Epidemiological Survey Of Central Obesity And Associated With Related Factor In The City Of Dehui In Jilin Province

Objective: To clear the prevalence, influencing factors of centralobesity and Clear the relationship between related disease and centralobesity.Methods: The cross-sectional,population-based study wasconducted in the city of Dehui according to the comprehensivedevelopment index.we used in both urban and rural areas residents ofthe general population of a large sample multi-stage stratified randomsample survey method,and9villages and11towns were selected from14towns and308villages in the city of Dehui.The survey includedquestionnaires, physical examination, blood tests, and real-timeultrasound. A total of6043eligible subjects accepted questionnaires.Only3850subjects accepted physical examination, blood tests andultrasound test.At last,we use SPSS16.0software for statistical analysis of 3785cases with complete data. Count data adopted rate,a ratio ofindicators.Categories on the overall distribution of different variables testusing X2test.P <0.05considered statistically significant. Using a logisticregression to analysisi disease risk factors.Results: The prevalence of center obesity was36%in this study,andMale prevalence and female prevalence was22.1%,48.6%respectively,which exhibits statistically significant in gender(p <0.05). Before the ageof30,31to40years old,41to50years old,51to60years old, after theage of60, the prevalence of central obesity was28.6%,35%,38.8%,38.8%, and25.4%respectively in the study. There is a statisticallysignificant difference between the different age groups(p <0.05).Unmarried people, married people with central obesity prevalence was21.1%,36.6%,which exhibits Statistical significance between maritalstatus(p <0.05). The farmers, workers, cadres and managers of enterprises,self-employed central obesity prevalence were40.4%,27.6%,33.3%,30.7%,37.9%, respectively. There is a statistically significant differencebetween the different occupations(p <0.05). The central obesity prevalence of the before primary and secondary schools, junior highschool, high school or secondary, undergraduate or more were50.8%,41%,35.2%,27.7%,33.1%,35.9%, there is a statistically significantdifference (p <0.05). Seven groups of different monthly income betweenless than$200and more than4000yuan，the central obesity prevalencewas not statistically significant (p=0.168). Smokers, ex-smokers,non-smokers, central obesity prevalence were39.9%,36.4%,29.5%，there is a statistically significant difference (p <0.05). the prevalence ofdrinking less than40g a week，drinking greater than140g a week, and40~139g alcohol consumption per week were38.5%,27.69%.,23.45%(p<0.05). There is no statistically significant between the different amountof exercise and sleep(p=0.103, p=0.178). There is a statisticallysignificant between preference meat and preference vegetable (p<0.05).Between the sweet side and the salty, between the preferencecoarse grains and the migraine flour and rice, there was no statisticallysignificant difference (p=0.665, p=0.292). Normal range: of BMI18.5~~22.99kg/m~2，overweight: BMI≥23kg/m~2, mild obesity: BMI≥ 25kg/m~2and severe obesity BMI≥30kg/m~2,the prevalence of centralobesity were30.8%,36.2%,51.7%,64.4%, central obesity prevalencewas statistically significant between different BMI(p <0.05). Logisticregression analysis showed that the influencing factors includes: gender(OR:3.792,95.0%CI:3.173~4.531), BMI (OR:1.581,95.0%CI:1.460-1.711). The prevalence of hypertension, dyslipidemia, hypertriglyceridemia,hypercholesterolemia,High-low-density lipoprotein hyperlipidemia，low high-density lipoprotein hyperlipidemia，NAFLD in central obesity were57.3%,73.5%,63%,46%,36%,40%,36%, The prevalence of thesechronic exhibits statistically significant difference between central obesityand non-central obesity(P <0.05).Conclusion:1.The center obesity prevalence of Dehui city was36%.2. Prevalence of Central obesity was related with sex, occupation,marital status, age, education level, alcohol consumption, smoking, BMI,eating meat and vegetables, which was significantly associated withgender,occupation, BMI, Which had nothing to do with income, exercise, sleep, eating sweet and salty.3. There is difference for the prevalence of Central obesity in genderand age：compared to male,The prevalence of Central obesity in female ishigher,and married prevalence is higher than unmarried. Before50-year-old age, the prevalence of central obesity grows following age,41to50years old is a age group which has high prevalence of centralobesity, after the50-year-old,prevalence of central obesity declinedslightly.4.The prevalence of central obesity is related with career, from highto low,the career are farmers, self-employed, cadres, business managers,and workers.5.The prevalence of central obesity is related with the educationallevel, from high to low, the educational level are before primary school,primary school, college graduate or undergraduate,junior highschool,junior college,high school or secondary school.6. Prevalence of central obesity is related with BMI, The prevalenceof Central obesity increased with the growth of BMI. 7.The central obesity prevalence is associated with hypertension,dyslipidemia, NAFLD, metabolic diseases,.The prevalence of which incentral obesity were57.3%,73.5%,36%.,which is consistent withdomestic and foreign reports.8. Central obesity is a common risk factor for many chronic diseases,to improve the quality of life and reduce the cost of medicines, centralobesity risk factors need early intervene.