2013年中国超重肥胖成人体重水平低估情况

夏云婷; 吴延莉; 王丽敏; 张亚利; 闫慧敏; 刘少博; 徐婷玲; 张梅; 黄正京; 赵振平; 张笑; 李纯; 李剑虹

doi:10.16462/j.cnki.zhjbkz.2019.08.011

2013年中国超重肥胖成人体重水平低估情况

doi: 10.16462/j.cnki.zhjbkz.2019.08.011

夏云婷^{1, 2, 3},
吴延莉⁴,
王丽敏³,
张亚利²,
闫慧敏²,
刘少博³,
徐婷玲³,
张梅³,
黄正京³,
赵振平³,
张笑³,
李纯³,
李剑虹^3, ,

1.
102200 北京, 中国疾病预防控制中心农村改水技术指导中心
2.
100050 北京, 中国疾病预防控制中心中国现场流行病学培训项目
3.
100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心
4.
550001 贵阳, 贵州省疾病预防控制中心

基金项目:

国家重点研发计划项目 2018YFC1313904

详细信息

通讯作者:
李剑虹. E-mail: Lijianhong@ncncd.chinacdc.cn

中图分类号: R181
计量
- 文章访问数: 465
- HTML全文浏览量: 237
- PDF下载量: 30
- 被引次数: 0
出版历程
- 收稿日期: 2019-01-30
- 修回日期: 2019-04-01
- 刊出日期: 2019-08-10

Underestimation of weight status among overweight and obese adults in China in 2013

1.
National Center for Rural Water Supply Technical Guidance, Chinese Center for Disease Control and Prevention, Beijing 102200, China
2.
Chinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China
3.
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
4.
Guizhou Provincial Center for Disease Control and Prevention, Guiyang 550001, China

Funds:

National Key Research and Development Program of China 2018YFC1313904

More Information

Corresponding author: LI Jian-hong, E-mail: Lijianhong@ncncd.chinacdc.cn

摘要

摘要: 目的了解2013年我国超重肥胖成人体重水平低估情况，分析其影响因素。方法 2013年中国慢性病及其危险因素监测采用多阶段分层整群抽样的方法调查≥ 18岁成人共计179 570人。问卷调查获取人口学特征、体重水平自我评价、慢性病患病知晓情况等信息；体格测量获取个体的身高、体重和血压；采集调查对象静脉血，检测空腹血糖、服糖后2 h血糖和血脂四项。选取收集到的87 552名超重肥胖成人作为研究对象，复杂加权后分析不同特征人群体重水平低估情况及其影响因素。结果我国有74.7%（95%CI：73.3%~76.1%）的超重肥胖成人低估自我体重水平，其中轻度低估率为60.7%（59.6%~61.7%），严重低估率为14.0%（13.1%~14.9%）。较高年龄、低文化程度、低收入水平、农村地区和肥胖是低估和严重低估体重水平的危险因素（均有P < 0.05）；高血压患者知晓和血脂异常患者知晓是低估和严重低估体重水平的保护因素（均有P < 0.05）。结论中国大部分超重肥胖成人低估自身的体重水平，低估受年龄、文化程度、收入水平和慢性病知晓等因素影响，应对不同特征人群开展针对性干预。
- 超重 /
- 肥胖 /
- 成人 /
- 体重指数 /
- 低估
Abstract: Objective The aim is to understand the underestimation of body weight status and its associated factors among overweight and obese adults in China. Methods Nationally representative data were collected in 2013 by the China Chronic Disease and Risk Factor Surveillance which used a multistage stratified cluster sampling method. A total of 87 552 overweight and obese adults aged ≥ 18 years old were included. Demographic characteristics, weight perception and disease status were obtained from in-person interviews. Height, weight and blood pressure were measured through physical examination. Venous blood samples were obtained and assayed for fasting plasma glucose, 2-hour oral glucose tolerance test, total cholesterol, triglycerides, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol. Complex sampling was weighted and multiple logistic regression models were used for analyzing. Results Among overweight and obese adults, 74.7% (95% CI: 73.3%-76.1%) underestimated their weight status. The mild underestimation rate was 60.7% (59.6%-61.7%) while the severe was 14.0% (13.1%-14.9%). The aged, low education level, low annual income, rural area and obesity were risk factors for both weight status underestimation and severe underestimation (all P < 0.05). Awareness of having hypertension and dyslipidemia were protective factors (all P < 0.05). Conclusions Most overweight and obese adults in China underestimated their own weight status, which was affected by age, education and income level, awareness of having chronic diseases and other factors. Targeted interventions should be carried out for different characteristic groups.
- Overweight /
- Obesity /
- Adult /
- Body mass index /
- Underestimation

