Analysis on the influence factors of metabolically abnormal obesity
TIAN Huixia1,2 HAN Huiwu1 ZHOU Shi2 CHEN Nengfeng2 SHEN Lu2
1.Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Hu’nan Province, Changsha 410008, China;
2.Department of Cardiovascular Medicine, Xiangya Hospital of Central South University, Hu’nan Province, Changsha 410008, China
Abstract：Objective To explore the influencing factors of metabolic abnormality obesity. Methods A total of 563 outpatients and physical examination subjects in Xiangya Hospital of Central South University from March to December 2019 were selected as the research subjects by convenience sampling. According to whether they had metabolic abnormal obesity, they were divided into two groups, metabolic obesity group (59 cases) and non-metabolic obesity group (504 cases). The general information and the scores of diet and exercise self-efficacy of the two groups were collected, and the influencing factors of metabolic abnormality obesity were analyzed by multi-factorial logistics regression. Results The proportions of male, age ≥45 years old, junior high school education level or below, retired or unemployed, city of residence, abnormal waist-hip ratio in the metabolic abnormality obesity group were higher than those in the non-metabolic abnormality obesity group, and sports self-efficacy score was lower than that in the non-metabolic abnormality obesity group, with statistical significance (P ＜ 0.05). There was significant difference in body mass index between the two groups (P ＜ 0.05). In the multivariate logistic regression analysis, the results showed that male (OR ＞ 1, P ＜ 0.05) was an independent risk factor for metabolic abnormality obesity, while the high exercise self-efficacy score (OR ＜ 1, P ＜ 0.05) was a protective factor. Conclusion Health care workers should improve health literacy in various ways, with special attention to strengthening intervention in men and those with low sports self-efficacy scores.
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