%（36.5%-36.8%）。肥胖症在不同的社会人口统计学亚组中差异很大。老年女性肥胖的风险较高（例如，65-75岁女性与35-44岁女性的校正相对风险[95% CI]：总体肥胖为1.29 [1.27-1.31]，腹部肥胖为1.76 [1.74-1.77]），而老年男性则不然。受教育程度越高，女性患病风险越低（例如，大专或大学教育与小学以下教育的校正相对风险[95% CI]：总体肥胖为0.47 [0.46-0.48]，腹部肥胖为0.61 [0.60-0.62]），但男性风险较高（1.07 [1.05-1.10]，1.17 [1.16-1.19]）。在中国，超过七分之一的人符合整体肥胖标准，三分之一的人符合腹部肥胖标准。社会人口亚组之间存在很大差异。年龄和受教育程度与肥胖之间的关联是显著的，并且因性别而异。了解当代中国的肥胖问题具有广泛的国内政策含义，并提供了有价值的国际参考。
Supplemental Digital Content is available in the text. China has seen a burgeoning epidemic of obesity in recent decades, but few studies reported nationally on obesity across socio-demographic subgroups. We sought to assess the prevalence and socio-demographic associations of obesity nationwide. We assessed the prevalence of overall obesity (body mass index ≥28 kg/m2) and abdominal obesity (waist circumference ≥85/90 cm for women/men) among 2.7 million community-dwelling adults aged 35 to 75 years in the China PEACE Million Persons Project from 2014 to 2018 and quantified the socio-demographic associations of obesity using multivariable mixed models. Age-standardized rates of overall and abdominal obesity were 14.4% (95% CI, 14.3%–14.4%) and 32.7% (32.6%–32.8%) in women and 16.0% (15.9%–16.1%) and 36.6% (36.5%–36.8%) in men. Obesity varied considerably across socio-demographic subgroups. Older women were at higher risk for obesity (eg, adjusted relative risk [95% CI] of women aged 65–75 versus 35–44 years: 1.29 [1.27–1.31] for overall obesity, 1.76 [1.74–1.77] for abdominal obesity) while older men were not. Higher education was associated with lower risk in women (eg, adjusted relative risk [95% CI] of those with college or university education versus below primary school: 0.47 [0.46–0.48] for overall obesity, 0.61 [0.60–0.62] for abdominal obesity) but higher risk in men (1.07 [1.05–1.10], 1.17 [1.16–1.19]). In China, over 1 in 7 individuals meet criteria for overall obesity, and 1 in 3 for abdominal obesity. Wide variation exists across socio-demographic subgroups. The associations of age and education with obesity are significant and differ by sex. Understanding obesity in contemporary China has broad domestic policy implications and provides a valuable international reference.