HTML全文

表 1 2013年中国超重肥胖成人基本特征^a[n (%)]

Table 1. Basic characteristics of overweight and obese adults in China in 2013^a [n (%)]

特征	合计(n=87 552)	超重者(n=61 362)	肥胖者(n=26 190)
性别
男	36 514(51.9)	26 153(52.6)	10 361(50.5)
女	51 038(48.1)	35 209(47.4)	15 829(49.5)
年龄(岁)
18~	25 580(52.8)	17 730(52.1)	7 850(54.3)
45~	37 473(30.4)	26 164(30.7)	11 309(29.8)
60~	24 499(16.8)	17 468(17.2)	7 031(15.9)
民族
汉族	78 686(92.4)	55 245(92.5)	23 441(92.3)
其他	8 866(7.6)	6 117(7.5)	2 749(7.7)
文化程度
小学及以下	40 361(36.7)	28 266(36.7)	12 095(36.7)
初中	28 701(37.0)	19 967(36.8)	8 734(37.4)
高中/中专/技校	12 739(16.7)	8 983(16.6)	3 756(17.1)
大专及以上	5 696(9.6)	4 108(9.9)	1 588(8.8)
婚姻状况
未婚	2 434(7.7)	1 731(7.7)	703(7.9)
已婚/同居	77 051(87.0)	53 898(86.9)	23 153(87.1)
丧偶/离婚/分居	8 006(5.3)	5 687(5.4)	2 319(5.0)
年收入(万元)
＜0.7	16 532(24.7)	11 678(25.0)	4 854(24.0)
0.7~	17 043(26.5)	11 783(26.0)	5 260(27.7)
1.3~	16 594(25.4)	11 630(25.4)	4 964(25.3)
2.4~	17 678(23.4)	12 397(23.6)	5 281(23.0)
地区
东部	34 733(43.5)	23 895(42.7)	10 838(45.3)
中部	25 715(33.1)	18 062(33.0)	7 653(33.5)
西部	27 104(23.4)	19 405(24.3)	7 699(21.2)
城乡
城市	43 724(48.2)	30 413(48.1)	13 311(48.5)
农村	43 828(51.8)	30 949(51.9)	12 879(51.5)
高血压
否	47 406(61.9)	35 863(66.0)	11 543(52.4)
是(知晓)	20 364(16.7)	12 420(14.5)	7 944(21.7)
是(不知晓)	19 704(21.4)	13 027(19.5)	6 677(25.9)
糖尿病
否	70 424(85.4)	50 449(87.0)	19 975(81.7)
是(知晓)	6 797(5.6)	4 309(5.0)	2 488(7.1)
是(不知晓)	8 304(9.0)	5 146(8.0)	3 158(11.2)
血脂异常
否	44 703(52.1)	33 555(56.2)	11 148(42.7)
是(知晓)	9 715(8.8)	5 775(7.4)	3 940(12.2)
是(不知晓)	32 606(39.0)	21 645(36.4)	10 961(45.1)
注：^a文化程度缺失55例，婚姻状况缺失61例，年收入缺失19 705例，高血压缺失78例，糖尿病缺失2 027例，血脂异常缺失528例。

下载: 导出CSV

表 2 2013年中国超重肥胖成人体重水平低估情况^a

Table 2. Underestimation of weight status among overweight and obese adults in China in 2013^a

