2010年上海市成年人身体成分现状与分析

目的：分析上海市成年人身体成分的现状并提出改善对策。方法：基于2010年国民体质监测的上海市18个区县2059岁成年人，共29322名，其中男性14562名，女性14760名。选取反应身体成分的测试指标及其派生指标。采用独立样本t检验，分析各指标不同年龄段及性别间的差异；选取问卷调查数据中的部分指标（如年龄段、性别、职业、受教育程度、所在单位是否有体育锻炼补贴等），采用二元logistic回归，分析除体力活动和饮食行为以外影响肥胖的因素。结果：上海市成年人身体成分多数指标随年龄增长而增长。超重和肥胖检出率分别为30.3％、8.5％，其中男性分别为38.2％、11.0％，女性分别为22.5％、6.1％；中心性肥胖率为42.7％，其中男性为49.9％，女性为35.7％；超重率与2005年相比降低了0.5个百分点，肥胖率增长了1.4个百分点。年龄段、性别、受教育程度、职业、所在工作场所是否有公共体育场地设施、居住地点离工作场所的距离、是否经常熬夜和日睡眠时间可能是肥胖的影响因素。结论：上海市成年人超重和肥胖率较高，且肥胖率十年间呈现持续增长趋势。肥胖是多因素导致的疾病，肥胖的防治工作应采取有效的综合性措施。

Current Situation and Analysis of Body Composition of Adults in Shanghai,2010

Purpose：To analyze the current body composi-tion of adults in Shanghai and propose improvement meas-ures. Method：Based on the data set of 2010 National Phy-sique Monitoring in Shanghai, including 18 districts or counties,of which 29322 adults aged 20 59（14562 men and 14760 women ） were chosen. Then indicators about body composition and their derived indicators were ana-lyzed using independent sample t-test for their age and gender differences;in addition to physical inactivity and unhealthy diet,the possible contributing factors of obesity in the survey data（age,sex,occupation,education level, the availability of public sports facilities in your work-place,etc） were detected using binary logistic regression analysis. Results：Most indicators reflecting body composi-tion in adults increased with age. Overweight and obesity prevalence were 30.3% and 8.5 %,of which males were 38.2 % and 11.0 % and females were 22.5 % and 6.1%, respectively. Prevalence of central obesity was 42.7%,of which males were 49.9 % and females were 35.7%. Compared with 2005 , the overweight prevalence decreased by 0.5 percent and the obesity prevalence in-creased by 1.4 percent. Age, gender, educational level, occupation, the availability of public sports facilities in workplace, the distance between place of residence and workplace ,the frequency of staying up late and daily sleep duration might be factors affecting obesity. Conclusions：Adults in shanghai have high rates of overweight and obe-sity,and the obesity prevalence has been rising during the past decade. Obesity is a multifactorial disease that we should take effective and comprehensive measures to pre-vent and control.