Multivariate analysis and intervention strategies for diabetes mellitus caused by overweight and obesity in adults in Shenyang
10.3969/j.issn.1006-2483.2021.04.023
- VernacularTitle:沈阳地区成人超重肥胖致糖尿病多因素分析及干预策略
- Author:
Yuxia WANG
1
;
Xiangning REN
2
,
3
;
Jie XUE
1
;
Weiwei FU
1
Author Information
1. Department of Endocrinology and Metabolic Diseases, the Fourth Affiliated Hospital of China Medical University , Shenyang 110032, China
2. Physical Examination Center, the Fourth Affiliated Hospital of China Medical University
3. Shenyang 110032, China
- Publication Type:Journal Article
- Keywords:
Adult;
Overweight;
Obesity;
Body mass index;
Diabetes;
Epidemiological characteristics
- From:
Journal of Public Health and Preventive Medicine
2021;32(4):100-104
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate epidemic characteristics of overweight, obesity and obesity-related diabetes in adults in Shenyang, and to explore the influence of overweight and obesity on diabetes. Methods Questionnaire survey combined with physical examination and laboratory examination was adopted to finally collect valid data of 5,239 people underwent physical examination in the hospital from January 2018 to December 2019. Height, weight and blood glucose levels were measured and body mass index (BMI) was calculated. The overweight and obesity status of adults with different characteristics, gender and age were compared, and the prevalence of diabetes among people with different BMI in Shenyang was recorded.Multivariate Logistic regression was used to analyze the influencing factors of overweight and obesity in adults. Logistic regression with complex sample data was used to analyze the risk of diabetes among overweight and obesity adults in different BMI subgroups, and the odds ratio (OR) value was calculated.Results The overall overweight and obesity rates in Shenyang were 42.05% and 21.80% respectively. Gender, region, occupation, smoking, alcohol consumption, eating habits and daily sleep time were associated with overweight (χ2= 437.299, χ2=399.536, χ2=447.144, χ2=77.529, χ2=38.984, χ2=297.900, χ2=1188.323, P<0.001) and obesity (χ2=225.169, χ2=47.296, χ2=241.920, χ2=129.770, χ2=23.197, χ2=98.14, χ2=146.05, P<0.001), the differences were statistically significant.The overweight and obesity rates among adults of different ages and gender had significant difference (P<0.05). Gender, age, region, marital status, smoking, alcohol consumption, eating habits and daily sleep time were the influencing factors of overweight and obesity in adults (P<0.05). With the increase of BMI, the prevalence of diabetes gradually increased (P<0.05). After adjusting for the confounding factors such as age, region and family per capita annual income, the risk of diabetes mellitus in adults with BMI of 24.0~27.9 kg/m2, or ≥28.0 kg/m2 were higher than those with BMI of 18.5~23.9 kg/m2, (Male: OR=2.034, OR=2.365, P<0.05；Female: OR=1.658, OR=1.763, P<0.05；Overall: OR=1.763, OR=1.811, P<0.05). Conclusion The overweight and obesity rates of adults in Shenyang are relatively high, and the risk of diabetes increases with the increase of BMI, so the related health education and intervention are of vital importance in weight-control and diabetes prevention.