特征	体重自评等级[n (%)]				低估人数(人)	体重低估加权率(95% CI)	轻度低估人数(人)	轻度低估加权率(95% CI)	严重低估人数(人)	严重低估加权率(95% CI)
特征	偏瘦	正常	超重	肥胖	低估人数(人)	体重低估加权率(95% CI)	轻度低估人数(人)	轻度低估加权率(95% CI)	严重低估人数(人)	严重低估加权率(95% CI)
合计	3 062(3.1)	52 043(56.4)	28 161(34.7)	4 286(5.8)	67 933	74.7(73.3~76.1)	54 594	60.7(59.6~61.7)	13 339	14.0(13.1~14.9)
肥胖程度
超重	2 530(3.5)	41 766(65.2)	15 333(28.0)	1 733(3.3)	44 296	68.7(67.0~70.4)	41 766	65.2(63.4~67.0)	2 530	3.5(3.0~4.1)
肥胖	532(2.0)	10 277(36.2)	12 828(50.2)	2 553(11.6)	23 637	88.4(87.1~89.7)	12 828	50.2(47.5~52.6)	10 809	38.2(35.4~40.9)
χ²值						427.774		63.054		982.907
P值						0.001		0.001		0.001
性别
男	1 169(2.7)	22 880(58.1)	10 925(33.8)	1 540(5.4)	29 242	76.4(74.8~78.0)	24 041	63.6(62.3~65.0)	5 201	12.8(11.9~13.7)
女	1 893(3.5)	29 163(54.6)	17 236(35.7)	2 746(6.3)	38 691	72.9(71.2~74.5)	30 553	57.5(56.3~58.6)	8 138	15.4(14.2~16.6)
χ²值						18.008		70.640		26.197
P值						< 0.001		< 0.001		< 0.001
年龄(岁)
18~	546(2.2)	13 384(50.4)	10 005(40.0)	1 645(7.4)	18 162	69.3(67.4~71.3)	15 072	57.6(56.2~59.1)	3 090	11.7(10.6~12.9)
45~	1 243(3.2)	22 437(60.3)	12 065(32.0)	1 728(4.5)	29 275	78.3(77.1~79.6)	23 578	63.5(62.4~64.6)	5 697	14.8(13.9~15.7)
60~	1 273(5.6)	16 222(68.1)	6 091(22.8)	913(3.5)	20 496	85.0(83.7~86.3)	15 944	65.2(63.7~66.6)	4 552	19.8(18.0~21.6)
χ²值						427.108		117.067		111.647
P值						< 0.001		< 0.001		< 0.001
民族
汉族	2 616(2.9)	46 293(55.9)	25 961(35.4)	3 816(5.8)	60 658	74.2(72.7~75.7)	49 067	60.6(59.5~61.7)	11 591	13.6(12.6~14.6)
其他	446(5.3)	5 750(62.7)	2 200(26.2)	470(5.8)	7 275	80.3(77.2~83.5)	5 527	61.3(58.3~64.3)	1 748	19.1(15.1~23.0)
χ²值						10.369		0.173		7.815
P值						0.001		0.677		0.005
文化程度
小学及以下	1 992(4.8)	26 515(64.7)	10 019(25.5)	1 835(5.0)	33 509	82.1(80.9~83.3)	25 836	63.5(62.2~64.8)	7 673	18.7(17.3~20.0)
初中	781(2.6)	16 410(55.5)	10 081(36.0)	1 429(5.9)	21 781	74.2(72.7~75.8)	17 859	61.2(59.9~62.5)	3 922	13.0(12.0~14.0)
高中/中专/技校	220(1.6)	6 572(48.7)	5 256(43.0)	691(6.7)	8 998	68.1(65.5~70.7)	7 679	58.0(55.9~60.1)	1 319	10.1(8.9~11.2)
大专及以上	68(1.2)	2 507(41.5)	2 791(50.1)	330(7.2)	3 597	59.5(56.0~63.0)	3 181	52.4(49.4~55.4)	416	7.1(5.8~8.3)
χ²值						387.072		74.089		269.384
P值						< 0.001		< 0.001		< 0.001
婚姻状况
未婚	71(2.0)	1 361(52.2)	836(36.5)	166(9.3)	1 747	67.2(62.3~72.1)	1 411	54.5(50.5~58.6)	336	12.7(10.3~15.1)
已婚/同居	2 577(3.0)	45 547(56.3)	25 156(35.1)	3 771(5.6)	59 610	75.0(73.6~76.3)	48 044	61.1(60.1~62.2)	11 566	13.8(12.9~14.7)
丧偶/离婚/分居	411(5.3)	5 093(65.0)	2 155(25.3)	347(4.4)	6 525	81.4(79.5~83.2)	5 098	62.4(59.8~65.0)	1 427	19.0(16.5~21.4)
χ²值						37.963		17.567		18.636
P值						< 0.001		< 0.001		< 0.001
年收入(万元)
＜0.7	809(4.6)	10 836(63.6)	4 118(26.7)	769(5.1)	13 595	80.0(78.1~81.8)	10 490	61.8(59.8~63.7)	3 105	18.2(16.1~20.2)
0.7~	597(2.8)	10 168(56.8)	5 452(34.5)	826(5.9)	13 319	75.1(73.4~76.9)	10 593	60.0(58.4~61.6)	2 726	15.2(13.6~16.8)
1.3~	516(2.7)	9 298(53.4)	5 980(38.9)	800(5.0)	12 488	73.7(72.1~75.4)	10 228	61.6(60.0~63.2)	2 260	12.1(11.1~13.1)
2.4~	401(2.0)	9 361(49.5)	7 014(41.7)	902(6.8)	12 792	68.4(65.9~70.9)	10 773	58.2(56.3~60.1)	2 019	10.2(9.2~11.2)
χ²值						104.460		12.127		122.145
P值						<0.001		0.007		< 0.001
地区
东部	1 158(3.3)	20 434(56.6)	11 531(34.5)	1 610(5.6)	27 044	75.7(73.3~78.2)	21 686	60.9(59.3~62.4)	5 358	14.8(13.2~16.5)
中部	807(2.8)	14 922(53.5)	8 554(37.2)	1 432(6.5)	19 528	72.3(69.9~74.6)	15 874	59.3(57.2~61.3)	3 654	13.0(11.4~14.6)
西部	1 097(3.1)	16 687(60.1)	8 076(31.6)	1 244(5.2)	21 361	76.2(74.1~78.4)	17 034	62.3(60.6~64.0)	4 327	14.0(12.7~15.2)
χ²值						6.623		4.926		3.338
P值						0.037		0.085		0.188
城乡
城市	1 199(2.2)	24 056(51.7)	16 282(39.9)	2 187(6.2)	32 433	70.9(69.0~72.9)	26 620	59.4(58.0~60.8)	5 813	11.5(10.6~12.5)
农村	1 863(3.9)	27 987(60.7)	11 879(29.9)	2 099(5.5)	35 500	78.2(76.5~79.9)	27 974	61.9(60.4~63.3)	7 526	16.3(15.1~17.6)
χ²值						38.985		6.719		55.791
P值						< 0.001		0.010		< 0.001
高血压
否	1 584(2.8)	28 809(56.5)	14 867(35.0)	2 146(5.7)	35 974	72.3(70.6~74.0)	29 780	60.5(59.1~61.9)	6 194	11.8(11.0~12.6)
是(知晓)	757(3.5)	10 940(53.0)	7 471(37.3)	1 196(6.2)	15 896	77.3(75.9~78.7)	12 364	60.3(59.1~61.6)	3 532	17.0(15.7~18.2)
是(不知晓)	718(3.5)	12 252(58.9)	5 798(31.8)	936(5.8)	16 000	79.6(77.8~81.3)	12 394	61.5(60.0~63.0)	3 606	18.1(16.2~19.9)
χ²值						101.971		1.684		146.508
P值						< 0.001		0.431		< 0.001
糖尿病
否	2 286(2.9)	42 180(56.2)	22 628(35.1)	3 330(5.8)	54 296	73.8(72.3~75.4)	44 146	60.6(59.4~61.8)	10 150	13.2(12.3~14.2)
是(知晓)	421(5.5)	3 781(54.8)	2 233(33.4)	362(6.3)	5 405	78.1(76.2~80.1)	4 039	57.9(55.5~60.2)	1 366	20.3(17.9~22.7)
是(不知晓)	268(2.9)	4 787(58.4)	2 737(32.5)	512(6.2)	6 593	79.7(77.8~81.5)	5 113	62.4(60.1~64.7)	1 480	17.3(15.5~19.1)
χ²值						45.733		6.139		70.272
P值						< 0.001		0.047		< 0.001
血脂异常
否	1 657(3.4)	28 347(60.3)	12 880(31.6)	1 819(4.7)	35 086	75.6(74.2~77.0)	28 588	62.5(61.3~63.6)	6 498	13.2(12.3~14.0)
是(知晓)	323(2.7)	4 269(40.2)	4 456(48.4)	667(8.7)	6 941	68.1(65.0~71.1)	5 554	55.1(52.8~57.4)	1 387	12.9(11.4~14.5)
是(不知晓)	1 062(2.7)	19 080(54.8)	10 690(35.9)	1 774(6.6)	25 483	74.9(73.4~76.5)	20 116	59.5(58.3~60.8)	5 367	15.4(14.1~16.7)
χ²值						49.205		52.196		27.844
P值						< 0.001		< 0.001		< 0.001
注：^a文化程度缺失55例，婚姻状况缺失61例，收入缺失19 705例，高血压缺失78例，糖尿病缺失2 027例，血脂异常缺失528例。

下载: 导出CSV

表 3 超重肥胖成人体重水平低估的多因素分析

Table 3. Multiple Logistic regression analysis of weight status underestimation among overweight and obese adults

变量	低估		轻度低估		严重低估
变量	OR(95% CI)值	P值	OR(95% CI)值	P值	OR(95% CI)值	P值
性别
男	1.68(1.55~1.83)	< 0.001	1.48(1.40~1.58)	< 0.001	1.08(0.98~1.19)	0.106
女	1.00		1.00		1.00
年龄(岁)
18~	1.00		1.00		1.00
45~	1.67(1.54~1.81)	< 0.001	1.25(1.17~1.34)	< 0.001	1.51(1.31~1.76)	< 0.001
60~	2.45(2.17~2.77)	< 0.001	1.31(1.19~1.44)	< 0.001	2.26(1.88~2.71)	< 0.001
民族
汉族	1.00		1.00		1.00
其他	1.23(0.97~1.55)	0.094	0.97(0.83~1.14)	0.738	1.48(1.10~1.98)	0.009
文化程度
小学及以下	2.23(1.89~2.63)	< 0.001	1.55(1.36~1.77)	< 0.001	1.98(1.56~2.52)	< 0.001
初中	1.52(1.29~1.80)	< 0.001	1.33(1.16~1.52)	< 0.001	1.50(1.19~1.90)	< 0.001
高中/中专/技校	1.21(1.01~1.44)	0.042	1.21(1.04~1.40)	0.012	1.15(0.89~1.49)	0.277
大专及以上	1.00		1.00		1.00
婚姻状况
未婚	1.00		1.00		1.00
已婚/同居	1.07(0.86~1.33)	0.576	1.19(0.98~1.44)	0.088	0.73(0.55~0.96)	0.026
丧偶/离婚/分居	1.14(0.87~1.50)	0.335	1.13(0.89~1.44)	0.324	0.92(0.67~1.26)	0.587
年收入(万元)
＜0.7	1.42(1.22~1.67)	< 0.001	1.05(0.94~1.17)	0.399	1.73(1.43~2.11)	< 0.001
0.7~	1.19(1.05~1.36)	0.009	1.03(0.93~1.13)	0.611	1.37(1.18~1.58)	< 0.001
1.3~	1.21(1.07~1.37)	0.002	1.13(1.02~1.25)	0.022	1.13(0.99~1.29)	0.069
2.4~	1.00		1.00		1.00
地区
东部	1.00		1.00		1.00
中部	0.79(0.67~0.94)	0.007	0.92(0.83~1.02)	0.120	0.80(0.64~1.00)	0.053
西部	0.91(0.75~1.10)	0.312	1.00(0.91~1.11)	0.983	0.85(0.69~1.05)	0.131
城乡
城市	1.00		1.00		1.00
农村	1.15(1.02~1.30)	0.020	1.02(0.94~1.11)	0.605	1.26(1.09~1.45)	0.002
肥胖程度
超重	1.00		1.00		1.00
肥胖	4.18(3.62~4.84)	< 0.001	0.58(0.49~0.68)	< 0.001	20.60(16.96~25.0)	< 0.001
高血压
否	0.99(0.89~1.09)	0.796	1.01(0.93~1.09)	0.842	0.95(0.83~1.08)	0.428
是(知晓)	0.77(0.68~0.88)	< 0.001	0.97(0.88~1.07)	0.571	0.71(0.60~0.84)	< 0.001
是(不知晓)	1.00		1.00		1.00
糖尿病
否	0.86(0.75~0.99)	0.032	0.92(0.83~1.02)	0.110	0.95(0.83~1.08)	0.585
是(知晓)	0.96(0.79~1.15)	0.622	0.85(0.73~0.99)	0.039	1.36(1.11~1.67)	0.003
是(不知晓)	1.00		1.00	1.00	1.00
血脂异常
否	1.24(1.14~1.34)	< 0.001	1.13(1.11~1.19)	< 0.001	1.11(1.01~1.21)	0.030
是(知晓)	0.67(0.59~0.76)	< 0.001	0.92(0.82~1.02)	0.103	0.63(0.55~0.72)	< 0.001
是(不知晓)	1.00		1.00		1.00

下载: 导出CSV

参考文献(21)

[1]	中国疾病预防控制中心, 中国疾病预防控制中心慢性非传染性疾病预防控制中心. 中国慢性病及其危险因素监测报告(2013)[M]. 北京: 军事医学科学出版社, 2016. National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention. Report on chronic disease risk factor surveillance in China (2013)[M]. Beijing: Military Medical Science Press, 2016.
[2]	中国疾病预防控制中心, 中国疾病预防控制中心慢性非传染性疾病预防控制中心. 中国慢性病及其危险因素监测报告(2010)[M]. 北京: 军事医学科学出版社, 2012. National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention. Report on chronic disease risk factor surveillance in China (2010)[M]. Beijing: Military Medical Science Press, 2012.
[3]	李剑虹, 王丽敏, 黄正京, 等. 中国成年人体重指数与心血管危险因素关系的研究[J]. 中华流行病学杂志, 2014, 35(9): 977-980. DOI: 10.3760/cma.j.issn.0254-6450.2014.09.001. Li JH, Wang LM, Huang ZJ, et al. Study on the relationship between BMI and the risk of cardiovascular among Chinese adults[J]. Chin J Epidemiol, 2014, 35(9): 977-980. DOI: 10.3760/cma.j.issn.0254-6450.2014.09.001.
[4]	王丽娜, 曹丽, 周立强, 等. 河北省成年居民超重肥胖与高血压的患病率[J]. 中华疾病控制杂志, 2009, 13(5): 627-628. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ200905048 Wang LN, Cao L, Zhou LQ, et al. The prevalence of overweight, obesity and hypertension among adult residents of Hebei province[J]. Chin J Dis Control Prev, 2009, 13(5): 627-628. http://zhjbkz.ahmu.edu.cn/article/id/JBKZ200905048
[5]	Bazzano LA, Gu D, Whelton MR, et al. Body mass index and risk of stroke among Chinese men and women[J]. Ann Neurol, 2010, 67(1): 11-20. DOI: 10.1002/ana.21950.
[6]	曾新颖, 李镒冲, 刘世炜, 等. 1990与2013年中国15岁以上人群归因于高BMI的死亡分析[J]. 中华预防医学杂志, 2016, 50(9): 776-781. DOI: 10.3760/cma.j.issn.0253-9624.2016.09.006. Zeng XY, Li YC, Liu SW, et al. Mortality attributable to high body mass index in Chinese people aged 15 or over, in 1990 and 2013[J]. Chin J Prev Med, 2016, 50(9): 776-781. DOI: 10.3760/cma.j.issn.0253-9624.2016.09.006.
[7]	Boo S. Misperception of body weight and associated factors[J]. Nurs Health Sci, 2014, 16: 468-475. DOI: 10.1111/nhs.12154.
[8]	Caleyachetty R, Kengne AP, Muennig P, et al. Misperception of body weight among overweight or obese adults in Mauritius[J]. Obes Res Clin Pract, 2016, 10(2): 216-219. DOI: 10.1016/j.orcp.2016.02.006.
[9]	Fang K, Li H, Ma A, et al. Weight underestimation for adults in Beijing and its association with chronic disease awareness and weight management[J]. Lipids Health Dis, 2018, 17(1): 225. DOI: 10.1186/s12944-018-0873-7.
[10]	Jeppe M, Anja BJ, Sisse F, et al. Misperception of body weight among overweight Danish adults: trends from 1995 to 2008[J]. Public Health Nutrition, 2013, 17(7): 8. DOI: 10.1017/S1368980013001444.
[11]	Madrigal H, Sánchez-Villegas A, Martínez-González MA, et al. Underestimation of body mass index through perceived body image as compared to self-reported body mass index in the European Union[J]. Pub Health, 2000, 114(6): 468-473. DOI: 10.1016/s0033-3506(00)00390-5.
[12]	Murillo R, Ali SA, Carmack C, et al. Activity and weight misperception among overweight and obese US adults[J]. Am J Health Behav, 2016, 40(1): 12-20. DOI: 10.5993/AJHB.40.1.2.
[13]	Robinson E, Oldham M. Weight status misperceptions among UK adults: the use of self-reported vs. measured BMI[J]. Bmc Obesity, 2016, 3(1): 21. DOI: 10.1186/s40608-016-0102-8.
[14]	Choi JW, Bender MS, Arai S, et al. Factors associated with underestimation of weight status among Caucasian, Latino, Filipino, and Korean Americans——DiLH Survey[J]. Ethn Dis, 2015, 25(2): 200-207. http://www.ncbi.nlm.nih.gov/pubmed/26118149?tool=MedlinePlus
[15]	陈春明, 孔灵芝. 中国成人超重和肥胖症预防控制指南[M]. 北京: 人民卫生出版社, 2006. Chen CM, Kong LZ. The guideline for prevention and control of overweight and obesity in Chinese adults[M]. Beijing: People's Medical Publishing House, 2006.
[16]	Peltzer K, Pengpid S. Underestimation of weight and its associated factors in overweight and obese university students from 21 low, middle and emerging economy countries[J]. Obes Res Clin Pract, 2015, 9: 234-242. DOI: 10.1016/j.orcp.2014.08.004.
[17]	高荣涛, 姜勇, 张梅, 等. 我国18~69岁居民体重自我评价与实测体质指数比较分析[J]. 中国慢性病预防与控制, 2010, 18(5): 454-457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB201005006.htm Gao RT, Jiang Y, Zhang M, et al. Comparative analysis on self-evaluation of body weight and actual body mass index for residents aged 18-69 in China[J]. Chin J Prev Contr Chron Dis, 2010, 18(5): 454-457. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB201005006.htm
[18]	Dorsey RR, Eberhardt MS, Ogden CL. Racial and ethnic differences in weight management behavior by weight perception status[J]. Ethn Dis, 2010, 20(3): 244-250. DOI: 10.1038/oby.2009.121.
[19]	Lemon SC, Rosal MC, Zapka J, et al. Contributions of weight perceptions to weight loss attempts: differences by body mass index and gender[J]. Body image, 2009, 6(2): 90-96. DOI: 10.1016/j.bodyim.2008.11.004.
[20]	Kuchler F, Variyam JN. Mistakes were made: misperception as a barrier to reducing overweight[J]. Int J Obes Relat Metab Disord, 2003, 27(7): 856-861. DOI: 10.1038/sj.ijo.0802293.
[21]	US Preventive Services Task Force. Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults: US preventive services task force recommendation statement[J]. JAMA, 2018, 320(11): 1163-1171. DOI: 10.1001/jama.2018.13022.

施引文献

资源附件(0)

访问统计

点击查看大图

特征	合计(n=87 552)	超重者(n=61 362)	肥胖者(n=26 190)
性别
男	36 514(51.9)	26 153(52.6)	10 361(50.5)
女	51 038(48.1)	35 209(47.4)	15 829(49.5)
年龄(岁)
18~	25 580(52.8)	17 730(52.1)	7 850(54.3)
45~	37 473(30.4)	26 164(30.7)	11 309(29.8)
60~	24 499(16.8)	17 468(17.2)	7 031(15.9)
民族
汉族	78 686(92.4)	55 245(92.5)	23 441(92.3)
其他	8 866(7.6)	6 117(7.5)	2 749(7.7)
文化程度
小学及以下	40 361(36.7)	28 266(36.7)	12 095(36.7)
初中	28 701(37.0)	19 967(36.8)	8 734(37.4)
高中/中专/技校	12 739(16.7)	8 983(16.6)	3 756(17.1)
大专及以上	5 696(9.6)	4 108(9.9)	1 588(8.8)
婚姻状况
未婚	2 434(7.7)	1 731(7.7)	703(7.9)
已婚/同居	77 051(87.0)	53 898(86.9)	23 153(87.1)
丧偶/离婚/分居	8 006(5.3)	5 687(5.4)	2 319(5.0)
年收入(万元)
＜0.7	16 532(24.7)	11 678(25.0)	4 854(24.0)
0.7~	17 043(26.5)	11 783(26.0)	5 260(27.7)
1.3~	16 594(25.4)	11 630(25.4)	4 964(25.3)
2.4~	17 678(23.4)	12 397(23.6)	5 281(23.0)
地区
东部	34 733(43.5)	23 895(42.7)	10 838(45.3)
中部	25 715(33.1)	18 062(33.0)	7 653(33.5)
西部	27 104(23.4)	19 405(24.3)	7 699(21.2)
城乡
城市	43 724(48.2)	30 413(48.1)	13 311(48.5)
农村	43 828(51.8)	30 949(51.9)	12 879(51.5)
高血压
否	47 406(61.9)	35 863(66.0)	11 543(52.4)
是(知晓)	20 364(16.7)	12 420(14.5)	7 944(21.7)
是(不知晓)	19 704(21.4)	13 027(19.5)	6 677(25.9)
糖尿病
否	70 424(85.4)	50 449(87.0)	19 975(81.7)
是(知晓)	6 797(5.6)	4 309(5.0)	2 488(7.1)
是(不知晓)	8 304(9.0)	5 146(8.0)	3 158(11.2)
血脂异常
否	44 703(52.1)	33 555(56.2)	11 148(42.7)
是(知晓)	9 715(8.8)	5 775(7.4)	3 940(12.2)
是(不知晓)	32 606(39.0)	21 645(36.4)	10 961(45.1)
注：^a文化程度缺失55例，婚姻状况缺失61例，年收入缺失19 705例，高血压缺失78例，糖尿病缺失2 027例，血脂异常缺失528例。

表(3)

计量

文章访问数: 465
HTML全文浏览量: 237
PDF下载量: 30
被引次数: 0

姓名
邮箱
手机号码
标题
留言内容
验证码

留言板

2013年中国超重肥胖成人体重水平低估情况

doi: 10.16462/j.cnki.zhjbkz.2019.08.011

通讯作者:
李剑虹. E-mail: Lijianhong@ncncd.chinacdc.cn

计量

Underestimation of weight status among overweight and obese adults in China in 2013

Corresponding author: LI Jian-hong, E-mail: Lijianhong@ncncd.chinacdc.cn

计量

目录

留言板

2013年中国超重肥胖成人体重水平低估情况

doi: 10.16462/j.cnki.zhjbkz.2019.08.011

通讯作者: 李剑虹. E-mail: Lijianhong@ncncd.chinacdc.cn

计量

出版历程

Underestimation of weight status among overweight and obese adults in China in 2013

Corresponding author: LI Jian-hong, E-mail: Lijianhong@ncncd.chinacdc.cn

计量

出版历程

目录

通讯作者:
李剑虹. E-mail: Lijianhong@ncncd.chinacdc.cn